Appointments:Book online or call 519-570-1655
The Ontario Health Insurance Plan (OHIP), while extensive in coverage does not cover all services. In accordance with the Ontario Medical Association's guidelines, fees will be charged for all uninsured services.
For your convenience Greenbrook Family Medical provides the potential cost saving option of subscribing to an ANNUAL FEE. Patients who subscribe to the Annual Fee Plan will receive the services covered by the plan at no additional cost (see below). The Annual Fee is not obligatory. Patients who do not enroll will be asked to prepay for all uninsured services (individual consideration will be given if these fees represent a financial burden to you - please discuss with your physican).
Our annual fee Premium Coverage Plan has expanded to cover more services than ever before. This premium coverage plan now includes both clinical services not covered by OHIP (wart removal, pregnancy tests, ear syringe, TB skin tests) as well as covering fees for prescription renewals (normally $30 per medication) and most doctor’s notes (including the disability tax credit form).
Annual Fee: Now thru Dec 31, 2025:
INDIVIDUAL: $150.00
If you wish to subscribe to our Annual Fee, please complete the form and you will be sent an annual invoice automatically.
Prescription Renewal
(by phone/fax or electronically) /medication $30.00
Sick Note / Back to Work Note $30.00
Missed Routine Appointment $40.00
Missed Extended Visit $75.00
TB Skin Test - one step / two step $40 / $80
Faxing and Photocopying at the
patient's request per page (test results) $5.00
Add a footnote if this applies to your business
Transfer of Medical Record pages 1-5 $30.00
Each page thereafter (plus cost of USB) $0.25
Coping chart on to USB up to $60.00
Certification of Fitness
-to travel $40.00
-for school/camp $40.00
-for employment /health status $40.00
Referral Note for Chiropractor $30.00
Physiotherapy, Massage, Chiropody,
Orthotics $30.00
Compression Stockings,
other therapies $30.00
Medical devices not covered by OHIP $30.00
Medication authorization form
for insurance $30.00
Travel Insurance Forms $50 minimum
Trip Cancellation Forms $50.00
Driver's Medical Examination & Form $165.00
Rev. Canada/Federal Disability Tax Credit $150.00
Short Term Disability form $50.00
CPP Disability $100.00
Other forms not covered by third party $35.00 to $95.00
Add a footnote if this applies to your business
Uninsured Vaccination (per injection) $30.00
Lost blood work
other testing requisition replaced $10.00
Immunization Record Replacement $25.00
Wart removal (per lesion/wart) $30.00
Long distance charges to family/consulting
physicians at the patient’s request
(per call) $20.00
Ear Syringing $30 for one ear, $40 both
Urine Pregnancy Test $10.00
421 Greenbrook Drive, Kitchener, Ontario N2M 4K1
Phone: 519-570-1655
Fax: 519-570-3477
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