Fees
Massage
| Students/Seniors | |
|---|---|
| Half session | $55.00 |
| Full session | $85.00 |
| Extended session | $125.00 |
| Staff/Faculty/Alumni | |
|---|---|
| Half session | $57.00 |
| Full session | $90.00 |
| Extended session | $135.00 |
| Public | |
|---|---|
| Half session | $63.00 |
| Full session | $95.00 |
| Extended session | $140.00 |
Chiropractic
| Students/Seniors | |
|---|---|
| Initial assessment | $80.00 |
| Repeat treatment | $45.00 |
| Repeat visit extended | $70.00 |
| Staff/Faculty/Alumni | |
|---|---|
| Initial assessment | $85.00 |
| Repeat treatment | $50.00 |
| Repeat visit extended | $75.00 |
| Orthotics | |
|---|---|
| Custom orthotics consultation | $45.00 |
| One pair of custom orthotics | $350.00 |
| Second pair of custom orthotics | $210.00 |
| Missed appointments | |
|---|---|
| Missed appointment | $20 |
| Missed extended visit | $40 |
Uninsured Services
The following fees are based on the Alberta Medical Association Guidelines for Uninsured Services.
|
Medical care for out-of-country and no-health care patients (Including Quebec) |
|
|---|---|
| Office visit – 03.03A/B | $55.00/15 minute int. |
| Major visit – 03.04A/B | $150.00 |
| Psychiatrist first visit | $650.00 |
| Psychiatrist follow-up visit | $250.00 |
| Pap – 13.99BA | $60.00 |
| Speculum exam-13.99BE | $60.00 |
| Injection – 13.59A/13.42A | $15.00 per injection |
| Medical and nursing student immunization |
$55.00 |
| Immunization/travel consultation |
$55.00 |
| Burns/Lacerations – major |
$200.00 |
| Burns/Lacerations – minor | $100.00 |
| Removal of warts, moles, surgical treatment | $95.00 - 210.00 |
|
Removal of warts, moles etc. Non –surgical treatment (Liquid nitrogen, chemicals, etc.) |
$55.00 - $100.00 |
| Tensor bandage |
$6.00 |
| Sling | $10.00 |
| Finger splint |
$5.00 |
| Ice pack |
$5.00 |
If a service is provided that is not listed above, the rate will be 2X the rate listed in the Schedule of Medical Benefits fee schedule.
|
Completion of forms/reports |
|
|---|---|
| Deferral form | $35.00 |
| Sick note |
$35.00 |
| Letter to employer (more complex than sick note) | $55.00 |
| Drug exemption form or Blue cross special authorization form | $55.00 |
| General insurance eligibility |
$275.00 - $480.00 |
| Attending physician statements (usually billed to insurance company) | $125.00 - $375.00 |
| Disability benefit report (form only) | $65.00 - $135.00 |
| Disability benefit report (exam and form) | $155.00 - $245.00 |
| Medical elective form (for up to 3 forms) |
$35.00 $10.00 for each additional form |
| Canada Revenue Agency Disability Tax Credit form |
$60.00 - 120.00 |
| Disabled parking authorization form |
$60.00 |
|
Travel/ Immunization Injection Fees |
|
|---|---|
| Diptheria, Tetanus and Pertussis (DTAP) | $35.00 |
| Enterotoxigenic E. Coli | $40.00 x 1, $75.00 x 2 |
| Gardasil (HPV) Human Papillomavirus | $170.00 |
| Hepatitis A (HAV1) | $50.00 |
| Hepatitis A (AVA1) | $30.00 |
| Hepatitis B (HEPB1) | $25.00 |
| Hepatitis A & B (HEPA1&B1) | $50.00 |
| Japanese Encephalitis | $220.00 |
| Mantoux (MANTX) (Injection fee included) | $25.00 |
| Measles, Mumps, Rubella (MMR) | $35.00 |
| Meningococcal | $60.00 |
| Polio (POLIO1) | $50.00 |
| TD Polio (TD2) | $50.00 |
| Rabies | $175.00 |
| Tetanus, Diptheria | $25.00 |
| Typhoid | $25.00 |
| Typhoid, Hepatitis A | $85.00 |
| Yellow Fever | $135.00 |
|
Administrative Services |
|
|---|---|
| Transfer of complete medical records to another physician for ongoing pages + care (requested by either patient or physician). |
$25.00 for first 25 pages $0.25 per page thereafter (If applicable) |
| Archival retrieval fee (if required) | $30.00 |
|
Third party requests for medical records (for insurance, medical, or legal purposes) Chart information, no forms that need to be filled out. |
$50.00 + $0.40 per page |
| Request by physician for specific information | No charge |
| Medical Legal Reports | $200.00 for 1st 30 minutes |
|
Third Party Requests for Medicals |
|
|---|---|
| Driver’s license (Exam and form) |
$160.00 |
| Varsity Team Medicals | $150.00+ |
|
Certificate of Fitness (for school, camp or employment) Form only Exam and form |
$55.00+ $150.00 |
| University and College Medicals | $150.00+ |
|
Alberta Motor Vehicle Insurance (Usually billed to Insurer) |
||
|---|---|---|
| AB1 | Claim for disability benefits | $75.00 |
| AB2 | Treatment plan | $125.00 |
| AB3 | Progress note (at request of insurer) | $100.00 |
| AB4 | Concluding report | $100.00 |
| AB5 | Referral form | $125.00 |
| Proving copies | $80.00 - $0.40 per page |
|
Missed Appointments (No show for confirmed booked appointments) |
|
|---|---|
| Minor visit appointment (10 - 15 minutes) | $55.00 |
| Complete physicals (20 - 30 minutes) | $110.00 |
| GP Mental health visit (20 - 30 minutes) | $110.00 |
| Psychiatrist first visit (2 hours) | $200 |
| Psychiatrist follow-up visit (1 hour) | $120 |