Tillsonburg Family Physicians

Most visits are covered by the Ontario Health Insurance Plan (OHIP). Requests by Third Parties are generally not covered by OHIP and patients are responsible for payment

Uninsured Services	Price
Work Note	$20.00
Sick Note	$20.00
Day Care Note	$20.00
Prescription Renewal	$20.00
Missed Physical Exam (1 per yr)	$50.00
Faxing/Photocopying (per page or item)	Independant Consideration
Transfer of Medical Records	$50.00
Driver's Physical	$135.00
Citizenship and Immigration Report	$135.00
Rev Canada, Federal Disability Tax Credit	$75.00
CPP Disability Medical Report Form	Independent Consideration
Other Forms not Covered by OHIP	Independent Consideration
School/Camp Form	$40.00-$60.00
Pre-Employment Certification of Fitness Form	$125.00
UIC Disability/Maternity Certificate	$20.00-$40.00
Travel Cancellation Form	$30.00-$60.00
Uninsured Vaccination Administration	$10.00-$40.00

Our office offers EXTENDED COVERAGE for the above services. If you do not wish to pay for uninsured services one-by-one, the EXTENDED COVERAGE PLAN allows you to pay $150 (Individual) or $200 (Family) which covers services for 1 year. Please enquire at our office for more information. Block Fee/Extended Coverage Form

Our office accepts various methods of payment including: Cash/Cheque, Visa, Mastercard and Debit. We also accept eTransfer to tfpoffice@execulink.com