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IMPORTANT INFORMATION REGARDING COVID-19 VACCINE

MEDICAL EXEMPTION LETTERS:


There are three rare situations in which a patient would qualify for medical exemption from the COVID-19 vaccine:

1.     Severe allergic reaction (i.e., anaphylaxis) to a previous dose of a COVID-19 mRNA vaccine, as confirmed by an allergist

 

2.     An allergy to a component (PEG (Polyethylene glycol), Tromethamine and Polysorbate), of the COVID-19 vaccine, as confirmed by an allergist

 

3.     Myocarditis or pericarditis after a first dose of an mRNA vaccine – as a precautionary measure, the second dose of the series should be deferred in individuals who experience myocarditis or pericarditis following a first dose of an mRNA vaccine as confirmed by a physician, until more information is available.

 

***The physicians at Grandview will be writing COVID-19 vaccination medical exemption notes based on the criteria laid out by the College of Physicians and Surgeons of Ontario.  The CPSO advises that your physician is not able to provide a letter to exempt you from a COVID vaccine on the basis of any religious or personal beliefs, or for any medical condition not listed above.***





Third Party Fees

The following is a list of services that are NOT covered by OHIP or WSIB. These fees are consistent with other Family Health Teams, and are either less than or equal to the rates published by the Ontario Medical Association.

FORMS/NOTES/PHYSICALS:
Return to work / Sick Notes $20.00
Driver (MOT) Physical, includes form fee
$125.00
Follow-up MOT disease specific forms

●Initial MOT completed here - $60.00

●Initial MOT not completed here - $125.00

School / Camp Physicals $25.00
Pre-Employment Physicals $40.00
School Forms $25.00
Short-Term Disability Forms $50.00
Long-term Disability Forms - Attending Physician's Statement $145.00
Disability Tax Credit Form $50.00
CPP Application (Up to $150.00 if narrative required) - $85.00
Life Insurance / Death Certificate $50.00
Travel Cancellation Form $40.00
Pre-Op Dental Form $65.00
Dental Questionnaire Forms (Antibiotic Prophylaxis, Anti-Thrombotic therapy) $25.00
Expired Health Card Visit Fee $65.00
Missed Appointment Fee ● 15 mins - $30.00
● 30 mins - $50.00
Records:
Transfer of Chart (Digital) $50.00
Copies of Medical Records
●$30.00 for first 20 pages then $0.25 per page thereafter
●Includes first 15 mins. of professional review, additional per unit fee will be added beyond 15 mins.
$0.25/page
PROCEDURES/IMMUNIZATIONS/PRESCRIPTIONS:
Cryotherapy - per skin lesion $20.00
Cosmetic Skin Lesion - Skin Tag removal, Shave $100.00
Cosmetic Skin Lesion - All others $200.00
Circumcision $300.00
Dukoral Prescription $20.00
Prescription for Massage, Physio, Chiropractor, Orthotics (Each) $20.00
TB Skin Testing (3rd party request - employment, education, volunteer) ● 1-Step - $30.00
● 2-Step - $50.00
Prescription for Massage, Physio, Chiropractor, Orthotics (Each) $50.00

Revised March 1, 2020

Printable PDF Version of Fees for Services

Regular Clinic Hours

Mon - Fri   8:00 am - 5:00 pm


Urgent Matters Only

Mon - Fri   5:00 pm - 8:00 pm
Sat            8:00 am - 2:00 pm



 

Regular Clinic Hours

Mon - Fri   8:00 am - 5:00 pm

Urgent Matters Only

Mon - Fri   5:00 pm - 8:00 pm
Sat           8:00 am - 2:00 pm

Regular