Uninsured Clinical Services

Below is a list of services not covered by Alberta Health Care.  All patients are welcome to make an appointment to see a physician for these services, however, a fee will be charged.

Clinical Service Type    

 

Blue Cross Special Authorizations

 

General Insurance Eligibility

Examination and Form Completion

 

Attending Physicians Statement for Insurance Company

 

Disability Benefit Report

Form Completion Only

Exam and Form Completion

 

3rd Party Requested Letters on Patient Attended

 

Proof of Death Physicians Statement

(Other than Vital Statistics)

 

Certification of Fitness for School

Form Completion Only

Exam and Form Completion

 

School Requested Forms and Reports

Sick Note

Note Only

Exam and Note

 

MOT Pilot Exam

 

Pre-Employment Mediacal Exam and Report

 

Pregnancy Leave and EI Forms

 

Certification of Fitness for Summer Camp, Daycare,
Air Travel. etc.

Form Only

Exam and Form

 

Senior's Residence Medical Report

 

Disabled Parking Authorization

 

Driver's Medical Exam and Form

 

Elective Newborn Circumcison

 

Telephone Prescription Renewal

 

Surgical Removal of Warts, Moles, etc.

(not medically required)

 

Non Surgical Treatment ie.

liquid nitrogen, chemicals, etc.

(not medically required)

 

Third Party Medicals for Travel,

Work, Insurance, etc.

 

Physicians Visits for Prescriptions

(due to travel)

 

Air Travel Injections or

Gardasil Vaccination

 

 

 

 

$30.00

 

$125.00 - $250.00

 

 

$85.00 per 15 min

 

 

$40.00 - $70.00

$90.00 - $130.00

 

$110.00 - $260.00

 

$40.00 - $80.00

 

 

 

$25.00

$70.00

 

 

$40.00 - $130.00

$30.00

$65.00 - $100.00

 

$105.00 + tests

 

$70.00 - $200.00

 

$30.00

 

 

 

$25.00

$70.00

 

$50.00

 

$25.00

 

$75.00

 

$100.00

 

$25.00

 

$40.00 - $80.00

 

 

$30.00 - $60.00

 

 

 

$50.00

 

 

 

$35.00

 

$10.00/injection

 

 

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