The Alberta Health Care Insurance Plan pays for many of the services you receive from your doctor.

However, the government plan does not cover certain “uninsured services”. Some are billed to lawyers, government agencies or others. Some are billed to you. You or a third party (such as your employer, insurance company or school) may request a letter, report, or form, from your physician.

These services require the time and expertise of your doctor and staff. As a result, you or the third party will be billed a fee to cover these costs.

Your doctor will discuss any fee with you before providing an uninsured service. Payment will be expected when you receive the service. To make other payment arrangements, please talk with your doctor or the staff.

We accept cash, cheques or debit or credit cards.

The following is a list of uninsured services for which this clinic may bill you. These fees are assigned as per the recommendations of the Alberta Medical Association and are subject to change.


Sick Note/Absence Confirmation


Blue Cross Form for Special Authorization


Disabled Parking Form


Short Term Disability Form


Long Term Disability Form


Insurance Attending Physician Statement


All Third Party Medical Exams including form


Seniors’ Residence Medical Report


Driver’s Medical Exam Under Age 74.5


Driver’s Forms for medical reasons


Third Party Letters Requested on Patient attended
(including KeyFacts)


Other Simple Forms (eg. EI, pregnancy, tax credit)


Other Complex Forms
(requiring medical exam or over 15 minutes to complete)

$50.00 per 15 mins



Prescription Renewal via phone or fax


Injections by nurse (per injection)


Travel Medicine Consult


Liquid nitrogen freezing warts or other skin lesions
(flat fee for up to 5)


Cosmetic skin lesion removals (eg. skin tags, moles)


Botox injections for medical conditions (eg. excessive sweating, migraine)

$150.00 injection fee, plus medication cost

Cosmetic Botox

Please book a free consult to discuss



Missed Booked Appointment (Please see our Cancellation Policy)

$50.00 per booked 15 mins

Non-insured patients – Canadian

$150.00 per 15 minutes

Non-insured patients – Out of Country

$200.00 per 15 minutes

Photocopying or Printing

$0.40 per page

Transfer of Records to Physician


There may be other services your doctor can provide that are not covered by the Alberta Health Care Insurance Plan.  These services will be billed on an individual basis by mutual agreement after discussion with your doctor.

We realize and will always take into consideration that some patients may not be able to afford to pay for these services.  Please do not hesitate to inform us if these charges pose a financial hardship for you.