Agreement on Free Circulation of People (AFCP) between CRMC-CSDM
בס״ד
Local Rate
Toll-Free
Patients info
בטיחות הנה עדיפות כאן
List and prices of services not covered by the provincial health insurance
SERVICE PROVIDED
-
Out-of-Country Visit - Uninsured (first visit)
-
Out-of-Country Visit - Uninsured (follow up/non CPX)
-
Out-of-Country Visit (CPX)
-
Uninsured Citizen (not from Quebec)
-
Visitor/new-resident from Quebec
-
Privately Insured Citizen or Visitor
-
Work and school absent note
-
Driver's medical exam and form for <74 years of age
-
Certificate of fitness (school/camp)
-
Form fee - 1 page
-
Form fee - additional page
-
Travel consultation
-
Travel Consultation - follow up injection
-
Medical legal reports
-
Disabled parking form
-
Pre-employment medical with exam
-
Chart transfer
-
Missed regular visit
-
Missed physical exam visit
-
Medical records request
-
Attending physician statement
-
Counselling session
-
Disability tax credit certificate
-
Pre-operative - Dentistry
-
Copy of results (HIA Request Form must be completed)
-
Letter
-
Botox - hyperhidrosis / chronic migraine
-
Pregnancy test
-
Aviation medical
-
Mole removal
-
Disability form
-
Form completion
-
Aviation medical - Westjet
MD Prices
$150
$80
$150
$80
$150
$150
$45
$150
$120
$50
$25
$50
$25
$300*
$60
$170
$100
$40
$150
$180
$250
$180
$120
$120
$1/page
$40 (minimum)
$250
$25
$170
$200
$80
$80
$250
NP Prices
$80
$40
$80
$80
$80
$150
$45
$80
$40
$50
$25
$40
$25
$300*
$40
$170
$100
$40
$150
$180
$250
$50
$120
$120
$1/page
$40 (minimum)
$250
$25
$170
$200
$80
$80
$250
* Minimum $300 but varies with length of report