Annual Fee For Uninsured Services

The Ontario Health Insurance Plan (OHIP), while extensive in coverage does not cover all services. In accordance with the Ontario Medical Association’s guidelines, fees will be charged for all uninsured services.  

For your convenience Greenbrook Family Medical provides the potential cost saving option of subscribing to an ANNUAL FEE. Patients who subscribe to the Annual Fee Plan will receive the services covered by the plan at no additional cost (see below).  The Annual Fee is not obligatory. Patients who do not enroll will be asked to prepay  for all uninsured services (individual consideration will be given if these fees represent a financial burden to you – please discuss with your physican).

Our annual fee Premium Coverage Plan has expanded to cover more services than ever before.  This premium coverage plan now includes both clinical services not covered by OHIP (wart removal, pregnancy tests, ear syringe, TB skin tests) as well as covering fees for prescription renewals (normally $30 per medication) and most doctor’s notes (including the disability tax credit form). 

Annual Fee: Jan 1, 2026 to Dec 31, 2026:

INDIVIDUAL: $150.00

Subscribe to Annual Fee

If you wish to subscribe to our Annual Fee, please complete the form and you will be sent an annual invoice automatically.

Enroll in Annual Plan

Payment Options for Annual Fee:

  1. Debit / Credit Card.
  2. Cheque payable to your physician (for Dr. Kaphengst’s and Dr. Wade Coutinho’s patients, please make cheques out to Greenbrook Family Medical)
  3. eTransfer to GreenbrookFamilyMedicalCentre@gmail.com. In the message, provide your invoice number (for example: SE12345). We use autodeposit.

Services & Fees

Note: All services listed below are not covered by OHIP. Prices shown are the cost if you do not enroll in the annual fee.

Prescription renewal$30
Sick note / Back to work note$30
Missed routine appointment$40
Missed extended visit$75
TB skin test one/two step$40 / $80
Faxing / photocopying (per page)$5
Record Requests
Transfer medical record (1–5 pages)$30
Each additional page$0.25
Copy chart to USBUp to $60
Forms & Certificates
Fitness — travel$40
Fitness — school/camp$40
Fitness — employment$40
Referral — chiropractor$30
Physio/Massage/Orthotics$30
Compression stockings$30
Medical devices (not OHIP)$30
Medication authorization$30
Travel insurance forms$50 min
Trip cancellation forms$50
Driver’s medical exam & form$165
Disability tax credit$150
Short-term disability form$50
CPP disability$100
Other forms$35–$95
Clinical Services
Uninsured vaccination (per shot)$30
Bloodwork requisition replacement$10
Immunization record replacement$25
Wart removal$30 each
Long distance MD consult (per call)$20
Ear syringing$30 / $40
Urine pregnancy test$10

Notes:

  • Most services above are included if enrolled in the annual fee.
  • Driver’s medical exam and USB device costs are not covered by the annual fee.
  • Some services may vary depending on time and complexity.
  • Prices subject to change without notice.