Westgrove Clinic –Uninsured Services Pricing - August 2018
Prices below are for services provided that are not insured by Alberta Health Care and follow the Alberta Medical Association guidelines. Please discuss any concerns with our staff.
| Missed Appointments |
| Missed appointment – regular visit |
$50.00 |
| Missed appointment – complete physical visit |
$100.00 |
| Missed procedure |
$100.00 |
| Notes |
| Orthotics, Massage/compression stockings |
$20.00 |
| Sick notes |
$40.00 |
| Medicals |
| Drivers License Medical (under age 74.5) |
$125.00 |
| Drivers License for Class, 1,3 6 |
$125.00 |
| Pre-Op Dental Procedure |
$125.00 |
| Pre-op Cosmetic Procedure |
$125.00 |
| 3rd party Medical (requested by third party) |
$125.00 |
| Medical Clearance for work |
$125.00 |
| Camp, School Medical |
$125.00 |
| Forms |
| Disability Tax credit form (each form) |
$50.00 |
| Disabled Parking Placard |
$25.00 |
| Pregnancy Leave forms |
$20.00 |
| AB2 form – (MVA) paid by insurance company |
$125.00 |
| Travel Insurance form |
$40.00 |
| Miscellaneous forms |
To be reviewed |
| Miscellaneous Services |
| Prescription refills by phone or fax( at the discretion of the doctor |
$20.00 |
| Wart treatment (not on feet) |
$40.00 |
| Injections (Gardasil, Travel, Zostavax) |
$25.00 |
| 24 hour BP monitor |
$40.00 |
ALL FEES ARE AT THE DISCRETION OF YOUR PHYSICAN.
YOUR PHYSICIAN WILL CONFIRM WITH THE MANAGER REGARDING ANY WAIVING OF FEES.
