Uninsured Services List

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 $125.00
Pre-op Cosmetic $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.

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