Calgary West Medical Centre 

Calgary West Medical Centre Fee Schedule for Uninsured Services



Medical
Rate
Certificate of fitness for School, Camp etc- Full exam & form fee
$100-120
Certificate of Fitness for School, Camp etc- Form fee Only
$30-50
Drivers Licence Medical Form + Exam
$80-150
Office Visit (Without valid Health Care Coverage)
$45
Complete Physical (Without Valid Health Care Coverage)
$120
Non Resident of Canada Patient Medical Assessment
$70-300


Forms

Accident and Disability Forms
$70
Attending Physician Statement (Physician Discretion)
$150
Medical Legal Reports (Physician Discretion)
$250/hr
Pregnancy Leave
$45
Unemployment Insurance
$45
Disabled Parking Placard
$45
Pre-Employment Medical Exam and Form (Depends on complexity)
$30-40
Blue Cross Special Authorization Forms
$20-30
Long Term Care/Seniors Residence Entry Forms (Depends on complexity)
$45
Trustee/Guardianship Forms
$150-700
AISH Application Forms
$90
Return to & Absence Work Forms/Notes
$30
Sick Note
$20


Procedures

Wart Treatment/Removal (For Uninsured warts)
Starting @ $50
Skin Tag Removal (with Liquid Nitrogen or Excised with scissors/scalpel/cautery)
Starting @ $80
Surgical Treatment  (Physician Discretion)
$250/hr


Miscellaneous Fees

Uninsured Injection (Gardasil or Tetnus for Travel) or Bring in vaccines
$20
Photocopy Fee/ Print Chart/ Copy of results
$2 + 0.25/page
Chart Transfer
Starting @ $35
Renewal of Prescription by Telephone
Starting @ $20
Record Release
Starting @ $30
No Show/ Cancellation < 24 Hours
$30 Routine-$60 CPX

Uninsured Services

Call Us:  +1.4032467788