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Clinic Fees

Clinic Fees

For more information, please contact the clinic front desk.
403-609-8333, Ext. 1

Fee Schedule Effective January 2024

Uninsured services are fees that are not covered by provincial health insurance. These fees reflect administrative and supply costs and are based upon recommendations by the Alberta Medical Association and the Health Information Act. Where a range of fees is indicated, the actual amount charged depends upon time and complexity and is determined by the physician.

Insurance and Specialty Forms

  • Blue Cross special authorization forms

    $55

  • Disability tax credit form

    $150

  • Disabled parking form

    $60

  • Tax credit for medical expenses

    $30 per page

  • Senior's residence applications

    $125

  • Driver's medical exam - clinic patient

    $150

  • Driver's medical exam - walk-in (must pay in advance)

    $200

  • Driver's medical exam - senior (74+)

    $90

  • Attending physician statement (patient fee)

    $50 per 15 mins

  • Attending physician statement (insurance company base fee)

    $75 per 15 mins

School, Work & Other Medical Fitness Forms

  • Certificate of Fitness (form only)

    $55 (1-2 pages)

  • Certificate of Fitness including exam (form & exam including pre-op, *exam is needed if no medical examination within prior 3 months)

    $145

  • Additional pages
    $30 per page
  • Physician note

    $30 (if can't be billed to AHC)

  • Employment insurance forms / other forms

    $75 per 15 mins

Transfer of, and Access to Medical Records

  • Review of medical records by physician (0-15 min)

    $50 per 15 mins of review

  • Base fee for printed transfer of chart

    $25 for up to 25 pages
    25¢ per page thereafter

Travel

  • Travel consultations

    $75

  • **Note: We do not do travel consultations unless physician approves in exceptional circumstances - refer to Gourlay's or Three Sisters Pharmacy instead
  • Travel prescriptions - physician (Rx only - no consult)

    $55

  • Travel injections - nurse

    $20

Other Clinical Services

  • Non- surgical treatment of warts, moles (liquid nitrogen/other)

    $5-10

  • Surgical removal of lesions (not medically necessary)

    $100-$200

  • Dressing supplies

    $15 per dressing used

  • Steroid injections (cortisone - cost of drug only)

    $35

  • Copper IUD

    $100

Uninsured Canadians / Quebec Health Care*

  • Standard visit (adjust fee code per modifier indicated by physician)

    3.03A / 3.03A01 /
    3.03A02 / 3.03A03

  • Comprehensive visit (adjust fee code per modifier indicated by physician)

    3.04A / 3.04A30

  • Procedure cost (additional to initial visit code

    Based on provincial
    fee schedule

Out-of-Country Patients

  • Base visit - single problem, non-complex concern

    $175 (first 15 min)

  • Complex visit and/or multiple problems

    $50 per 10min (or encounter)
    above base 15min appt.

  • Procedure & equipment (additional to visit cost)

    $50 

  • Phone follow-up required

    $50 (additional)

  • Phone appt. (exceptional circumstances only - physician approval needed)

    $100

Missed Appointments

CURRENT AS OF JAN 2024: Three missed appointments or late cancellations will result in dismissal from the clinic.

  • General visit

    $50

  • Annual medical/procedures/30 minute appt.

    $100

  • Nurse appointments

    $35

  • Missed appt. due to late arrival

    $50

  • Late cancellation of appt. (<24 hrs)

    $50