Fee Guide

Welcome to the Active Care Medical Clinic
Now partnering with Healtheon to provide even better service for you and your family.

Uninsured services COVERED by the Basic Plan

General Uninsured Services

Service Price
Prescription Renewals by phone/fax/online (when appropriate and only at the request of the patient) $25.00
Transfer of Medical Records (each page after 5 will be $1.50) First 1-5 pages $35.00
Letters on behalf of patients (depending on time and work involved) $25 – $200
Travel Advice in the office (2 people or more, $60) For 1 person $30.00
Lost Prescriptions, Notes, Referrals $20.00
Uninsured Vaccine Administration $15.00
TB Test $40.00
TB Test Reading $20.00
Medical Examination for Return to Work requested by Employer $75.00
Third Party Physical Exam $100.00
Photocopying $1.00 per page
Medical Supplies, Dressings, etc. $25.00

Medical Report/Forms

Service Price
Citizenship and Immigration Report $40.00
Commercial weight loss program $25.00
Illness and Return to Work Notes $35.00
Employment Insurance / Maternity Certificate $20.00
Fitness Club Forms $25.00
Private Insurance Forms $30 – $200
Pre-employment Certificate of Fitness $25.00
Jury Duty Letter $15.00
Certificate of Medical Status $25 – $35
Massage Therapy and Orthotics $20.00
Revenue Canada Disability Form $75.00
Day Care Notes $20.00
School / Camp Forms $20.00
Travel Cancellation Forms $25.00
Auto Accident Insurance Forms (when not covered by insurance) $108
Disability Tax Credit Certificate $50.00
Referral Note for Chiropractor, Physiotherapy, etc. $20.00
Children’s Aid Society Forms $45.00
Replacement of Immunization Certificate $15.00
Forms required for Volunteer Work $35.00

The following uninsured services are NOT COVERED by the Basic Plan

Available as per standard guidelines set by the Saskatchewan Medical Association – SMA

Service Price
Missed appointment $30.00
Missed Annual Physical Examination $60.00
Driver’s Medical Form (MOT) (non-subscriber, $150.00) Basic plan subscriber $75.00
Insurance/Disability Forms SMA rate
Legal reports SMA rate