Pre-employment/fitness/employee certification of fitness
Employer’s injury first report (NON-WSIB)
Employer’s functional abilities form (NON-WSIB)
Long/Short-term disability – PER PAGE (conditions followed ONLY at PPUCC)
Canada Pension Plan (all conditions diagnosed and followed at PPUCC)
CRA Disability Tax Credit (all conditions diagnosed and followed at PPUCC)
Travel Cancellation
Consultations
No Canadian Provincial Health Coverage (one issue)
No Canadian Provincial Health Coverage (additional issue – EACH) Includes visitors, students, Canadians with no coverage
Quebec resident
Hold Payment (invalid health card, no OHIP/other province card at visit). Refundable within 3 months if proof of coverage at time of service provided
Pre-travel (per patient)
Workplace injuries (no WSIB coverage or patient refuses to report to WSIB)
Full Physicals
Pre-employment
Pre-university/college
Ministry of Transportation
Civil Aviation
Sports/fitness/pre-adoption/foster parent
Miscellaneous
Pre-employment TB tests (each step; includes clinic provided document)
Wart treatment (other than feet/genitalia)
Ear syringe – per ear
Travel vaccine injection
Transfer/fax/photocopy of chart
All other uninsured services at physician discretion including fees payable
Fees are payable in full at the time of service rendered – credit and debit only
*HST Applicable