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Hart Family Medical (LOGO)

Phone: (403) 452-6622

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    • Uninsured Services
  • More
    • Home
    • IUD Clinic
    • Migraine Botox
    • Procedures
    • Anorectal Clinic
    • Our Doctors
    • Contact
    • More
      • Forms
      • Faq
      • links
      • Patient Portal
      • Uninsured Services
Hart Family Medical (LOGO)

Phone: (403) 452-6622

  • Home
  • IUD Clinic
  • Migraine Botox
  • Procedures
  • Anorectal Clinic
  • Our Doctors
  • Contact
  • More
    • Forms
    • Faq
    • links
    • Patient Portal
    • Uninsured Services

Uninsured Services

What does this mean?

Most doctor's visits are covered under your Alberta Health plan, but there are a few services which are not covered and these fees must be paid by the patient at the time of the appointment or service.

Services which are not covered include:

  • Transfer of medical records
  • Telephone or fax prescription renewals
  • Driver's Medicals
  • Some procedures (e.g., circumcision, wart removal)
  • Forms, reports or letters*


*See fee guide below. If you have questions, please give us a call at 403-452-6622

Fee Guide

Services

Cancellation of appointment (<24 hours notice)

$70

Missed appointment

$70

Prescription refill by phone or fax

$35

Liquid nitrogen treatments (cosmetic)

$20

Transfer of medical records

$25 for first 20 pages, then $0.75/page

Injections (Depo Medrol/cortisone)

$20-$30

Regular office visit (no coverage for out of province)

$70

Regular office visit (no coverage for out of country)

$100

Complete physical (out of country)

$150

Forms and Notes

Sick note, back to work note, travel note

$40

Referral for physiotherapy, massage, orthotics, acupuncture

$40

Attending physician's statement

$60 per page

Special authorization form (Blue Cross)

$30

Driver's medical exam (age 74.5 and over)

$130

Driver's medical exam (under age 74.5)

$150

Parking placard for persons with disabilities

$50

Disability tax credit form

$160

Certificate of fitness (without physical)

$60

Certificate of fitness (with physical)

$120

Senior's residence forms

$60

Other forms (including drug authorizations through insurance)

$60 per page

Minor Surgical Procedures

Procedures are usually done in our procedure room with with local freezing

Cosmetic lump/bump removal

$100 and up

This includes moles, cysts, lipomas, etc.

Circumcision (8 years and older)

$1000

Scar revision

$50 and up

*Fees are subject to change without notice

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