Telephone:

(403) 854-3351

Fax

(403) 854-4116

Address:

104 Fox Lake Trail, Hanna, Alberta, T0J1P0

Unfortunately, not all services are covered by Alberta Health Care. These prices are at the discretion of the individual physician and may be adjusted depending on the complexity of the form and time involved. Here is a list of uninsured services.

***PLEASE DISCUSS CHARGES FOR ALL FORM COMPLETION WITH YOUR FAMILY PHYSICIAN BEFORE PROCEEDING WITH THE PAPERWORK***

INSURANCE FORMS/REPORTS
  • some Blue Cross forms
  • Disability Benefit Reports
  • Attending Physician’s Statement (please check the form, it will state on it whether the patient is responsible for payment)
  • Canada Revenue Agency Disability Tax Credit Form
  • General Insurance Eligibility Forms
  • AISH
COMPLETION of SCHOOL & WORK FORMS/REPORTS
  • Sick Note
  • Return to Work
  • School Requested Forms & Reports
  • Certificate of Fitness (Summer Camp, School, Travel, etc)
  • Pre-Employment/Periodical Health Exam (Uninsured)
  • E.I./Pregnancy Leave Forms
COMPLETION of OTHER MEDICAL FITNESS FORMS/REPORTS
  • Driver’s Medical (any class for age <74.5 years)
  • Aviation Medical
  • Disabled Parking Placard
  • Seniors Residence Medical Reports (Lodge, Manor, etc)
  • Child Welfare Forms (Adoption/Foster Care)
OTHER FEES
  • Travel Advice (depends on how much time/information is required)
  • Phone/Fax Prescription Requests (only done in extenuating circumstances)
  • Missed Appointments (to avoid being charged, please call in to cancel at least one hour before your appointment time)
  • Transfer of chart
  • Appointment Visit Reports (for income tax purposes)
  • Uninsured Office Visit
  • Uninsured Complete Visit