(403)455-8382
MacEwan Medical Clinic
Uninsured Services Fee List
Uninsured Services Fee List
There are a number of services that physicians provide that are not covered by Alberta Health Care. It is a standard of practice in Alberta to charge for these uninsured services to ensure physicians are compensated for the significant amount of time spent providing these services that are not covered by your health care. The prices are based on suggestions from the Alberta Medical Association.
Missed appointments
New consultation $300
Follow-up appointment (15 min) $100
Follow-up appointment (30 min) $150
Forms and Letters:
FSCD letter $75
Letter of Diagnosis $50
Disability Tax credit $100
Medical form request from third party $50
Physical exam request from third party $100
Blue Cross Special Authorization Form $50
Adoption Medical Report $100
Note: All fees for forms and letters are considered minimum. You may be charged more if the form is complex or requires a lot of time. If the fee varies from above, you will be notified of the fee before the service is completed.
Prescriptions:
Replacement standard prescription $30
Replacement triplicate prescription $40
Note: We do not refill prescriptions over the phone or by fax request from the pharmacy as with many of the medications we prescribe, it is important to see your child in follow-up.
Medical Record:
USB Medical File Transfer $40
USB key $10
Miscellaneous:
Printing or photocopying $1/page
Mailing Fee $2
This is not a comprehensive list of services. For other uninsured services that your physician provides, you will be notified of the fee in advance.