Completion of Forms for Third Parties
Please inform receptionist of any forms when booking your appointment
Please complete patient section before giving to receptionist
Fees will be quoted
Pre-payment is necessary
Form may not be necessarily be completed on same day of request
Uninsured Forms & Services
Patients are encouraged to inform front desk of any forms for doctor to fill out while booking appointments.
Patients are required to complete patient section information. Forms may be completed at a later date.
Not all services are covered by OHIP. Occasionally a patient may require a service that is uninsured. Examples of uninsured services are sick notes, insurance forms, government forms, employment physicals, travel health, tray fees for procedures, etc. Please refer to the fee guide. All payments for uninsured services are to be completed at point of service.
Form Submission
Please secure message the form to our office as a scanned copy (rather than a photo of the form). If you are unable to use secure messaging, please mail or drop off the original copy to our office.
Before submitting the form, please ensure that the patient portion is fully completed, including your identification, personal information, name, and signature. Please note that we cannot process an incomplete form.
To help reduce the time required for the physician to complete the form and, where possible, minimize the applicable form fee, please submit TWO copies of the form:
One copy with your portion fully completed and signed, leaving the physician’s section blank for the doctor to complete.
A second copy with your portion fully completed and signed, and with the physician’s section completed as you believe it should be completed based on your medical information and circumstances. The physician will review this information and make any necessary changes or corrections before signing.
Please do not sign the physician’s section on behalf of the physician.
It is best if you upload the form through secure messaging. If you drop off the form in person, please be advised any paper will be shredded once it has been scanned into the chart for follow-up work, unless the patient specifically requests at the time of initiating the paperwork request that the original form be kept. It is the patient’s responsibility to pick up the original form within two weeks after the form is completed. The original form will be shredded if it has not been picked up after two weeks.
Please allow the office sufficient turnaround time to process your requests, including urgent requests and forms. We normally require a maximum of two weeks to determine the applicable invoice and a maximum of one month to complete and send reports. A rush fee of $100.00 may apply to some urgent form requests requiring completion within a shorter-than-normal turnaround time.