UNINSURED SERVICES …

The Alberta Health Care Insurance Plan pays for many of the services a patient may receive.

NP: The following uninsured services are NOT covered by the AHCIP:

CLINICAL SERVICES/MEDICALS

Non-resident of Canada Doctor Visit

Removal of warts, etc., (not medically required)
Renewal of prescription by Telephone
Non resident of Canada patient

COMPLETION OF INSURANCE FORMS/REPORTS

Blue Cross Special Authorization forms
General Insurance eligibility

Attending Physicians Statement
Disability Benefit Report

COMPLETION OF WORK/SCHOOL FORMS/REPORTS

Note for fitness of illness
Pre-employment Medical examination and report
Pregnancy leave and Employment insurance Forms

COMPLETION OF MEDICAL FITNESS FORMS/REPORTS

Seniors Residence Medical Report
Disabled Parking authorization
Drivers Medical
Veteran Affairs Forms
Note for summer camp, daycare, travel, etc.

ALBERTA HUMAN SERVICES

(AISH) Assured Income For The Severely Handicapped Programs Form
Medical report to determine ability to work
Medical Reference form on prospective adoptive/foster parents/guardian
Handicapped Children’s Services (letter)

GOVERNMENT OF CANADA

CRA Disability Tax Credit
CPP Disability – Initial Medical Report
CPP- Reassessment Medical Report

OTHER
^{Transfer of Chart
Missed appointment}

PAYMENT

Fees are due at time of service completion.
We accept Debit/Credit Cards and Cash.