Fee-for-Service Nurse Practitioner

Nurse practitioners can work in many areas. Nurse practitioners are not funded by Ontario Health Insurance Plan (OHIP) . When working independently, there is a fee-for-service fee because nurse practitioners cannot bill OHIP for the work that he/she does. Below are a list of fees. Nurse practitioners do not work with a "one issue per visit" policy because this is a fee-for-service; however, patients are billed for the time and expertise. When you support an independent practice, you are supporting a small business. 

The benefit for having a healthcare provider that is fee-for-service means you can often see the provider in a more timely manner without having the limitation of one concern per visit. 

First initial visit is charged for 45 minutes, 30 minutes of that is with you, and 15 is for the NP to review your file/medications/ notes etc,  and any subsequent visit is 20 minutes. If the visit requires longer than the 30 minutes, you will be charged per the half hour.

All laboratory tests and diagnostics are covered under Ontario Health Insurance Plan if you have OHIP. You are billed for the services and time. 

Initial Visit: $135.  

Initial visit includes a first-time assessment and treatment plan. This can include any laboratory tests or diagnostics. 

Follow-up visit: $70 

 Follow up visit: follow up visit includes any assessment and treatment plan follow-up based on previous visit.  

Episodic Health Visit: $70 (30 minutes maximum). Care that is intended to address the patient's presenting concern(s), referred consultation or identified medical condition(s). This refers to a single encounter with a patient focused on a presenting concern(s), identified medical condition(s) or referred consultation where neither the NP nor patient have the expectation of an ongoing therapeutic relationship in accordance with the standards of practice. 

We offer virtual and in-person assessments. If choosing virtual,  it is only through a secured platform that is PHIPA compliant using the JaneApp EMR which has video calling, and you must be in Ontario during the time of the assessment. 

Episodic Health Visit: $70 (30 minutes maximum). Care that is intended to address the patient's presenting concern(s), referred consultation or identified medical condition(s). This refers to a single encounter with a patient focused on a presenting concern(s), identified medical condition(s) or referred consultation where neither the NP nor patient have the expectation of an ongoing therapeutic relationship in accordance with the standards of practice. 

Now offering ADHD and Mental Health Services. 

ADHD testing: $350

Mental Health Services/ Psychotherapy for 30 minutes: $125 

Mental Health Services / Psychotherapy for 60 minutes: $180

Sick notes for work /school/daycare: $20 

WSIB paperwork: To be billed to WSIB (may include physical examination)  

Driver's medical form: $150 

Pre-employment examination and form only: $100 

Pre-employment examination + physical exam +/- injections: $195

Fitness Medical for camp, daycare, air travel, etc: $30 

Prescription refill by fax or phone**: $20 

School/College/University Medical Certificate: $30 

Unemployment insurance/Sickness benefits: $30 

Other paperwork: at the discretion of the healthcare provider.  

Fees are followed by the most recent recommendations of the College of Physicians and Surgeons of Ontario and the Ontario Medical Association.   

**Prescription renewals ordinarily require an office visit to re-assess the condition requiring the prescription. If you are unable to schedule an appointment to review your medication, there will be a charge for this service.  

Fees may be covered under nursing services if private benefits cover. 

Home visits: 

The starting address will be 613 Talbot. St Thomas, ON, 

A fee of $0.55 per kilometer will be charged for there and back from clinic. Please contact for more information. 

Retirement home visits (Not nursing homes):

We offer assessment and treatments at local retirement homes. Please contact us for more details.