Fees
Patients have 90 days to clear unpaid accounts. If invoices are still outstanding after 90 days, a withhold will be placed on Student Centre accounts, in accordance with section B.7 of the Academic Calendar, which will affect course registration, transcript access, graduation applications, etc. Patients will be unable to book any medical appointment at the clinic until they attend to their outstanding invoices. If you have any questions or concerns, please email sws.invoices@ucalgary.ca.
Massage
| Students/Seniors |
Ìý |
|---|---|
| Half session | $58.00 |
| Full session | $88.00 |
| Extended session | $130 |
| Staff/Faculty/Alumni |
Ìý |
|---|---|
| Half session | $62.00 |
| Full session | $95 |
| Extended session | $142 |
| Public |
Ìý |
|---|---|
| Half session | $68 |
| Full session | $99 |
| Extended session | $148 |
Chiropractic
| Students/Seniors | Ìý |
|---|---|
| Initial assessment | $85.00 |
| Repeat treatment | $50.00 |
| Repeat visit extended | $80.00 |
| Staff/Faculty/Alumni | Ìý |
|---|---|
| Initial assessment | $100.00 |
| Repeat treatment | $60.00 |
| Repeat visit extended | $95.00 |
| Orthotics | Ìý |
|---|---|
| Custom orthotics consultation | $50 (student) $60 (campus community) waived if orthotics are ordered |
| One pair of custom orthotics | $400.00 |
| Second pair of custom orthotics | $225.00 |
| Missed appointments for Chiro and Massage Appointments | Ìý |
|---|---|
| First time | Warning |
| Second time | Half price |
| Third time | Full fee |
| AB2 | Treatment Plan | $50 |
| AB3 | Progress note (at request of insurer) | $40 |
| AB4 | Concluding report | $40 |
| AB5 | Referral form | $50 |
Ìý
Ìý
Uninsured Services
The following fees are based on theÌýAlberta Medical AssociationÌýGuidelines for Uninsured Services.
Medical care for out-of-country and no-health care patients (Including Quebec) | Ìý |
|---|---|
| Office visit – 03.03A/B | $75.00/15 minute int. |
| Major visit – 03.04A/B | $150.00 |
| Psychiatrist first visit | $650.00 |
| Psychiatrist follow-up visit | $250.00 |
| Injection – 13.59A/13.42A | $20.00 per injection |
| Medical and nursing student immunization | $55.00 |
| Immunization/travel consultation | $55.00 |
| Removal of warts, moles etc. Non –surgical treatment (Liquid nitrogen, chemicals, etc.) | $55.00 - $100.00 |
| Tensor bandage | $6.00 |
| Sling | $10.00 |
| Finger splint | $5.00 |
| Rapid cool | $5.00 |
If a service is provided that is not listed above, the rate will be 2X the rate listed in the Schedule of Medical Benefits fee schedule.
| Completion of forms/reports | Ìý |
|---|---|
| Deferral form | $35.00 |
| Sick note | $35.00 |
| Letter to employer (more complex than sick note) | $75.00 |
| Drug exemption form | $55.00 |
| Blue cross special authorization form | $55.00 |
| General insurance eligibility | $275.00 - $480.00 |
| Attending physician statements (usually billed to insurance company) | $185.00 - $375.00 |
| Disability benefit report (form only) | $65.00 - $135.00 |
| Disability benefit report (exam and form) | $155.00 - $245.00 |
| Canada Revenue Agency Disability Tax Credit form | $65.00 - $135.00 |
| Disabled parking authorization form | $60.00 |
| SAS forms | $35.00 |
| AISH | $185.00 - $375.00 |
Ìý
Travel/ Immunization Injection Fees
Travel vaccine cost subject to change.
| Travel/ Immunization Injection Fees | Ìý |
|---|---|
| Diphtheria, Tetanus and Pertussis (DTAP) | $35.00 |
| Enterotoxigenic E. Coli | $40.00 x 1, $75.00 x 2 |
| Hepatitis AÌý(HAV1) | $55.00 |
| Hepatitis AÌý(AVA1) | $30.00 |
| Hepatitis BÌý(HEPB1) | $25.00 |
| Hepatitis A & B (HEPA1&B1) | $50.00 |
| Mantoux (MANTX) (Injection fee included) | $25.00 |
| Measles, Mumps, Rubella (MMR) | $35.00 |
| Meningococcal | $60.00 |
| Polio (POLIO1) | $50.00 |
| Typhoid | $25.00 |
| Typhoid, Hepatitis A | $85.00 |
| Yellow Fever | $135.00 |
Travel vaccine cost subject to change.
| Administrative Services | Ìý |
|---|---|
| Transfer of complete medical records to another physician for ongoingÌýpages + care (requested by either patient or physician).Ìý Ìý Ìý Ìý Ìý | $25.00 for first 25 pages $0.25 per page thereafter (If applicable) |
| Archival retrieval fee (if required)Ìý | $30.00 |
Third party requests for medical records (for insurance, medical, orÌýlegal purposes) Chart information, no forms that need to be filled out. | $100 unless the doctor specifies otherwise |
| Request by physician for specific information | No charge |
Ìý
|
Third Party Requests for Medicals |
Ìý |
|---|---|
| Driver’s license (Exam and form) |
$150.00 |
| Varsity Team Medicals | $150.00+ |
|
Certificate of Fitness (for school, camp or employment)Ìý Form only Exam and form |
Ìý $55.00+ $150.00 |
| University and College Medicals | $150.00+ |
Ìý
|
Alberta Motor Vehicle Insurance (Usually billed to Insurer) |
Ìý | Ìý |
|---|---|---|
| AB1 | Claim for disability benefits | $75.00 |
| Ìý | Proving copies | $80.00 - $0.40 per page |
Ìý
|
Missed Appointments (No show for confirmed booked appointments) |
Ìý |
|---|---|
| Minor visit appointment (10 - 15 minutes) | $55.00 |
| Complete physicals (20 - 30 minutes) | $110.00 |
| GP Mental health visit (20 - 30 minutes)Ìý | $110.00 |
| Psychiatrist first visit (2 hours) | $200 |
| Psychiatrist follow-up visit (1 hour) | $120 |
Ìý