Location: 109–5401 Temple Dr NE, Calgary AB

Email:reception@templefamilymedical.com

For appointments call:  +1 (403) 293 1698

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Uninsured Services & Fees
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Uninsured Services & Fees

Uninsured Services & Fees

Some medical and administrative services are not covered by Alberta Health Care Insurance Plan (AHCIP). Please review the applicable fees below.

Certificates & Notes

  • School Absence Medical Certificate
    $20
  • Work Absence Medical Certificate (1–3 days)
    $20
  • Work Absence Medical Certificate (4+ days)
    $50
  • Pregnancy Medical Certificate for Travel
    $50
  • Medical Certificate for Travel
    $50
  • Note for Fitness to Work
    $50
  • No Show – Regular Visit
    $40x

Travel & Immunization

  • Travel Advice Office Visit
    $50
  • Injection for Travel Immunization
    $20

Records & Admin Fees

  • Printed Copy of Labs / Chart Notes (per page)
    $0.25
  • Chart Transfer (20 pages or less)
    $25
  • Chart Transfer (more than 20 pages)
    • Basic fee: $25.00
    • Extra page: $0.25/page
    • Physician severing fee: $45.00 / 15 mins
    • Staff severing fee: $6.75 / 15 mins

Reports & Forms

  • Registered Patients with Expired Health Card
    $60
  • No AB Healthcare Coverage
    $100
  • Alberta Blue Cross Special Drug Authorization
    $20
  • Access Calgary Transit Authorization
    $50
  • Medical Report for Disability Benefits
    $200
  • Parking Permit for Disability Medical Report
    $75
  • Professional Driver’s Medical Exam and Report
    $100
  • Medical Report for Seniors’ Residence
    $75
  • Medical Report for School and Daycare
    $30
  • Medical Report for fitness sport
    $50
  • Medical Report for Fitness RCMP/Canadian Army
    $100
  • Medical Report for Fitness Medical/Dental School
    $80
  • Pre-Employment Medical Report (Canada)
    $100
  • Pre-Employment Medical Report (Out of Country)
    $175
  • Attending Physician Statement (STD/LTD)
    $150
  • Attending Physician Statement
    $150
  • AISH or Disability Tax Credit Form
    $250

ⓘ   Please note: fees are subject to change without notice. Please confirm current fees with reception.

Important Information

Some medical and administrative services are not covered by the Alberta Health Care Insurance Plan (AHCIP).

Fees may vary depending on the type and complexity of the service.

Before Your Visit

  • Bring your Alberta Health Care card, if applicable.
  • Bring any forms or documents that need to be completed.
  • Confirm fees and accepted payment methods with reception.
  • Ask whether a separate appointment is required.

Questions About Fees?

Our reception team will be happy to assist you with questions about uninsured services, pricing, and appointments.

Call: (403) 293 1698