Salveo
Family Medicine Clinic
Uninsured Services
January 2010

The
Alberta Health Care Insurance Plan pays for many of the services patients
receive from their doctor. However, a number of services are not covered by the
government plan. These are uninsured services. Some are billed to lawyers,
government agencies or others. Some are billed to the patient.
The
patient of a third party such as your employer, insurance company or school may
request a letter, report, form, etc., from your physician. In addition to
office materials, these services require the time and expertise of your doctor
and staff. As a result, you or the third party will be billed a fee to cover
these costs.
In
general, the service requested will not be provided until payment is received in
full, whether that be cash, cheque, debit or credit card. Inquiries can be
directed to the Front Desk.
Note: Fees
subject to change without notice
Appointment
Fees
(Includes Invalid AHC & Late No Show)
Uninsured
Forms or Letters
Transfer of
Records to Another Medical Provider As Requested by the Patient
Uninsured
Motor Vehicle Related Forms
Uninsured
Procedures
Telephone
Prescription Uninsured Service
Uninsured Office Visits
(no Alberta Health Care or Quebec Health care)
Costs of Uninsured Supplies Paid to
Clinic
