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www.mimicomedical.com

[email protected]

368 Royal York Road

Etobicoke, ON M8Y 2R5

 

Dr. Timothy Kodsi

Dr. Mary Clare Luca

Dr. Shoghi Nikoo

Dr. Michelle Kuisma

Dr. Milan Atanackovic

Dr. Karson Seto

Dr. Kerrie Shaw

Dr. Stephen Woo

Dr. Deepinder Bedi

May 18th, 2026

Dear Mimico Medical patients,

Thank you for trusting Mimico Medical with your care. While we’re fortunate to have publicly funded healthcare in Ontario, the number of services not covered by OHIP continues to grow. These uninsured services require time and resources, and due to rising costs, they are now the responsibility of the patient or requesting agency.

There are two ways by which a patient can address the payment for these uninsured services. The first option is to pay for each service on a pay per use/need basis.

The second option is to opt into an annual payment program, often referred to as a “block fee,” to cover the majority of these uninsured services for a duration of one year.

The annual plan is COMPLETELY OPTIONAL and patients are not required to opt in, if they feel it is not in their best interest. Included with this letter is a list of items covered by the annual plan. If you are financially unable to pay for an uninsured service, but require it, you may request a fee exemption. We recognize that there are special circumstances and are happy to work together to come up with a solution.

If you would like to sign up for our Annual Plan, please see the options and information below. (the list of services included in the plan is available at the end of this letter)

We look forward to continuing to care for you.
In good health,
The Family Physicians at Mimico Medical

plan options & duration

Coverage will begin on June 1st, 2026 and will end on May 31st, 2027. (we will honor coverage for any patients who pay in advance of June 1st.)

Furthermore, we will offer refunds on any Annual Plan up to 60 days after receipt of payment. Please note, that if you received any uninsured services during this period and subsequently cancel your Annual Plan, the regular fee for those services will be deducted from the amount refunded.

You may request coverage as a(n):

PlanAnnual Fee
INDIVIDUAL$255.00
COUPLE *$420.00
SENIOR **$190.00
SENIOR COUPLE **$305.00
FAMILY ***$485.00

* Includes two people living in the same household

** A senior is someone 65 years of age and older

*** Includes two adults and children 17 years old and under who live in the same household

Payment Options

ELECTRONIC PAYMENT METHOD

If you would like to pay using an electronic method, please send an e-transfer to [email protected]

Please ensure to include in the notes, the names of all patients related to the transfer.

CREDIT CARD PAYMENT METHOD

If you would like to pay using a credit card, please contact us using the Chat Bot, email, or call us and leave a voicemail to request our staff to contact you for payment.

DEBIT CARD PAYMENT METHOD

If you would like to pay using a debit card, please attend the clinic and visit our Front Desk. Our staff can process the payment and provide you with an invoice for your records.

PERSONAL CHECK PAYMENT METHOD

If you would like to pay with a personal check, please follow the steps below :

  • Make the check payable to Mimico Wellness Inc.
  • Please ensure that the check is made out for the correct amount.
  • Mail the check to 398 Royal York Rd. Etobicoke, ON M8Y 2R5
  • Please include information regarding the full names of each patient that is being paid for.

ANNUAL PLAN INCLUDED NON OHIP SERVICES

FORM AND DOCUMENT COMPLETION & NOTES

TREATMENTS, ASSESSMENTS & MISSED APPOINTMENTS

ServiceCostIncluded In Annual Fee
FORM AND DOCUMENT COMPLETION & NOTES
Sick Note (Back to work/school)$35.00INCLUDED
Massage Therapy Referral Form / Physiotherapy Referral Form$20.00INCLUDED
Custom Foot Orthotics Referral Form$20.00INCLUDED
Compression Stockings Referral Form$20.00INCLUDED
Medical Document, Medical Certificate, Immunization Report$50.00INCLUDED
Medical Questionnaire$150.00INCLUDED
Attending Physician Statement (APS)$275.0050% DISCOUNT
Disability Report (from Employers)$30.00INCLUDED
Third-Party Form (i.e. from Law Firms or Third-Party Insurers)$100.00N/A
Copies or Transfer of Medical RecordsINCLUDED
o First 20 pages$30.00INCLUDED
o Each page after the first 20$0.30/pageINCLUDED
Fitness to Work Form (from Employer)Starting at $50.00INCLUDED
Federal Disability Tax Credit Form$275.0050% DISCOUNT
Medical Certificate EI Benefits$30.00INCLUDED
Other Forms, Notes, Letters and DocumentsAt physician’s discretionN/A
TREATMENTS, ASSESSMENTS, AND MISSED APPOINTMENTS
Missed Appointment/Appointment Cancelled without 24-hour Notice$50.00N/A
Insurance Medical Examination$260.00N/A
Driver’s Medical Examination & Form$200.00N/A
Travel Medicine Consultation$90.00INCLUDED
Pre-Op Physical Exam (Not medically necessary)$150INCLUDED
Tuberculin (TB) Skin Test for EmploymentINCLUDED
o Step 1$30.00INCLUDED
Ear Irrigation (Ear Wax Removal)$30.00/ earINCLUDED
Pregnancy Test (Urine dip)$10.00INCLUDED
Liquid Nitrogen Treatment (Wart Removal)$25.00/ wartINCLUDED
Skin Tag Removal (LIMITED TO 6 skin tags)$25.00/ skin tagINCLUDED