Patient Services

Patient Services

CVFP delivers care in a team-based model which includes empowering our staff to use their full scope of practice. Our team of registered nurses provide patient assessment, triage, and direct patient care. Other team members include a nurse practitioner, pharmacist, psychologist, respiratory and diabetes educators, and a dietician, all working on-site in a collaborative and efficient model.

Uninsured Services

AAA

What is an uninsured service?

Our practice is publicly funded by the provincial government, and you do not pay for the costs of all of your routine medical care. However, CVFP does charge for services which are not medically required and are not covered by provincial health insurance. These are called uninsured services and include things such as form completion, sick notes, and insurance requests. CVFP follows guidelines from the Alberta Medical Association regarding fees for these items. Listed below is a list of services that are not covered by the provincial plan.

CVFP Guide to Uninsured Services

Crowfoot Village Family Practice highly recommends that patients take advantage of our yearly Multi Service Subscription for uninsured services. The subscription provides patients the opportunity to pay a yearly fee for services that are frequently prescribed and required.

For the clinic, the subscription approach is more cost effective and efficient to administer which allows us to channel the value of these efficiencies to providing better care to our patients.

Some advantages to you are:

  • A subscription is more cost effective than purchasing services individually
  • Paying on a yearly basis is more convenient and less time consuming for you than paying for individual services after each appointment.

Should you choose not to take advantage of our Multi Service Subscription you have two other choices for payment of uninsured services:

  • A Prescription Refill Subscription that only covers the cost of prescription refill requests made by phone, fax or email
  • Payment for individual services as they are used.

Payment Options:

You may pay for these services on a yearly basis. Payment for the uninsured Multiple Services and Prescription Refill Subscription can be made by phone (403 239 9733) or in person at the clinic. Acceptable methods of payment are cash, cheque, visa or mastercard.

Did you know? That if you were to pay for each of the services provided in the multiservice subscription separately the total cost would be $260.00 / person per year?

UNINSURED SERVICES

2015
1 yr Rate

2015
2 yr rate

2016
discount
1 Year
2016
discount
2 Year

Multi Service Subscription:

Subscription includes:

  • Unlimited prescription refills as approved by their physician
  • Notes (physio, massage, chiropractic, orthotics, compression stockings)
  • Sickness/absence notes
  • Driver’s forms for medical reasons (does not include other forms)
  • Photocopying of medical results

 

 

   

Family per year (includes children under the age of 18 years)

$150.00

$275.00

   

Single person per year

$90.00

$150.00

   

Prescription Refill Subscription  by phone, fax or email:

 

 

   

Family per year (includes children under the age of 18 years)

$135.00

$250.00

$120.00 $230.00

Single person per year

$80.00

$140.00

$65.00 $125.00

One time prescription refill (via phone, fax or email)

$65.00

 

$10.00  

SENIORS: Multi Service Subscription: (Seniors age 65 and over) 

Single:
Couple:

Subscription includes:

  • Unlimited prescription refills as approved by their physician
  • Notes (physio, massage, chiropractic, orthotics, compression stockings)
  • Sickness/absence notes
  • Driver’s forms for medical reasons (does not include other forms)
  • Photocopying of medical results

Seniors Additional Benefits:

  • Blue Cross Form for special medical authorizations
  • Disabled parking
  • Senior’s residence forms

  

$50.00
$90.00

 

 $90.00
$170.00

   

 

 

   

Costs For Individual Services: 

 2017 Price

 

   

Transfer of Records

$35.00

 

   

Dental surgery requests for medical information for uninsured procedures
(Dental requests for seniors are free of charge)

$65.00

 

   

Disabled Parking Form (additional benefit for seniors only)

$60.00

 

   

Long Term Disability Form

$100.00

 

   

Short Term Disability Form

$80.00

 

   

Form completion: Disability Tax Credit

$75.00

 

   

Form completion: Employment Insurance

$60.00

 

   

All third party medicals and form (includes drivers medical)

$200.00

 

   

Driver’s Forms for medical reasons- form only

$100.00

 

   

Motor vehicle accident forms

 

 

   

Seniors Residence (additional benefit for seniors only)

$60.00

 

   

Sick/absence confirmation note

$30.00

 

   

Massage, physiotherapy, orthotics, chiropractic

$30.00

 

   
Fitness Note (for camp or travel)
Form only
Exam and Form 
 
$50.00
$130.00
     

Blue Cross form for special medical authorizations
(additional benefit for seniors only)

$50.00

 

   

Photocopying (per page)

$2.00

 

   

Injections

Prevnar Injection
Zostavax Injection

Gardasil 9 (3 doses)

One dose
Pre-paid three dose series

 

$135.00
$215.00

 

$200.00
$580.00

 

   

Warts/seb. Keratosis – flat fee for up to 5 
($25.00 flat fee for over 5)    # __________________

$25.00

 

   

Cantherone/ Podophyllin Tx

$10.00

 

   

Cysts/mole – fee for 1st 
($25.00 for each additional)   #__________________

$85.00

 

   

Skin tags – fee for 1st 
($10.00 for each additional)  #__________________

$60.00

 

   

Circumcision

$300.00

 

   

Non-insured patients:

 

 

   

Out of Province without health care

$150.00

 

   

Out of Country Patients

$200.00

 

   

CVFP IS REQUIRED TO FOLLOW ALBERTA MEDICAL ASSOCIATION FEE GUIDELINES

Effective March 1, 2016

Prescription Refill Service

Currently, we receive a very large number of refill requests by fax or phone monthly. We are happy to continue to provide this service, note that it is uninsured and there is a fee to the patient. The option of an annual fee for a prescription refill subscription is available, or payment can be made each time the service is requested. If you have any concerns or questions, please discuss these with your doctor or a staff member.

Questions and Answers

Q. If I pay the annual fee, is there any limit to the number of times I can use the service?
A. No, the annual fee covers all prescription refills.

Q. If I provide my credit card number, will it be secure?
A. Yes. Record of your credit card number is not kept after your charge has been processed.

Q. What if I am not sure I need to use the service?
A. You can provide your credit card number for payment when you need to use the service. However, if you use the service more than twice a year, the annual fee option will be less expensive.

If you wish to subscribe to the phone prescription service, you can complete the prescription refills form and forward it to our office.

Health Questionnaire

When you come in for a complete physical exam we have a questionnaire for you to fill out in order to facilitate a thorough appointment. If you wish, you can print the form and bring it to your appointment already completed. Click on the links to pdf files below for a printable version of the form:

Women's Health Questionnaire

Men's Health Questionnaire

Are you a Patient?

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request an appointment online.

Contact Us

Would you like to be a CVFP Patient?

We are not currently accepting new patients but you can join our wait-list now and we will contact you when a space becomes available!

Location

Address: Suite 210,
600 Crowfoot Crescent NW
Calgary, Alberta T3G 0B4

Phone: 403-239-9733
Office Hours:Monday to Friday
8:00 am - 5:00 pm
11:50 to 12:50 pm closed for lunch

Directions

Publications

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Click on the magazine cover to download pdf versions of the publications.

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