Patient Resources

Helpful Resources For Your Visit

Easily access forms, downloads and other useful documents helping you get the medical help you need.

Referral Forms

Need to access a specific referral form? Access the forms you need here:

HPV Vaccination Clinic Referral 

Chart Transfer & Patient Consent

Please see below for specific forms permitting the release of your medical chart.

Medical Chart Transfer
Patient Consent Form

Insurance and Reimbursements

Please see below for more information, and applicable forms, relating to private and out-of-province insurance reimbursement.

Out of Province Reimbursements
Approved Insurance Providers


Private Services Price Lists

Some medical services are not covered by your government health insurance plan (i.e. OHIP). For these services, we charge a reasonable fee for our services.

Private Vaccine Price List
Uninsured Services Price List


Not all medical services are appropriate for Telemedicine. Ensure that the reason for your visit fits within our list of included Telemedicine services.

Telemedicine Services Inclusions & Exclusions List

Healthcare Programs

Appletree programs are accessible to all patients and may require a referral from your doctor.

Diabetes Program Consultation Referral

Appletree's Health Directory

Looking for a specific service or need more details on Appletree's health partners and services in your area? Consult our Health Directory.

Health Directory

Frequently Asked Questions

I am not covered by OHIP, may I still come in and receive care?

Yes. Patients not covered by OHIP, private patients, residents of other provinces or other countries, visitors to Canada and newcomers are welcome and will need to pay a flat rate of $75 including taxes.

What payment methods do you offer?

  • Credit Cards: Mastercard, Visa & American Express
  • Debit
  • Exact cash only (our clinics do not carry any change)

What other forms of coverage are accepted? Can you bill my insurance directly?

We cannot directly bill to private insurances/out of province health cards. Patients must pay and keep their receipt to submit for their reimbursement.

Appletree accepts the following insurance upon receiving proof of valid coverage:

  • UHIP University Health Insurance Plan (requires a $15 co-pay from the patient; the rest is billed to UHIP)
  • CHIP College Health Insurance Plan
  • Guard Me (Acute care only, some exceptions apply)
  • MorCare
  • Intrepid 24/7
  • The Children’s Aid Society (CAS Child can be seen with or without health card)
  • WSIB Workplace Safety and Insurance Board

Patients covered under other insurances or third-party payers not listed above are responsible for the cost of their visit.

Can any doctor refer to a specialist at Appletree?

Yes, any doctor can refer a patient to a specialist. Patients are welcome to see any of the Appletree doctors through Walk-In of Family Medicine to obtain a referral. Family doctors outside of the Appletree network are also able to refer patients to Appletree specialists.

How can I obtain a copy of my medical chart? Is there a fee to transfer or get a copy of my records

A Medical Release Form must be signed by the patient (if 16 years of age and older), by the parent/guardian (if the patient is 15 years of age and under) or by the power of attorney (person given full legal permission with a signed document from a lawyer to make decisions on behalf of the patient) to request medical chart information. You can visit the Patient Resources section of our website to print, complete and mail or fax the Medical Release Form. Complete details are included on the actual form. Note that there is a $45 fee for Chart Transfers.

How can I sign up for patient portal?

During your next visit to any of our clinics, please sign the Patient Portal consent form. Once this is done a link will be sent to your email, and you will be provided with a temporary password. From there, you can log onto the Patient Portal.

Can I see a doctor if I misplaced my OHIP card?

OHIP cards must be valid and present for registration at every visit. Please contact Service Ontario, and they will provide you with the proper documents that you may use until your OHIP cards arrive in the mail.

Are you able to renew prescriptions via phone or fax?

We are unable to renew prescriptions via fax or phone. However, you can visit any of our clinics, and a doctor will be there to help you.

Can I speak to my doctor over the phone? Can I review my results over the phone?

Doctors are not able to come to the phone as they are seeing patients. Please come in to see the doctor in person (or book appointment for patient if applicable). Results can only be discussed with the doctor during a visit.

I would like to make a complaint, how can I proceed?

All complaints are recorded and escalated to a proper channel. To make a complaint, please visit the Contact Us page of our website and complete the form.

Do physicians accept to sign forms and reports as guarantors and what are the fees?

There are a number of forms for which you might need a guarantor’s signature or signature from your physician. Ontario physicians are not permitted to charge for the completion of some of those reports and forms. However, due to the requirements relating to be a guarantor (must be a person who has known you personally for at least two years and knows you well enough to confirm that the information you have given in your application is true), it is left at the discretion of the physician as to whether or not they agree to complete these forms.

Uninsured reports and forms include:

  • Application for Accessible Parking Permit
  • Transit forms for the Disabled
  • Permanent Resident Card Forms
  • Request for Birth Certificate Forms
  • Children’s Aid Society Forms (on behalf of a child)
  • Canadian Passport Application
  • Ministry of Health & Long-Term Care Forms (e.g.: Limited Use, Assistive Devices, etc.)

If you would like to discuss the completion of any of the documents listed above, book an appointment via our Patient Portal or visit us at one of our Appletree Medical Centres for a walk-in visit.

Have questions?

We're here to help. For any questions regarding our services, locations, and all other inquiries, please get in touch.


Healthcare that fits your life.

From your home, office or neighborhood, there’s an Appletree doctor available to provide medical care.