Fee Guide for Services Not Covered by MSI

Government Forms (variable fee) $25.00 - $150.00
Immunization Record/Record of Appointments $15.00
Insurance Forms $40.00+
Medicals for Driver’s License $50.00
Missed Appointment* $32.00
Missed Appointment – Evening/Weekend* $40.00
Out-of-Country/Province Non-Insured Visit $50.00
Photocopies/Long Distance Phone/Fax $15.00+
Prescriptions Requested by Phone $15.00
Minor Excisions for Cosmetic Reasons $75.00+
Removal of Wax from Ear $30.00
School Forms $20.00
Sutures/Wound Care Supplies $20.00
Transfer of Medical Records Determined Individually (paid prior to transfer)
Uninsured Vaccinations $35.00

* Missed well-baby and well-woman (pap) appointments are DOUBLE the noted price for the applicable time period (double appointment time).

All prices are subject to change. Please confirm cost with your physician.

Meet the staff at Crossroads Family Practice


Our duty clinic is open Monday to Friday.


Please bring your medications with you when you visit.

Please Remember