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Bluewater Metabolic & Clinical Services

Find the right care, with clear fees.

All prices are in Canadian dollars. Appointment lengths are a guide; our team will confirm the service, availability, coverage eligibility and total fee before booking.

Nurse Practitioner services are not currently insured by OHIP. The fees on this page reflect that status and will be withdrawn for any service that Ontario moves into public coverage. Tests we order (community laboratory, X-ray) are usually OHIP-covered for insured patients. Private fees apply only where private billing is permitted; taxes, where applicable, are confirmed before booking. Fee schedule last reviewed 14 October 2026.

Assessments & ongoing care

How visits run. Every first visit starts with a 30-minute nursing intake with a Registered Nurse or Registered Practical Nurse, then 30 minutes with the Nurse Practitioner (or your time with the social worker). Follow-ups start with a 15-minute nurse check. The fee shown covers the whole visit.
Service & inclusionsFee (CAD)
Comprehensive health assessment60 minutes · 30 min nurse intake + 30 min NP$225
Standard follow-up / chronic-condition management45 minutes · 15 min nurse check + 30 min NP$110
Brief medication or result review30 minutes · 15 min nurse check + 15 min NP$65
Minor illness visit30 minutes · 15 min nurse triage + 15 min NP · single acute concern$50
Brief assessment & minor illness care — all agesOne straightforward concern · assessment and prescribing when clinically appropriate; fee varies with complexityFrom $50
Men’s health comprehensive assessment & management plan60 minutes · 30 min nurse intake + 30 min NP$225
Women’s health comprehensive assessment & management plan60 minutes · 30 min nurse intake + 30 min NP$225
Extended perimenopause / menopause assessment60 minutes · 30 min nurse intake + 30 min NP$250
Men’s, women’s or menopause follow-up45 minutes · 15 min nurse check + 30 min NP$110
Focused sexual health / contraception consultation60 minutes · 30 min nurse intake + 30 min NP$125
Adult ADHD assessmentAfter a nursing screening visit · questionnaires, NP assessment and written summary$450
ADHD monitoring45 minutes · 15 min nurse check + 30 min NP$125
Weight-management assessment60 minutes · 30 min nurse intake + 30 min NP$225
Weight-management follow-up45 minutes · 15 min nurse check + 30 min NP$110
Sleep assessment & initial management plan60 minutes · 30 min nurse intake + 30 min NP · external testing extra$175
Sleep – results review35 minutes · 15 min nurse check + 20 min NP review of home sleep test or external results$65
Travel-health consultation60 minutes · 30 min nurse intake + 30 min NP · vaccines and medications extra$95
Brief and minor illness assessments are available for all ages, subject to clinician assessment of suitability. Fees start at $50 and may vary with complexity; the team confirms the fee before booking. Assessment, diagnosis where possible, advice and prescribing when appropriate are included; a prescription is not guaranteed. Private fees apply only where permitted and after checking public coverage eligibility. Focused concerns do not automatically require a comprehensive appointment.

Counselling & psychosocial support

Service & inclusionsFee (CAD)
RSW initial assessment80 minutes · 30 min nurse intake + 50 min RSW$150
RSW brief follow-up30 minutes$100
RSW standard follow-up50 minutes$150
Comprehensive student / young-adult psychosocial assessment120 minutes · 30 min nurse intake + 90 min RSW · screening and concise written support plan$250
Caregiver, grief or illness-adjustment counselling50 minutes$150
Extended family / caregiver support75 minutes$225
Psychosocial assessments explore emotional wellbeing, school or work functioning, relationships, coping and supports. They do not include psychoeducational testing, a learning-disability diagnosis or guaranteed accommodation approval.

Older adult health & medication review

Service & inclusionsFee (CAD)
Medication reconciliation60 minutes · 30 min nurse intake + 30 min NP · medications, supplements, doses and discrepancies$110
Comprehensive geriatric medication review & deprescribing assessment60 minutes · 30 min nurse intake + 30 min NP · reconciliation and written plan included$225
Medication / deprescribing follow-up45 minutes · 15 min nurse check + 30 min NP$110
Comprehensive older-adult psychosocial assessment by RSW120 minutes · 30 min nurse intake + 90 min RSW · support plan included$250
The comprehensive medication review includes reconciliation; there is no duplicate charge. Deprescribing assesses whether medicines can safely be reduced or stopped. Cognitive screening is distinct from a comprehensive dementia or capacity assessment.

Nursing, travel & placement services

Service & inclusionsFee (CAD)
Iron infusion administrationMedication extra; infusion and observation requirements confirmed before booking$175
Iron infusion – NP assessment60 minutes · 30 min nurse intake + 30 min NP · eligibility, order and consent before administration$65
Hydration & vitamin infusionThiamine, folate, multivitamin and magnesium in saline (sometimes called a “banana bag”); NP assessment at first visit; allow up to 2 hours; in clinic only$199 + HST
Cryotherapy for selected skin lesions60 minutes · 30 min nurse intake + 30 min NP assessment and treatment$65
B12 injection administrationMedication extra$40
Routine injection / vaccine administrationMedication or vaccine extra$40
Nursing monitoring & education30 minutes$65
Ear irrigation / lavage30 minutes$65
Wound assessment & care30 minutes · dressings extra$65
One-step TB skin testPlacement, reading and documentation$45
Two-step TB skin testingBoth placement/read cycles and documentation$90
N95 fit testingFit test and documentation$65 + HST
Immunization-record review & routine placement formWithout physical examination$65
Employment physical60 minutes · 30 min nurse intake + 30 min NP · one standard form included$150 + HST
Student placement physical60 minutes · 30 min nurse intake + 30 min NP · one standard form included$150

Medical forms, notes & disability assessments

Service & inclusionsFee (CAD)
Sickness / absence noteUsing an existing assessment$30
EI sickness medical certificateUsing an existing assessment$75
EI sickness assessment & certificate completion60 minutes · 30 min nurse intake + 30 min NP · certificate included; no additional $75 fee$150 total
Simple return-to-work noteUsing an existing assessment$40
Return-to-work assessment60 minutes · 30 min nurse intake + 30 min NP · restrictions and one standard form included$150
Comprehensive disability assessment60 minutes · 30 min nurse intake + 30 min NP · relevant records review and one standard form$250
Driver’s medical examination (MTO)60 minutes · 30 min nurse intake + 30 min NP · official MTO form completed$150 + HST
Simple additional formUsing existing clinical information$40
Complex forms, extensive records review or detailed reportsQuoted before work begins$150/hour
Home visitsNursing, social work or NP visit at home · travel zone fee quoted at bookingQuoted
A new clinical assessment, if needed for a standalone note or form, is charged separately and explained before booking. Forms included in an assessment are not charged again. Documentation reflects clinical findings and available records; benefits, disability approval and workplace clearance cannot be guaranteed. Third-party payment arrangements are checked before charging.
Forms and supporting documents. Please bring all required forms and relevant supporting documents to your appointment. You may also arrange to submit them securely to our team beforehand so we can prepare and make the most of your appointment time. Contact us for instructions on securely sharing your documents. Do not send sensitive documents through ordinary email.

Uninsured & international patients

Service & inclusionsFee (CAD)
ConsultationInternational students, newcomers pre-OHIP, uninsured patients and private-insurance holders$75–150

Optional care packages

Defined appointments, a clear plan and modest savings. Individual appointments remain available.

Men’s or Women’s Health Foundations

Comprehensive assessment + two standard follow-ups.

$425
$445 when booked separately

Menopause Care Foundations

Extended menopause assessment + two follow-ups.

$450
$470 when booked separately

Metabolic Care Foundations

Weight assessment + two NP follow-ups + one nursing monitoring visit.

$485
$510 when booked separately

Student / Young-Adult Support

Comprehensive psychosocial assessment + two 50-minute RSW follow-ups.

$525
$550 when booked separately

ADHD Assessment & Early Monitoring

ADHD assessment + two monitoring visits, if indicated.

$675
$700 when booked separately

Coordinated Older-Adult Care

Comprehensive medication review + RSW psychosocial assessment + one NP follow-up.

$550
$585 when booked separately
Packages are offered only where private billing is permitted and care is appropriate. Follow-ups are agreed after assessment identifies a need. Services are itemized by professional; unused visits are eligible for a refund under the terms confirmed before purchase. Medication, vaccines, external testing, specialist services, home-visit travel and substantial additional coordination are excluded unless expressly included.

Home-based & palliative care

Visits are planned case by case. We provide an individualized quote based on your needs, clinician, visit length, location, travel and coordination. Discuss your care needs

Cancellation

24 hours’ notice is requested. A late cancellation or no-show fee may apply, up to 50% of the booked service fee to a maximum of $100. Emergencies are reviewed individually.

Receipts and insurance

Itemized receipts can be provided. Reimbursement depends on your insurer or health-spending-account terms; please confirm coverage directly with your plan.

Ready when you are

Book in clinic or online. Our team confirms the service and total fee before your appointment.