Taking healthcare beyond boundaries

Comprehensive data collection, medical history intake by RN Assessment, physical, consultation by NP

Head-to-toe assessment (wt, ht, head circumference), review of systems, developmental screening (LookSee), Immunizations 

Focused assessment, review of systems, immunizations, preventative care screening, PAPs (every 3 years), skin assessment, referral to specialists, family planning (contraception- IUD & implant insertion & removal), medical abortion < 11 weeks gestation, menopause symptoms, post-hospital/ ER discharge follow-up 

Focused assessment, review of systems, immunizations, preventative care screening, prostate exam (Digital rectal exam), skin assessment, referral to specialists, erectile dysfunction, post-hospital/ ER discharge follow-up 

Initial prenatal visit, and monthly visits until 20 weeks gestation, prenatal health teaching, referral to obstetrician/midwife of their choice, family planning (contraception) as mentioned above, post cesarian section care (wound care management) 

Home visits are for patients who can not come to the office because they are elderly, they have a mental illness and can not leave their homes, they are immunocompromised, or simply can not get a ride to the office.  They can have access to the NP, RN, or social worker.  Home visit costs are added to visit costs.

Initial assessment, counseling, follow-up phone calls, and support during treatment and then follow-up in one to two weeks with blood work.  Post-treatment follow-up in one month to reassessment for further counselling and support.    

Skin biopsies are done with local anesthetic to the area of the lesion and the biopsy is performed with a punch biopsy tool.  Depending on the size of the sample taken, sutures may be needed to close the wound.  Samples are sent to the lab for analysis.  If concerning, will refer to dermatology.

Endometrial biopsies are defined as a sample taken from the uterus.  This is performed for menopausal women with abnormal bleeding, in reproductive-aged women with changes in bleeding patterns, pain, and lesions noted on ultrasound.  Samples are sent to the lab for analysis and then if concerning, will be referred to gynecology 

Lesion removal is lesions that are concerning for cancer or lesions that the patient feels are unsightly and want to be removed.  A local anesthetic may be required.  Sutures may also be required.

Many patients have skin tags that are visible and this bothers their self-image. 

If the skin tag is small, a "cold" spray is used to remove it.  If the stem is thicker, a local anesthetic is used to numb the area.  Surgical scissors or a scalpel are used to remove flush with the skin. 

$ 50 - 1 to 5 skin tags

$ 75 - 6 to 10 skin tags

$ 100 - 11 to 20 skin tags 

Plantar warts plaque many patient's feet and hands.  There are different approaches to treating warts. There is a topical approach and cryotherapy (freezing).  Usually, we will try the topical option first, especially with children.  Be advised that it will require multiple applications to fully treat warts.

$ 50 - (1) wart

$ 75 - (2) warts

$ 100 - (3) warts

This may be very embarrassing for the patient, but please know that we see this every day and it is quite common.

We use a combination of topical creams and cryotherapy (freezing) treatment.  Don't be embarrassed, we are here to help.

You may have had this lump on your back for years and now it is bothering you or you may be concerned that it is more serious.  Come have it removed.  It could be something as simple as a cyst or lipoma (fat tumor) which is benign.  A local anesthetic is used to numb the skin and sutures are used to close the wound.  

You have cut yourself and you don't want to go to the ER or walk-in clinic?  No problem, come to our clinic and we will fix you up.  Our services include children too.  We use a local anesthetic, but some lacerations especially with children and the scalp. Dermabond (glue) can be used.  

$ 100 (1) laceration 

$ 150 (2) lacerations

Patients usually come for an assessment and consultation prior to the procedure so the NP can go over the whole procedure and answer any questions the patient may have.  In this clinic, the NP will use lidocaine spray on the cervix to reduce discomfort with insertion.

$ 75 - Removal of IUD ONLY

$ 150 - Insertion of IUD ONLY

$ 225 -  Removal and reinsertion of IUD

This is a great option for patients who have had past traumas that make it very difficult to have an IUD inserted.  This is another option for a long-acting reversible contraceptive (LARC).  Again like with the IUD, the patient will have an assessment and consultation with the NP to discuss the procedure and answer any questions they have.  A local anesthetic is needed.

$ 100 - Removal of implant ONLY

$ 150 - Insertion of implant ONLY

$ 225 - Removal and reinsertion of implant

Why wait for months to see the orthopedic specialist to have your knees or shoulders injected?  Cortisone injections can be given up to 4 times a year (every 3-4 months).  The NP would have a consultation with the patient and then assess the joint(s) to see if this would be an appropriate intervention.  The patient would get the medication from the pharmacy and bring it to their next appointment for injection.  

$ 75 - (1) joint (knee or shoulder)

$ 150 - (2) joints (knees or shoulders) 

Penthrox (aka "Green Whistle") is a non-opioid inhaled medication that is used for medical procedures.  Penthrox takes effect within 5 mins or 6-10 inhalations.  It does cause a sedative effect, therefore patients who choose to use the green whistle will need a ride home post-procedure.  The effects of this medication usually wears off 20 minutes after the last inhalation.  The patient has total control over administration and they can take as little or as much as they need. 

• Psychotherapy 
  • CBT
  • Grief counseling
  • Trauma (PTSD) counseling - mindfulness

• Psychotherapy
  • CBT
  • Grief counseling
  • Trauma (PTSD) counseling - mindfulness
• Play therapy

• Couples counseling 
• Family counseling 

This is a confidential service.  The NP will do an assessment to initiate the appropriate medication and will follow up periodically throughout the initiation and maintenance periods. 

The NP can also initiate and administer long-acting (LAI) medication to help with sobriety

$ 100 - Initial assessment 

$ 200 - OAT - Suboxone & Sublocade Injections) - includes 5 visits 

This is a confidential service.  The NP will do an assessment to initiate the appropriate medication and will follow up periodically throughout the initiation and maintenance periods.  The NP can prescribe medications that can help decrease cravings for alcohol to help cut down the amount consumed.

$ 100 - Initial Assessment 

$ 200 - Medication initiation (5 visits included)

$ 200 - Withdrawal symptom (5 visits included) management - binge drinking

This is a confidential service.  The NP will do an assessment to initiate the appropriate treatment and will follow up periodically throughout the treatment. Psychotherapy is part of the treatment of cannabis use disease. 

$ 100 - Initial assessment 

$ 200 - Treatment Program (5 visits included)

You will meet with our team to start the STOP program.  We will discuss different treatment options (Patches, medications, counseling) to help you through your journey with smoking cessation.  Follow-ups phone calls will be provided to help support you and keep you on track to achieve your goal.

(all visits included)

• Medical history
• Skin condition assessment
• Treatment plan

• Specific diabetic checklist assessment including a filament inspection  

• Visits every 6-8 weeks 
• Skin care and nail cutting
• Reduction of corns and calluses
• Treatment of ingrown toenails
• Treatment of fungus
• Care for diabetic, and peripheral vascular disease (PVD) feet

• Staff can go anywhere in Greater Sudbury

If you notice that your memory is not what it used to be and you or your family members are concerned, make an appointment to have some cognitive testing done.  Our staff approaches testing with empathy and compassion.    

The NP can treat many different disorders in the elderly including, dementia, delirium, and depression, just to name a few.  

Our staff can travel to anywhere in Greater Sudbury.

Staff have experience and knowledge of testing and assessing for concussions.  Tools used are SCAT 6 (2023) and neurological assessment.  

$ 30 - Sick notes

$ 30 - Travel grants

$ 50 - Letters for school, and employers (recommendations, RTL, RTW, RTP)

$ 50 - Accessibility parking forms

$ 100 - Government Forms (CPP, EI, ODSP, OW)

$ 100 - Insurance Forms (ie. sick Leave (STD, LTD)

$ 150 - Work medicals (physicals, forms)

$ 150 - MTO Forms (physicals, forms, urine test)  

Some pharmacies send faxes to healthcare providers to renew prescriptions.  Some renewals can be filled this way, but it is at the discretion of the prescriber.  It also depends on the illness that the medication is prescribed for.  A office appointment may be needed for follow-up

Our staff can provide a quiet room to take your blood work to reduce the anxiety of the procedure.  We can provide services to both children and adults including patients with intellectual developmental disabilities.

Our time at the clinic is valuable.  Please have respect for our staff and other patients to show up for your scheduled appointment or cancel your appointment at least 2 days before to allow staff to book another patient in that slot.  Let's work together. 

OHIP no longer covers TB testing.  If you need TB testing for work, school, or travel, no problem we have you covered!  Please be prepared to return to the clinic to have your injection site read within 48-72 hours after the injection. Any later the test will have to be repeated.  A 2 step test needs you to return to the clinic 1-3 week after to have the test repeated.