Clinic Policies

All services at this clinic are rendered in English and French, the official languages of
Canada. Spanish may be offered as a courtesy, depending on staff availability.
If a patient speaks only Spanish, they are required to bring a translator to ensure clear
communication and safe, high-quality care

Dr. Annissa Fadaz

• Licensed Family Physician and owner of the practice.
Dr. Fadaz provides comprehensive primary care, including diagnosis, treatment
planning, and ongoing patient management. She oversees all clinical and
operational aspects of the clinic.

b. Dilenia Sanchez – MD-IMG
• MD clinical assistant
As an International Medical Graduate (IMG) working as an assistant to Dr. Fadaz,
Dr. Sanchez performs delegated medical tasks such as patient assessments,
follow-up care, documentation, and coordination of treatment under Dr. Fadaz’s
supervision.

c. Reina Lorelei Miranda
• Medical Clinic Assistant
Responsible for patient intake, appointment scheduling, verifying health
coverage, assisting with administrative documentation, supporting clinical
workflows, and performing selected clinical tasks under the supervision of the
physician.

d. Eveling Silva
• Medical Office Assistant
Handles front-desk operations, patient inquiries, billing coordination, and ensures
smooth daily operations in alignment with clinic policies.

a. Medical Team & Delegated Care.

Dr. Fadaz works with a multidisciplinary healthcare team to provide timely, high-quality
care. Certain aspects of your care may be delegated to qualified team members. You will
be informed when this applies.

b. Scheduled Appointments

Most appointments must be booked in advance. In-person and virtual care options are
available. Limited same-day appointments are offered only for acute, non-emergent
concerns (e.g., ear infections, UTIs). Regular concerns should be booked at least 48
hours in advance.

c. Missed Appointments

We require 24 hours’ notice to cancel or reschedule.
A NO-SHOW FEE of $50 applies for insufficient notice or missed appointments.
Please note that patients WILL NOT be allowed to book their next appointment until the
no-show fee is paid. Three no-shows will result in dismissal from the clinic.

d. Appointment Availability

Availability varies based on patient volume, clinical needs, and staffing.

e. Number of Concerns per Visit

To ensure safe and thorough care, up to two concerns may be addressed per visit,
depending on complexity.
Pap test appointments are single-issue visits only.

f. Late Arrivals

Patients arriving more than 10 minutes late may be asked to reschedule and may be
charged the no-show fee. Full appointment time cannot be guaranteed for late arrivals.

g. Medical Staff Availability

While we strive to accommodate patients promptly, availability is not always guaranteed.
In some cases, you may be advised to seek care at an urgent care center or emergency
department.

h. After-Hours Services & Walk-In Clinics.

After-hours clinics may be available on select weekdays or weekends, either in-person or
virtually through our Doctors Network.
External Walk-In Clinic (WIC) use is strongly discouraged as it fragments care and may
impact treatment outcomes.
Repeated walk-in usage may result in dismissal from the clinic.

i. Included Services.

Most medically necessary services are covered for patients with a valid OHIP card.

j. Non-OHIP Insured Services.

Patients will be informed before the appointment if a service is uninsured.
Please refer to the clinic’s Uninsured Fees Document (annexed).

k. Private Insurance.

The clinic does not bill private insurance directly.
Patients must pay for uninsured services at the time of the appointment and seek
reimbursement from their insurance provider.

l. Controlled Substances.

The clinic maintains a strict no-prescribing policy for controlled substances, including
opioids, benzodiazepines, stimulants, or similar medications.

m. Communications

We communicate via in-person interaction, email, secure email, phone calls, voicemails,
text reminders, and fax.
Response time may be up to 2 business days, not including closure periods.
While privacy precautions are taken, some communication methods cannot be guaranteed
fully secure.

• Patients must present a valid OHIP card at each visit.
• Patients are responsible for notifying the clinic regarding any changes to their health coverage.
• If OHIP is invalid, expired, or not accepted at the time of service, the patient must pay out-of-pocket for the visit.

• Prescription renewals require 7 days’ notice.
• Patients are responsible for booking medication follow-ups before running out.
• Prescription refills and renewal requests are billed according to OHIP and OMA
guidelines.

• The clinic will contact patients only for urgent or significantly abnormal results.
• For non-urgent results, patients must book an appointment to review findings.
• Patients are responsible for following up on tests recommended by the clinician.

All forms (insurance, employer, school, disability, etc.) require an appointment.
• Fees apply according to the Uninsured Services Fee Guide.
• Most forms require 7–10 business days for completion.
• Sick notes and workplace letters are considered uninsured services.

• By booking a virtual appointment, you consent to virtual healthcare delivery.
• Patients must ensure privacy during virtual visits.
• Recording of virtual sessions is strictly prohibited without explicit consent.
• A clinician may request an in-person visit if required for safe assessment.

By providing your email, you consent to the clinic sending medical and administrative
communication via email.
• Email is for non-urgent matters only.
• The clinic does not provide medical advice through email.
• Some email communication may not be fully PHIPA-secure.

Appointments are typically 15 minutes, though duration may vary.
Delays may occur due to clinical complexity or emergencies.
All patients will receive equitable time and care