St. Lawrence District Medical Centre
Medical Practice Information
The St. Lawrence District Medical Centre practitioners are members of the Thousand Island Family Health Organization (FHO) under the umbrella of the Upper Canada Family Health Team (UCFHT). This model, established by the Ministry of Health and Long Term Care allows physician and patient access to allied health professionals and nurse practitioners providing primary care and programs. For more information, please visit UCFHT.
If you are registered with a physician from the Thousand Islands Family Health Organization (FHO) that rotate after hours coverage for their patients between the Lansdowne, Seeley's Bay and Gananoque member clinics, please contact your family physician's office for details of current after hours care.
Urgent care clinics are held Monday to Thursday evenings from 5:00 p.m. to 7:45 p.m.
Weekend clinics are either Saturday OR Sunday (6 hour clinic) or Saturday AND Sunday (3 hour clinic each day). Times vary from office to office.
Lansdowne weekend clinics are Saturday from 9 a.m. to 3 p.m. Patients can call the day prior or same day to book an appointment. Other clinics are both Saturday and Sunday from 9:00 a.m. to 12 noon, and you must call the same day to book. All After Hours Clinics are by appointment ONLY.
You must call ahead to book your spot. After Hours information is updated daily on each clinics' voice-mail. To listen to the current 'After Hours' information at the Lansdowne Medical Centre, please call 613-659-2525, press 1 for After Hours Info.
An alternative after hours option is to contact a Telehealth Registered Nurse, who will provide advice about your urgent health care concerns. The number for the Telehealth Nurse is: 1-866-553-7205.
Covid Protocol as of February 2025 - Subject to Change
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All visits to the clinic are by appointment. We do not accept walk-ins.
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Fresh masks are mandatory while in the facility and are available upon entering.
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Your mask is to remain in place unless asked to remove it by the practitioner.
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The practitioner will be wearing personal protective equipment (PPE) during your time together.
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If you are experiencing “Covid-like” symptoms and can test at home, please do so and advise us of the outcome.
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If you cannot test at home, please contact us before coming for your appointment and let us know you have symptoms so we can respond appropriately.
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Covid vaccines can be arranged through our local pharmacy Lansdowne Pharmasave – 613-659-4800 .
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You can get COVID-19 vaccines in Ontario by calling the Provincial Vaccine Contact Centre (PVCC) or visiting participating pharmacies. You can also use the Ontario COVID-19 Vaccination Portal to book an appointment.
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Toll-free: 1-833-943-3900
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Toll-free TTY: 1-866-797-0007 (for people who are deaf, hearing-impaired or speech-impaired)
Appointment Policy
Regular appointments are booked for 15 minutes and general physical exams for 30 minutes. To ensure adequate time for proper assessment, you will be asked to book another appointment if any of your concerns cannot be fully addressed in one visit. If you are experiencing new problems, please make a specific appointment, rather than waiting for a scheduled follow-up.
Each family member who needs to be seen will need a separate appointment. If you need to reschedule an appointment, please do so as soon as possible. If you do not give 24 hours notice of cancellation, you will be billed accordingly.
Practice Objectives
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To help our patients achieve their highest level of health.
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To treat your medical needs with care, skill, judgment and respect.
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To emphasize preventive care and a healthy lifestyle.
Medical Office Assistants
Robin and Jennifer are the office assistants for Dr. John Erb, Dr. Samikian and Jennifer Revell (NP). Medical office assistants answer phones, book appointments and arrange referrals. The office assistants do not discuss test results and do not give medical advice. In certain situations, the medical assistants may recommend that you call 9-1-1 or go to the emergency room.
If you leave a voicemail message, we will make every effort to return your call within 24 hours. Do not use e-mail for urgent medical matters.
Clinic Nurse
Amey is the clinic nurse. She will take you to the exam room, and likely take your vital signs including blood pressure. Amey administers immunizations, allergy shots, venipuncture, and ECG’s. She also assists the practitioners with surgical procedures.
Teaching Facility
We are motivated to provide a teaching environment for medical and nurse practitioner students. For you, this may mean that you see both your caregiver and student(s) during your time at the clinic. We appreciate your support as we invest in training tomorrow's healthcare professionals.
Prescription Refills
Your caregivers will prescribe sufficient medication until a reassessment of the medical condition is required. It is your responsibility to keep track of your medication. Please call for an appointment at least 2 weeks before you run out. Narcotics and other controlled substances will NOT be filled by phone.
After Hours Coverage
After hours, you can call the Telehealth Advisory Service (THAS) at 1-866-553-7205 to speak to a registered nurse for general medical advice. The nurse will fax your doctor a summary of your medical concerns and the recommendations given.
There is an urgent care clinic (UCC) every Monday through Thursday and on the weekend. Details will be left on our voicemail. These clinics alternate between these locations: Seeley’s Bay Medical Centre and the St. Lawrence District Medical Centre in Lansdowne.
Test Results
You will be called about your results only if medically necessary. Please do not phone asking for results.
Uninsured Services
Some services previously covered by the provincial health plan are no longer insured:
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Removal of benign moles
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Removal of skin tags
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Camp physicals
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Driver’s License physicals
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Wart treatment with liquid nitrogen
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Referral letters for physiotherapy
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Massage therapy
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Orthotics for insurance purposes
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Any forms that require physician’s signature.
Please see the posted list of fees for uninsured services
Patients will be billed directly for:
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Photocopies requested by patient - $ 0.25 per page
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Telephone Prescription Renewals - $10.00
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Missed Appointments - $30.00
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Driver's Medical - $100.00
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Sick Notes/Work Notes - $10.00
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Insurance Forms - Minimum $25.00
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Transferring Records - Minimum $30.00
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TB test - $10.00
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Travel Consultation (Plus $10.00 for each injection and cost of Rx) - $25.00
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Wart Treatment - $10.00