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.

Covid-19 Vaccine Update

The Centre has PFIZER vaccine available at the present time for adults and children. The quantities each week are limited. The quickest access to COVID vaccines is through the public health vaccine clinics:

Not *fully vaccinated* and Needing Care from your Family Physician?
The practitioners of the St. Lawrence District Medical Centre strongly endorse patients becoming vaccinated against Covid-19. As your practitioners, we will continue to care for your overall health during the ongoing pandemic regardless of your vaccination status. Patients who are not fully vaccinated will be required to adhere to certain protocols specific to our clinic. These protocols are designed to protect our staff, ourselves and all who enter our facility. We appreciate that you will respect these protocols as we respect your right to refuse vaccination.

"Fully vaccinated" means two doses of an approved Covid-19 Vaccine.
These protocols do not apply to children who do not qualify to be vaccinated however, if they are accompanied by a parent who is not fully vaccinated, the protocols would come into place.

Special protocols are in order to care for you if you are not fully vaccinated.

Practice Information: Basic Information About How the Clinic Operates
Please Note: Updates posted above may supersede this information. Check on them.
- Call the office to request an appointment. No walk-ins please.
- Your physician or nurse practitioner will begin with a telephone appointment to cover screening questions and discuss the symptoms or health concern you wish to address at the clinic.
- If coming into the office is deemed appropriate, your appointment will be scheduled at a time of low patient volume and traffic in the clinic, normally end of day.
- Your admittance to the facility will be supervised from the time you arrive at the door.
- You will be required to enter the clinic wearing a fresh, three layer mask.
- You will be taken directly to an examination room and seen by your practitioner.
- Your mask is to remain in place unless asked to remove it by the practitioner.
- The practitioner will be wearing personal protective equipment (PPE) during your time together.
- Your exit from the facility will also be supervised.

Call Health Unit

Visit Health Unit's Website

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 a 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

To help our patients achieve their highest level of health.
To treat your medical needs with care, skill, judgment and respect.
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: Stone’s Mills Clinic, Dr. Maitland’s Office. 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:

Removal of benign moles
Removal of skin tags
Camp physicals
Driver’s License physicals
Wart treatment with liquid nitrogen
Referral letters for physiotherapy
Massage therapy
Orthotics for insurance purposes
Any forms that require physician’s signature.

Please see the posted list of fees for uninsured services
Patients will be billed directly for:

Photocopies requested by patient - $ 0.25 per page
Telephone Prescription Renewals - $10.00
Missed Appointments - $30.00
Driver's Medical - $100.00
Sick Notes/Work Notes - $10.00
Insurance Forms - Minimum $25.00
Transferring Records - Minimum $30.00
TB test - $10.00
Travel Consultation (Plus $10.00 for each injection and cost of Rx) - $25.00
Wart Treatment - $10.00