Certificates, Forms and Letters
Letters
- Signature Only (Any form) – £35
- To Whom It May Concern – Simple letter – £35
- Private Sick Note – £35
- Letter for Freedom pass/Blue Badge – £35
- Housing Letter – £30
Forms
- Driving Licence Certificate (DVLA) – £40
- Private Medical Claim Form – £50
- Council tax exemption form – No charge
- Disability Living Allowance Form – £33.50
Travel
- Holiday Cancellation Certificate – £50
- Sickness/Accident Insurance Claim Form – £50
- Letter Detailing Medication for Travel Abroad – £35
Other
- DS1500 – £17
- DWP Form – £33.50
Medical Examinations and Reports
Subject Access Requests
- Copy of result – No charge
- First Subject Access Report (SAR) – print out of records – No charge
- Further requests for SARs – charges based on time (see below)
Medical Reports
- Medical Report – standard – extract from records – £110
- Medical Report – proforma – no examination – £110
- Medical Report -statement, detailed with opinion-no exam – £145
- Solicitor Report (no opinion) – £135
- Driver’s medical examination/report without exam – £145/£75
- Coroner’s Report – No charge
Insurance Reports
- GP Insurance Report (GPR/eGPR) – £104
- Targeted Report – £50
- Additional Info requested after GPR – £35
School
- Looked after child Report/School Attendance Report – £35
Adoption/Fostering
- Childminder Health Form (Ofsted) (with exam 45 min appt) – £135
- Form AH (BAAF) (45 min appt with exam) – £135.00
- Form AH2 (additional information) – £55.00
Other Requests
The cost of other requests not listed will be based on time:
- One hour – £260.00
- 30 minutes – £135.00
- 15 minutes – £67.50
We do not certify passports or documents relating to citizenship or Home Office forms.
Assessment of Capacity (COP3), Power of Attorney – Is not done at the surgery. Patient will need to get it done privately.
Vaccinations and Private Prescriptions
- Hepatitis A (for Travel) – no charge
- Course of Hepatitis B – Occupational Health – £115.00
- Hepatitis B Additional Booster / Blood Test – £40.00
- Hepatitis B paediatric (3 doses) – No charge
- Dip/Tet/Polio combined booster – No charge
- Typhoid (for travel) – No charge
- Private Prescription – £25.00