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Non NHS Fees

Patient Request Form for Letters/Reports

Reports and letters will take up to 10 working days to complete – full payment will be required prior to completion of the report. Credit/Debit cards are not accepted.

The surgery does not supply confirmation of identity i.e. passport/driving licence confirmation


Form just requiring a GP signature


Fitness to travel certificate


Sick Note/Certificate for Employer


Private prescription


Holiday Cancellation Form (Dependent on complexity)


Letter confirming medical condition


Freedom from Infection Certificate


BUPA, WPA, PPP FORMS(any private scheme) per form


Letter confirming fitness to exercise


Letter confirming attendance at surgery for appointment


Medical Reports

Fostering / Adoption (each parent) – Update Report


Fostering / Adoption (each parent) – Full Medical


Adoption Medical (each parent)


Court exemption


Life Assurance – Fees from £60 dependant on detail required please check with the Practice. You will need to supply the report.

Charged dependant on complexity and detail of report.


Pre- employment examination and report


Elderly Drivers Medical


HGV, Taxi, Sports Medical


Life Assurance – Exam and Report


Power of Attorney Form & Medical (Surgery)


Power of Attorney Form & Medical (Home Visit)



Professional Fees


must be made in writing by employer with patient’s consent


EGPR Standard report


Standard report with medical examination


Supplementary questions/ additional questionnaire received with initial request


Letter providing further clarification to original report


Other reports not listed above

£200.00 per hour


must be made in writing by solicitor with patient’s consent


 Medical Report

£200.00 per hour


must be made in writing by employer with patient’s consent


Medical report (up to 1 page) e.g. details of sickness


Pension medical (includes urine test) - medical examination


Fitness to return to work/ employee medical


Food Handler Medical report


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