The following is a list of fees for services, which are not available under the Health Service.

The fees charged are negotiated nationally and are payable by patients or 3rd parties.

	Who pays	Charge
Access to records under the Data Protection Act
Computerised records	Patient	up to £10
Manual records or a combination of manual/computerised records	Patient/Solicitor	£0.40 per page up to £50
Administration charge for sending records by recorded delivery	Patient/Solicitor	£10.00
Adoption & Fostering
Form AH Health Assessment, Prospective Carer	Patient/Local Authority	£73.86
Form AH2 – update	Patient/Local Authority	£24.36
BAAF form	Patient/Local Authority	£81.93
Childminder Health Declaration Booklet	Patient/Employer	£91.00
Attendance Allowance/Disability Living Allowance
GP Factual Report	DWP	£33.50
DS1500	DWP	£17.00
Blue badge & Freedom Pass Schemes
Report only	Local Authority	£30.00
Examination & report	Local Authority	£50.00
Certificates, Letters and Forms
Cremation certificate Form 4 (cert of med attendant), Form 5 (confirmatory med cert)	Funeral Director	£82.00
Criminal Injuries Report on proforma	Patient/CICA	£38.00
Fitness to attend school (report)	Patient	£35.00
Fitness to attend school (examination & report)	Patient	£55.00
Fitness to drive (examination and certificate)	Patient	£75.00
Fitness to exercise for health club membership (report)	Patient	£35.00
Fitness to exercise for health club membership (exam & report)	Patient	£75.00
Freedom from infection cerficate for school, travel or employment	Patient Employer	£55.00
Health certificate to attend university, college, etc	Patient/Employer	£85.00
Lasting Power of attorney – Property & Financial Affairs	Patient	£80.00
Lasting Power of attorney – Health & Welfare	Patient	£80.00
Power of attorney – exam in practice	Patient	£115.00
Power of attorney – home visit	patient	£145.00
Medical report pro forma for gender recognition	Patient	£95.00
Mental capacity with exam	Solicitor/Guardian	£145.00
Mental capacity no exam	Solicitor/Guardian	£65.00
PADI Fitness for Diving Medical Statement	Patient	£55.00
Parachute jump form signature	Patient	£25.00
Passport signature	Due to change in regulations from Passport and Identity Service, the Practice can no longer countersign passport applications
Paternity test (making arrangements & taking sample)	Patient	£45.00
Private sick note – any sick note within 7 days is private	Patient	£25.00
Private sick note – (incapacity certificate)	Patient	£35.00
Provident association claim form eg BUPA, PPP	Patient	£35.00
Insurance claim form	Patient	£40.00
School fees and holiday insurance certificates	Patient	£55.00
Straightforward certificates of fact	Patient	£20.00
To Whom It May Concern Letter	Patient	£25.00
Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form	Patient	£55.00
Work in Surgery – extract from records	Patient/Employer	£80.00
Work in Surgery – report on proforma no exam (e.g 20 mins)	Patient/Employer	£105.00
Work in Surgery – report without exam providing detailed opinion (approx 30mins)	Patient/Employer	£160.00
Driving/DVLA
Blood test	Patient	£45.00
Copy of visual fields	Patient	£50.00
Examination	Patient	£165.00
HGV, PSV & Taxi medical	Patient	£100.00
Report from records	Patient	£125.00
Series II & III proforma	Patient	£50.00
Series II proforma	Patient	£50.00
VOC certificate	Patient	£15.00
VOC (vocational) exercise test	Patient	£165.00
VOC (vocational) resting ECG	Patient	£105.00
Employment – Local Authority/Police/NHS
Shotgun or Firearms Medical Report	Patient	£50.00
Police/Local Auhority medical exam, certificate, opinion	Local Authority	£130.00
Police/Local Auhority report without exam, (30 mins)	Local Authority	£90.00
Government agreed fees
Work in Surgery – extract from records	Govt dept	£55.00
Work in Surgery – report on proforma no exam (e.g 20 mins)	Govt dept	£70.00
Work in Surgery – report without exam providing detailed opinion (approx 30mins)	Govt dept	£110.00
Medical examination and report in surgery	Govt dept	£155.00
Session (eg 3 hours)	Govt dept	£650.00
Insurance
Report for insurance applicants	Insurance Co.	£125.00
Supplementary reports	Insurance Co.	£30.00
Accident or sickness insurance certificate – short certificate of incapacity without examination for patient to claim under accident or sickness insurance	Patient	£35.00
Accident & Sickness Insurance: Full exam & report	Patient/Insurance Co.	£210.00
Accident & Sickness Insurance: Record extract	Patient/Insurance Co.	£80.00
Accident & Sickness Insurance: Report only	Patient/Insurance Co.	£155.00
Vaccinations
Vaccination – Cholera (if for travel, vaccination is free)	Patient	£65 per 2 dose course
Vaccination – Hepatitis A (if for travel, vaccination is free)	Patient	£55 per dose
Vaccination – Hepatitis A & B combined (should bot be given for travellers  as Hep B component is chargeable)	Patient	£70 per dose
Vaccination – Hepatitis A & Typhoid (if for travel, vaccination is free)	Patient	£95 per dose
Vaccination – Hepatitis B	Patient	£40 per dose
Vaccination – Japanese Encephalitis	Patient	£95 per dose
Vaccination – Meningococcal A&C	Patient	£20 per dose
Vaccination – Meningococcal ACWY	Patient	£60 per dose
Vaccination – Rabies	Patient	£35 per dose
Vaccination – Tetnus, Diphtheria & Polio (if for travel, vaccination is free)	Patient	£60 per dose
Vaccination – Tick Borne Encephalitis	Patient	£80 per dose
Vaccination – Typhoid (if for travel, vaccination is free)	Patient	£30 per dose
Vaccination – Yellow Fever	Patient	£70 per dose