| CERTIFICATES | 2024 FEE |
| ‘To whom it may concern letter (simple) | £40.00 |
| To whom it may concern letter( complex) | £60.00 |
| Private sick note | £40.00 |
| Firearms/shotgun medical report | £70.00 |
| Pro-formas (simple 1 page) | £50.00 |
| Pro-formas (complex) | £90.00 |
| Private prescription for drugs not needed immediately by patients travelling abroad | £40.00 |
| Holiday cancellation Form – (Simple 1 page) | £50.00 |
| Holiday cancellation Form – (Complex) | £90.00 |
| BUPA/Private referral information/ Certification | £50.00 |
| Power of Attorney for mental capacity only: In Surgery At Patient’s Home | £180 / £220.00 |
| REPORTS | 2024 FEE |
| Insurance pro forma – Hand written completion by GP IGPR | £110.00 £60.00 |
| Report on prospective subscriber | £60.00 |
| Accident full medical & report | £170.00 |
| Sickness/accident benefit claim form (extract from notes) | £72.00 |
| Sickness/accident short certificate without examination | £20.00 |
| Employer’s report and opinion without examination | £100.00 |
| Employer’s report and opinion with examination | £160.00 |
| Copies of reports for patients no charge GDPR – can charge per copy is excessive (SAR) | 0.10 per copy |
DS 1500 form | No charge |
| Housing reports- Request from local authority only Examination & report Report only | £70.00 £50.00 |
| DSA form- SFE-Disabled Students Allowance | £40.00 |
| MEDICAL EXAMINATIONS | 2024 FEE |
| HGV, LGV, PCV, taxi driver examination with/without full medical | £170.00 |
| Fitness to exercise examination and report Proforma (Simple) Proforma (Complex) | £170.00 £50.00 £100.00 |
| Nursing/Residential Home Assessment. Report Only Examination & Report | £100.00 £170.00 |
| Child Minder Ofsted Declaration Form | £75.00 |
| Police health questionnaire | £75.00 |
| ADOPTION FORMS | 2024 FEE |
| Initial Health Assessment (IHA) – Looked after child | £81.50 |
| Form AH – Health Assessment prospective carer | £90.00 |
| Form AG2 – update report, parent/carer | £40.00 |
| DRIVING FORMS (DVLA) | 2024 FEE |
| VOC Cert DVLA | £30.00 |
| Series 2 pro forma DVLA | £44.00 |
| Visual fields copy from records | £46.00 |
| VOC Testing ECG DVLA | £133.00 |
| Local Authority PCV/LGV driver | £133.00 |
| Mental Health Act sectioning (part 2 – not 12/2 approved) | 80.00 |
| PRIVATE PATIENTS | FEE |
| Consultation with a doctor 10 minutes | £70.00 |
| Consultation with nurse | £35.00 |
| Home visit | £80.00 |
| Telephone consultation with doctor/Email response | £50.00 |
| Private prescription without a consultation | £40.00 |
| Referral letter to private consultant | £40.00 |
| Fees for tests and investigations will vary according to the tests required |