Private Fees and Charges – Patient Service Charges Agreement
Effective 1st April 2019
This agreement between the Practice and patient lists the fees to be charged for private work.
| Accepted methods of payment include: Cash or Cheques with debit card | |
| Certificates/Reports without an exam | Fee |
| Private fitness for work certificate/disabled bus pass | £15.00 |
| Holiday Cancellation insurance certificate | £35.00 |
| Fitness for travel Certificate (without exam) | £35.00 |
| Fitness to attend school/college/work Certificate | £15.00 |
| Private healthcare claim form (BUPA, PPP, etc) | £35.00 |
| School fees insurance claim form | £35.00 |
| Letter for housing, benefits, DWP, appeal etc | £35.00 |
| Certificates/Reports with an exam | Fee |
| Fitness to attend school/college/work certificate (with an exam) | £80.00 |
| Fitness for sport/racing/shotgun etc | £80.00 |
| Holiday cancellation examination and report | £80.00 |
| Insurance company report (without an exam) | £50.00 |
| Insurance company report (with an exam) | £80.00 |
| Employers report and opinion (report only) | £80.00 |
| Employers report and opinion (examination and report) | £120.00 |
| Solicitors report (without an exam) | £80.00 |
| Solicitors report (with exam), court of protection | £120.00 |
| Medical Examination | Fee |
| Pre-employment medical | £80.00 |
| HGV, PSV, Taxi driver (patient paying) | £80.00 |
| Access to medical records (under Data Protection Act) | Fee |
| Copies of records – manual & computer | £50.00 |
| Copies of computer records | £20.00 |
| Access to read records without copying | £15.00 |
