| Type of Letter/Form/Record | Cost | Who normally pays |
|---|---|---|
| Computerised records | ||
| Copies of computerised records only | No Charge | n/a |
| View computerised records | No Charge | n/a |
| View computerised records where the record has been added to within the last 40 days | No Charge | n/a |
| Manual records or a combination of manual & computerised records | No Charge | n/a |
| Vaccination certificate | No Charge | n/a |
| Certificate, Letters and Forms | ||
| Freedom from infection certificate (15 – 30 minutes) | £15 | Patient |
| Fitness to exercise/Travel letter (15 – 30 minutes) | £20 | Patient |
| Holiday cancellation simple certificate (One Page Form – 15 – 30 minutes) | £25 | Patient/Insurance Company |
| Holiday cancellation insurance claim form | £50 | Patient/Insurance Company |
| Health certificate/Fitness to attend school/University/College/Teacher and nurse training | £20 | Patient/Insurance Company/Employer |
| Claim form (e.g. BUPA, Westfield) (15 – 30 minutes) | £20 | Patient |
| Passport form | Not offered by the Partnership | n/a |
| School fees insurance claim form | £20 | Patient |
| To Whom It May Concern Letter | £15 | Patient |
| Proof of Life Requests | £20 per Signature (ip to 2 Signatures per Appointment) | Patient Face to Face Appointment required |
| Solicitors | ||
| Completion of Lasting Power of Attorney (LPA) or Court of Protection Form (COP3) including Visiting if needed | £150 | Patient |
| Capacity Assessment with Examination | £150 | Patient/Solicitor |
| Driving | ||
| Car Accident Fee | £21.30 | Patient |
| Multiple Sheet Form and Full medical & report (HGV, PSV, PCV, LGV) Single Sheet Form | £140 £40 | Patient or employer |
| Local Authority PCV/LGV report | £90 | Local Authority |
| Report (no examination) (30 minutes) | £55 | Patient |
| Report to DVLA (with examination) | To be determined by DVLA | DVLA Will only pay on receipt of Report |
| Report to DVLA (no examination) | To be determined by DVLA | DVLA Will only pay on receipt of Report |
| Taxi driver/elderly driver certificates single sheet | £30 | Patient |
| Taxi drive/elderly driver certificates multiple sheets | £70 | Patient |
| Driving licence photograph | Not offered by the Partnership | Patient |
| Driving licence VOC certificate DVLA | £12.50 | Patient |
| Driving Licence Series II pro-forma DVLA | £40 | Patient |
| Employment | ||
| Full medical with report | £140 | Patient / employer Local Authority / NHS / Police |
| Report without examination (30 minutes) | £109 | Patient / employer Local Authority / NHS / Police |
| Report on a pro-forma (20 minutes) | £78 | Patient / employer |
| Extract from records (no examination or opinion) (20 minutes) | £55 | Patient / employer Local Authority / NHS / Police |
| Private Med 3 certificate (if employer /patient insists on certificate in first 7 days of illness) – 15-30 minutes | £20 | Patient or Employer |
| Childminder OFSTED health declaration form | £87.50 | Patient |
| Attendance Allowance/ Disability Living Allowance/ adopting/fostering medical | ||
| GP factual report | £33.50 | Patient |
| Form DS1500 | £17 | Patient |
| Adoption Medical Forms – Form AH | £76.30 | Patient/Agency |
| Adoption Medical Update/Review – Form AH2 | £24.36 | Patient/Agency |
| Personal | ||
| Firearms Report | £75 | Patient to pay before certificate is sent |
| DNA test and Private GP Appt | £63 | Patient |
| Private prescription | £10 | Patient |
| Private appointments | £25 | Patient |
| CICA pro-forma (Criminal Injuries Compensation Authority) | £39 | Patient |
| Insurance Company Reports | ||
| Examination & Report: Sickness insurance Accident insurance Life Assurance proposal | £164 £164 £164 | Patient / Insurance company |
| Report without examination: Sickness insurance Accident insurance Life Assurance proposal | £104 £104 £104 | Patient / Insurance company |
| Extract from records / supplementary report: Sickness insurance Accident insurance Life Assurance proposal | £50 £50 £50 | Patient / Insurance company |
| Short certificate (for sickness or accident insurance) | £15 | Patient / Insurance company |
| Safeguarding Report Production | ||
| Child Protection Reports/fees for examination and report by own General Practitioner | £27.79 | ICB |
| Attendance at Case Conference | ||
| By Own GP up to 1 hour (Short Session) | £52.45 | ICB |
| By Own GP over 1 hour (full session) | £81.42 | ICB |
| Attendance at Court | ||
| By Own GP up to 1 hour (short session) | £52.45 | ICB |
| By Own GP over 1 hour (full session) | £81.42 | ICB |
| By Consultant or Medical Practitioner as witness in known case up to 1 hour (short session) | £52.45 | ICB |
| By Consultant or Medical Practitioner as witness in known case over 1 hour (full session) | £127.68 | ICB |
Notes:
Payment should be made by the responsible party/patient prior to receiving the chargeable service.
Patients/organisations should be charged consistently and appropriately according to the schedule /guidelines
above.
Payment can be made by:
- Cash (correct monies only)
- Cheque (made payable to any GP Partner)
- Via bacs to Lloyds Bank, sort code 30-96-18; Account number 63609660; Account name Avenue House
& Hasland Partnership. Please ask payee to quote initial and surname as reference on the bacs payment
so the surgery can identify and link the payment.