Non-NHS Services and Fees
Some of the services we offer are not part of your NHS care, so we charge a fee for them. These are usually reports, forms and medicals requested by you or by another organisation. This work takes a doctor’s time away from NHS patient care, and we have to check your record carefully before we can sign anything, so the fee reflects the time involved. The fees below apply from 1 August 2026.
Our fees
Simple letter or certificate£40
A short, factual letter that does not need a detailed look through your record.
- A “to whom it may concern” letter confirming something factual
- A private sick note for a period your employer needs covered
- A letter confirming medication you carry when travelling
- A signed copy of your vaccination record
Form or report from your records£80
A form or short report that needs a doctor to review your record. No examination.
- Holiday cancellation form
- Accident or sickness insurance claim form
- BUPA, Benenden or Provident claim form
- A basic report drawn from your records
- Firearms or shotgun licence medical form
Detailed report or opinion£160
A detailed written report that needs a thorough review of your record, with no examination. The fee is £160 for the first 30 minutes. If the report needs longer, we add £80 for each further 15 minutes, so a longer or more complex report may cost more.
- A detailed written report or medical opinion
- A full insurance report completed by hand
- A factual report for a solicitor from your records
Examination and report£160
A face-to-face examination together with the report or certificate that follows.
- A report that needs an examination
- HGV, PCV or taxi (D4) driver medical
- Pre-employment medical
- Sports, diving or pilot fitness medical
Mental capacity or Power of Attorney£160–£240
An assessment of someone’s capacity to make a particular decision, with the certificate or report that goes with it. The fee is £160 for an assessment at the surgery, or £240 if we need to visit you at home.
- Capacity to make a Lasting Power of Attorney
- Court of Protection (COP3) capacity report
If your form is not listed here, please ask and we will tell you which category it falls into. You can send your request through our online form, choosing an admin request.
Free of charge
- A copy of your own medical record (a subject access request is always free)
- Printed summaries, for example your health conditions, prescriptions or immunisation history
Services we do not provide
Fitness to participate, exercise or gym forms
We do not complete fitness to participate, exercise or gym forms. These ask us to confirm you are fit for a particular activity, which depends on more than what is in your record, and the responsibility for taking part safely rests with you and the organiser. Most events and gyms accept a short self-declaration, often called a PAR-Q, which is the right route. If you would like a fuller check, a private sports medicine service can assess you for the activity.
Fit-to-fly and fitness-to-travel forms
We do not complete fit-to-fly or fitness-to-travel forms. Whether you are safe to fly depends on how your condition behaves at altitude, which we cannot judge from your record, and every airline sets its own medical rules. Please contact your airline’s special assistance team, who handle these checks, usually through a form called a MEDIF. We are happy to provide a factual letter confirming your diagnosis or medication if that helps.
Forms set and paid for by another organisation
Some forms are arranged and paid for by the organisation that asks for them, not by you:
- DWP benefit forms such as PIP, Attendance Allowance and SR1
- Adoption and fostering medicals, paid by the local authority
- DVLA driver assessments, arranged and paid for by the DVLA
Paying and timing
To ask for any of this work, please contact us through our online form and choose an admin request. We ask for a £40 deposit when you request the work, with the balance due once it is finished. Please allow 6 weeks, as NHS work always takes priority.
If you need the work sooner, please let us know when you ask and tell us your deadline. We can sometimes arrange a quicker turnaround, and where we can, a faster service may carry an additional charge.
We are not registered for VAT, so the price you see is the total to pay, with nothing to add. We review these fees once a year, and the next review is due in April 2027.
This page was last updated in June 2026.
