Non NHS Services
Non-NHS Treatment and Examinations
Certificates of sickness for six days or less are not provided by the doctor. You can 'Self-certify'. Please discuss with your employor.
If you need a special medical examination for fitness to undertake sports, pre-employment, or HGV this will be carried out by routine appointment and a fee will be charged. Our fees for Non-NHS services are displayed below.
The doctor will complete BUPA or similar forms, holiday cancellation or private certificates but there will be a charge for this service.
Passport Applications
The doctors at the Southwell Medical Centre do not provide signatures to verify passport applications.
Private Work Fees
|
|
Charges correct from February 2017 |
Paid by |
CODE |
NET |
VAT |
GROSS |
|
ACCESS TO MEDICAL RECORDS |
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|
|
Access to Medical Records under the Data Protection Act 1998 |
3rd Party |
T9 |
£ 50.00 |
0 |
£ 50.00 |
|
|
Access to Medical Records under the Data Protection Act 1998: Release of Records to 3rd Party for Copying) |
3rd Party |
T9 |
£ 30.00 |
0 |
£ 30.00 |
|
|
Access to Medical Records under the Data Protection Act 1998 - No Letter (Insurance Co) |
Insurance Co |
T9 |
£ 50.00 |
0 |
£ 50.00 |
|
|
Access to Medical Records under the Data Protection Act 1998 - No Letter (Solicitor) |
Solicitor |
T9 |
£ 50.00 |
0 |
£ 50.00 |
|
|
Access to Medical Records under the Data Protection Act 1998 (In surgery, no copies) |
Patient |
T9 |
foc |
0 |
foc |
|
INSURANCE REPORTS |
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|
|
General Practitioner Inurance Report (GPR) (written or typed in template) |
Insurance Co |
T2 |
£102.20 |
£ - |
£ 102.20 |
|
|
Supplementary Insurance Questionnaires to GPR + 1 Questionaire |
Insurance Co |
T2 |
£125.05 |
0 |
£ 125.05 |
|
|
Supplementary Insurance Questionnaires to GPR + 2 Questionaire |
Insurance Co |
T2 |
£150.67 |
0 |
£ 150.67 |
|
|
Supplementary Insurance Questionnaires to GPR + 3 Questionaire |
Insurance Co |
T2 |
£176.30 |
0 |
£ 176.30 |
|
|
Life Insurance Medical Examination |
Insurance Co |
T2 |
£108.65 |
0 |
£ 108.65 |
|
|
Private Medical Insurance Claim (Simple Form) |
Patient |
T2 |
£30.00 |
0 |
£ 30.00 |
|
|
Private Medical Insurance Claim (Complex Form/Report) |
Patient |
T2 |
£30.00 |
0 |
£ 30.00 |
|
|
Insurance Claim (Loan repayment/income protection - Simple Form) |
Patient |
T2 |
£30.00 |
0 |
£ 30.00 |
|
|
Insurance Claim (Loan repayment/income protection - Complex Form) |
Patient |
T2 |
£30.00 |
0 |
£ 30.00 |
|
|
Provision of medical letter to assist with Insurance Claim |
Insurance Co |
T2 |
£50.00 |
0 |
£ 50.00 |
|
DEPARTMENT OF WORK AND PENSIONS |
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|
|
Completion of Form DS1500 |
DWP |
T1 |
£17.00 |
£ 3.40 |
£ 20.40 |
|
|
Completion of Factual Report for Disability Living Allowance |
DWP |
T1 |
£33.50 |
£ 6.70 |
£ 40.20 |
|
|
Completion of Factual Report for Attendance Allowance |
DWP |
T1 |
£33.50 |
£ 6.70 |
£ 40.20 |
|
OCCUPATIONAL HEALTH |
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|
|
Provision of medical information to assist in pre-employment occupational health: Factual Report: No Opinion |
Employer |
T1 |
£44.48 |
£ 8.90 |
£ 53.38 |
|
|
Provision of medical information to assist in pre-employment occupational health: Factual Report: Includes Opinion of Fitness |
Employer |
T1 |
£60.00 |
£ 12.00 |
£ 72.00 |
|
|
Pre-employment Medical Examination (30 mins) |
Employer |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
Army Health Questionnaire |
Army |
T1 |
£75.00 |
£ 15.00 |
£ 90.00 |
|
|
Army Recruitment - Provision of medical notes after acceptance into armed forces |
Army |
T9 |
£50.00 |
0 |
£ 50.00 |
|
|
Completion of Student Nurse Occupational Health Form |
University |
T1 |
foc |
|
foc |
|
|
Ofsted Form |
Patient |
T1 |
£65.00 |
£ 13.00 |
£ 78.00 |
|
|
Ill Health Retirement Pension Form: Factual statement NO Opinion of fitness |
Patient |
T1 |
£44.48 |
£ 8.90 |
£ 53.38 |
|
|
Ill Health Retirement Pension Form: Factual statement PLUS Opinion of fitness |
Patient |
T1 |
£82.00 |
£ 16.40 |
£ 98.40 |
|
DRIVING MEDICALS |
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|
|
HGV Medical |
Patient |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
PCV Medical |
Patient |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
Taxi Driver / Other Occupational Driving Medical |
Patient |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
Racing Driver Medical |
Patient |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
DVLA Fitness to Drive Medical |
DVLA |
T1 |
£40.00 |
£ 8.00 |
£ 48.00 |
|
HOLIDAYS & TRAVEL REPORTS, VACCINATIONS AND MALARIA |
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|
|
Fitness to Fly Certificate (per page) |
Patient |
T1 |
£30.00 |
£ 6.00 |
£ 36.00 |
|
|
Travel Report (per page) |
Patient |
T1 |
£30.00 |
£ 6.00 |
£ 36.00 |
|
|
Holiday Cancellation Certificate (per page) |
Patient |
T1 |
£30.00 |
£ 6.00 |
£ 36.00 |
|
|
Yellow Fever |
Patient |
T2 |
£ 50.00 |
£ - |
£ 50.00 |
|
|
Yellow Fever certificate renewal |
Patient |
T2 |
£ 10.00 |
£ - |
£ 10.00 |
|
|
Hep B Vaccination (Non Patients only, Patients FOC) |
Patient |
T2 |
£43.20 |
ON |
REQUEST |
|
|
Jap B encepahilitis - course |
Patient |
T2 |
PRICE |
ON |
REQUEST |
|
|
ACWY (Meningo) |
Patient |
T2 |
PRICE |
ON |
REQUEST |
|
|
Rabies (course of 3 £50 each) |
Patient |
T2 |
£50 |
ON |
REQUEST |
|
|
Freedom from Infection Certificate |
Patient |
T1 |
£34.01 |
£6.80 |
£ 40.81 |
|
|
Vaccination Certificate |
Patient |
T1 |
£15.00 |
£3.14 |
£ 18.14 |
|
MALARIA PROPHYLAXIS (Ask Doctor about different Durations of Stay or Childrens' Costs) |
|
|
|
|
||
|
|
Malarone |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Lariam (1st use) |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Lariam (Used Before) |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Doxycycline |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Chloroquine |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Chloroquine and Paludrine |
Patient |
T1 |
PRICE |
ON |
REQUEST |
|
|
Private Prescription (Prescription not drugs - FREE if dispensed here) |
Patient |
T2 |
PRICE |
ON |
REQUEST |
|
COURT OF PROTECTION / COURT FEES / Criminal Injuries Compensation Authority (CICA) / SOLICITORS LETTERS + REPORTS |
||||||
|
|
Letter to Solicitors providing medical information to assist with legal proceedings (Factual Report, no opinion, No medical) |
Solicitor |
T1 |
£50.00 |
£ 10.00 |
£ 60.00 |
|
|
Letter to Solicitors providing medical information to assist with legal proceedings (Report and Opinion, no medical) |
Solicitor |
T1 |
£109.03 |
£ 21.81 |
£ 130.84 |
|
|
Letter to Solicitors providing medical information to assist with legal proceedings (Report and Opinion, including or consultation medical) |
Solicitor |
T1 |
£157.01 |
£ 31.40 |
£ 188.41 |
|
|
Letter to confirm health for Court Proceedings |
Solicitor |
T1 |
£60.00 |
£ 12.00 |
£ 72.00 |
|
|
Letter to confirm drug or alcohol abuse status for Court Proceedings |
Solicitor |
T1 |
£60.00 |
£ 12.00 |
£ 72.00 |
|
ADOPTION & FOSTERING |
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|
|
Adoption Medical (30 mins per patient) |
Patient |
T1 |
£120.00 |
£ 24.00 |
£ 144.00 |
|
|
Adoption Report (per couple) |
Patient |
T1 |
£95.00 |
£ 19.00 |
£ 114.00 |
|
|
Fostering Report (per Parent) |
Patient |
T1 |
£ - |
£ - |
£ - |
|
|
Fostering Report (per Parent) Declaration of Health |
Foster Agency |
T1 |
£30.00 |
£ 6.00 |
£39.22 |
|
|
Completion of Form AH1 (Adult Health Report) |
Agency |
T1 |
£60.00 |
£12.31 |
£73.86 |
|
|
Completion of Form AH2 (Update review from GP records) |
Agency |
T1 |
£25.00 |
£4.06 |
£24.36 |
|
MEDICALS & REPORTS - VARIOUS |
||||||
|
|
Sports Medical (£240/hr) |
Patient |
T1 |
£240.00 |
£ 48.00 |
£ 288.00 |
|
|
Pilots Licence Medical (£240/hr) |
Patient |
T1 |
£240.00 |
£ 48.00 |
£ 288.00 |
|
|
Private Medical Certificate |
Patient |
T2 |
£15.00 |
0 |
£ 15.00 |
|
|
Private Prescription (Script not drugs - waived if dispensed here) |
Patient |
T2 |
£10.00 |
0 |
£ 10.00 |
|
|
HIV Blood Test Using Supplied Kit (Includes Counselling) |
Patient |
T2 |
£50.00 |
0 |
£ 50.00 |
|
|
To Whom it May Concern Letter (Non-Medical) |
Patient |
T1 |
£10.00 |
£ 2.00 |
£ 12.00 |
|
|
To Whom it May Concern Letter (Medical) |
Patient |
T2 |
£10.00 |
0 |
£ 10.00 |
|
|
Full Medical for Visa Application (£240/hr) |
Patient |
T1 |
£104.68 |
£ 20.94 |
£ 125.62 |
|
|
Lighter Life Medical Assessment |
Patient |
T2 |
£89.00 |
0 |
£ 89.00 |
|
|
Firearms Licence |
Police |
T1 |
£90.00 |
£8.68 |
£52.08 |
|
Adoption and Fostering |
||||||
|
|
IHA-C or IHA-YP |
|
T2 |
£215.00 |
0 |
£215.00 |
|
|
RHA-C or RHA-YP |
|
T2 |
£150.00 |
0 |
£150.00 |
|
Other not listed elsewhere |
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|
|
Based on hourly rate of £240/hr plus VAT as applicable) |
Varies |
|
£240.00 |
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