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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| Based on hourly rate of £240/hr plus VAT as applicable) | Varies | £240.00 | ||||