Private Report Request Form

Letters and Forms

We are able to provide a range of letters, certificates, and medical reports (including ‘To Whom It May Concern’ letters) for our registered patients. While some forms are free under the NHS, others fall outside of our NHS contractual obligations and therefore attract a fee.

Free of Charge Forms (NHS-funded):

We complete the following forms free of charge:

  • Council Tax Discount Forms (Mental Health)
  • Universal Credit Forms
  • PIP (Personal Independence Payment) Forms
  • DSA (Disabled Students’ Allowance) Forms
  • Sure Start Maternity Grant Forms

Non-NHS Services and Fees:

In line with British Medical Association (BMA) guidance, we charge for non-NHS administrative services. These include requests for medical letters, certificates, and reports that are not covered by the NHS such as those for insurance, employment, housing, or fitness to participate in certain activities. These services are provided at the discretion of the GP and are subject to availability.

As this work is not part of our NHS contract, we must prioritise NHS care, and response times may vary. Please allow adequate time when submitting requests. In some cases, we may require an appointment or need to obtain records from PCSE (Primary Care Support England), which can cause further delays.

Although these are not formal SLAs (Service Level Agreements), we aim to complete requests within the following timeframes from receipt of payment:

  • Letters: within 5 working days
  • Medical Reports / Certificates / Forms: within 30 working days

For a list of fees, please refer to our Non-NHS Services Price List below or contact the surgery directly.

Services We Do Not Provide

Please note that we reserve the right not to complete certain non-NHS reports, certificates, or forms. If you submit a request and it falls outside the scope of what we can provide, a member of our support team will contact you to inform you accordingly.

The following are services we are unfortunately unable to offer:

  • Scuba diving medical forms
  • Acting as a referee for passport applications
  • Court-related letters: We are unable to provide letters for court unless we receive official documentation or forms directly from the court or a solicitor.
  • Marathon and sporting event fitness letters: We do not offer diagnostic fitness assessments or clearance for participation in marathons or other sporting events. However, we can provide a statement of fact based solely on information available in your NHS medical record, along with a disclaimer.

If in doubt, or if the event has strict medical requirements, we recommend seeking assessment from a private sports medicine clinic.

Our fees

CERTIFICATESCOST
Cremation Certificate£82
Medical ReportCost Varies
Requests for GP input from Occupational Report with examination£145.00
Private GP Consultation (10minutes)£40.00 per 10 minutes
Private Prescription£10
DVLA Examination and report£140 No sight tests, to be done by opticians (& STAMPED BY OPTICIANS) before GP apt for DVLA report only
Paternity TestingVaries
Private Sick Note£30
Private Referral LetterNo charge for our patients
Lasting Power of Attorney (Per Person)£300
Lasting power of attorney, witnessing at surgery£50.00
Lasting power of attorney, witnessing at home£80.00
Diving/Scuba fitness to do£85.00
Fitness to Travel Certificate£45.00
Fitness to exercise£30.00
Fostering FormInvoices on forms
Holiday cancellation Insurance Form/Letter£45.00
Cancellation of Gym Membership£50.00
Hepatitis B£55 (Per Dose) 3 Dose needed
Yellow Fever (Including Certificate)£90.00
Yellow Fever Replacement Certificate£20.00
Rabies£80.00
Influenza (Flu Jab)£20.00
All non-clinical letters, registration letters, ETC£50.00 (Simple)  
Vaccination Certificate (Stamped and signed)£25.00
Housing Letter£50.00
 
Letter for taking medication on the plane (per person)£50.00
PIP Letter£60.00
Manual or combination of patient records£50.00
Photocopy of Electronic Medical Records£10.00
Copies of Letters/Blood Test Results (per page)0.50p
Postage Cost (Proof of posting)£5.50
Postage Cost (Recorded Delivery0£10.50

Forms We Are Unable To Do

Attendance allowance for state pensioner, long stay visa requirement, GP’s no longer sign passport or visa applications.

Date of Birth
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