Private Medical Reports, Examinations & Insurance
Insurance medicals, the completion of various forms, and the provision of letters for third parties are NOT covered by the NHS.
We provide these services to our patients only on a private basis and they do attract a fee.
This work is not carried out in core hours.
Approximate charges are given below
Non-urgent advice: Notice
WE DO NOT PROVIDE LETTERS FOR HOUSING ASSOCIATIONS. WE HAVE BEEN ADVISED THAT THEIR OWN DOCTORS WILL ASSESS YOU IF NECESSARY AND THAT LETTERS FROM OURSELVES ARE NOT CONSIDERED.
Non-NHS work includes requests such as:
- Letter to school, University etc.
- Insurance Claim Forms
- Gym Membership Cancellation
- Holiday Cancellation Form
- Accident & Sickness Claim Form
- Mortgage Application Forms
- Flying Licence
- References
- Travel Vaccinations and Certificates
- Certificates of Employment
- Letter for Airline
- Letter for Medication On-board aeroplane
- Fitness to Attend Summer Camp
- Any other forms similar to the above
The list above is intended to show examples of the type of request which are considered non-NHS work. Each request will be considered on an individual basis. Fees are always payable for medical services not covered by the NHS.
If you require any of the above to be completed by the doctor, you will need to collect an application pack from reception or follow the link below to download an application pack and return to reception. Please be advised that there will be a fee for this type of work.The fee will need to be paid in full before it is passed to the GP for completion.
Please allow 28 working days, from when your fee is paid, for the request to be completed.
You will be contacted when we have completed your request. Please make sure that we have your correct contact details.
Private Services List and Fees
Please review our list of Non NHS work that we offer at the practice, which attract a fee. This includes certificates, forms, medical examinations and various travel vaccinations.
Fees from 1st December 2025
Letters, Certificates and Reports (with no examination)
| FEE | |
| Simple Medical Letter or Brief Report from Medical Records A letter or report that can fit on one page under the address and header. It can be used for any reason such as employer, school, university, ‘To Whom It May Concern’, etc | £50 |
| Complex Medical Letter or Brief Report from Medical Records As above but a more complex letter or report | £50 first page then £40 for each additional page |
| Simple Holiday Cancellation Form A form which has one or two sides to complete | £60 to £100 |
| Complex Holiday Cancellation Form As above but a longer or more complex form | £100 to £150 |
| Firearms Report for Police | £95 |
| Vaccination Certificate Only for some vaccinations | £55 |
| Letter or Certificate for Travel Where clinically appropriate and at the discretion of the surgery | £50 |
| Seat Belt Exemption Certificate Only in very rare cases where clinically essential | NOT DONE |
| Simple Insurance/Accident/Sickness Report Usually a report requested by employer/insurance company/solicitor, etc | £50 to £120 |
| Complex Insurance/Accident/Sickness Report As above but a more complex report | £120 to £300 |
| Fostering & Adoption Report AH2 | £80 |
Letters, Certificates and Reports (with examination)
| FEE | |
| HGV/PCV/Taxi/Other Driving/Flying Medical and Report Not all types of medical can be completed in surgery. Please enquire for further details | £180 |
| Fostering & Adoption Report and Examination AH | £180 |
| Pre-Employment Medical and Report Such as summer camp, cruise ships etc | NOT DONE |
| Other Report Where Examination Is Required | Ask in surgery |
| Other Report Where Examination And Investigation Is Required Such as ECG or blood test | Ask in surgery |
| Witness Power of Attorney | NOT DONE |
| Mental Capacity Assessment | NOT DONE |
| Countersign Passport | NOT DONE |
Private Work
| FEE | |
| Private Sick Note | £40 |
| Private Prescription No charge if registered with us as NHS patient. Cost of drug is additional and charged by pharmacy | £35 |
- The list is not exhaustive and charges may be made for other services requested
- Prices may vary depending on nature of the request
Non-urgent advice: Notice
Please note that a charge is made in ALL cases
The doctor does NOT have the discretion to waive the charge
*The list is not exhaustive and charges may be made for other services requested
Prices may vary depending on the nature of the request
Hatherton Medical Centre: All payments are taken by card.
Holland Park Surgery, Mossley Fields Surgery, and Broadway Medical Centre: Unfortunately, we do not have a card payment machine at these surgeries.
PAYMENT IS REQUIRED IN ADVANCE IN ALL CIRCUMSTANCES
Non-NHS Letter Request Form
To request a letter, please complete this form and bring it back to us.
(If you are requesting a letter for multiple people, please complete a separate form for each person)
Subject Access Request Application Form
To request copies of your medical records, please complete this form and bring it back to us along with a form of ID.
Please note the first request will be free of charge however repeat requests could incur a charge to cover administrative costs.
Please allow 28 days for this request to be completed.
Digital Form
Help to complete the form on your mobile device: Get work done on your mobile device – Microsoft Support
Paper Form (🖨️Print)
Why does my doctor charge fees?
When your doctor is asked to give medical information about you in the form of a report, letter or certificate, the request kick starts a series of processes.
This takes time and is not always straightforward or simple to complete. Some of the information is not available easily and will mean the doctor has to sort and select the right information for the request.
The doctor also must establish who is funding this work and if it is not part of their NHS work, agree a fee for this.
Surely the work is paid for by the NHS?
Many patients see their doctor as the embodiment of the NHS and all that it provides – free care at the point of delivery. However not all work doctors are asked to do is paid for by the NHS and many GPs are self-employed.
This means they must cover their time and costs – staff, buildings, heating, lighting, etc – in the same way as any small business. The NHS only pays for NHS work, any work outside of the NHS must be funded by other means and this is why fees are charged.
Why does it take so long?
Your doctor receives large amounts of request and which is often to do with whether your general health allows you to do something e.g. to work, receive benefits, drive, play sport, attend school, own a house, a firearm or it is for insurance, court or other medico-legal reasons.
All requests will vary in complexity, volume and consistency ranging from signing a certificate which can take minutes, to an in-depth report with an examination that can take hours.
What your doctor is signing
When your doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true.
In order to complete even the simplest of forms, they may have to check your entire medical record (some of which may not be accessible on a computer or on site).
Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (the doctors’ regulatory body) or even the Police.
Why does my doctor seem reluctant or say no to this request?
Your doctor is inundated with work. They have to balance their time with treating the sick, keeping their practice afloat and making sure they are doing all of this safely and within their professional duties as a doctor.
With certain exceptions written within their contract, doctors do not have to carry out non-NHS work. However, many choose to for the benefit of you and other families they treat.
Where a doctor chooses to undertake the work, we advise them to inform and always agree a fee in advance of undertaking work.
Should their volume of work prove to be greater or more complex than expected, the doctor will contact you to discuss how to proceed.
What can I do to help?
– Not all documents need a signature by a doctor and can be done by other professionals. Please check the form and accompanying guidance as you may get a quicker response that way.
– If you have several forms requiring completion, present them all at once and ask your doctor if he or she is prepared to complete them at the same time to speed up the process.
– Do not expect your GP to process forms overnight. Urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.
– Don’t book an appointment with your doctor to complete forms without checking with your doctor’s administrative staff as to whether you need to or not.
Page last reviewed: 28 November 2025