CHEDDAR MEDICAL CENTRE FEES FOR NON-NHS SERVICES 2025

  

RECEIPT for medical information form
•	There is a charge for non-NHS work to be carried out and this must be paid prior to the report being completed please. (Please see attached price list). 
•	Please allow a minimum of four weeks for this form to be completed.  Your medical records will be thoroughly reviewed before your GP completes and signs the form. 
•	We appreciate that this form is important to you however acute clinical workload takes precedence.  
•	Please ensure that the contact details we hold for you are up to date so that we can contact you when the form is ready for collection. 

PLEASE BE AWARE YOU WILL NEED TO COLLECT FROM CHEDDAR MEDICAL CENTRE

Should you have a query please call our team on (01934) 742061

Name: _______________________________	Date: __________________    NHS Number: _________________

	FEE £	PAID	
Access to Records under Data Protection Act			
Copying notes/solicitors per side – minimum charge £60 charge + 5p / copy	60.00		
			
Certificates and Forms			
Accident Insurance Claim Form /Insurance sickness - travel, etc.	50.00		
Blood pressure test – Lighter Life, etc.	20.00		
Blood tests	20.00		
Childminder forms / Fostering	100.00		
Driving license photograph	35.00		
DVLA questionnaire	40.00		
Firearms license	90.00		
Private Health Claim Form (BUPA/PPP)	50.00		
School Fees Insurance Claim form	50.00		
Sick Note / Freedom from Infection Certificate	30.00		
To Whom it May Concern letter (dependent on length and content)	20.00 – 40.00		
			
Medical Examinations and Reports			
Comprehensive examination and report (45 mins)	180.00		
Detailed written report, no examination (30 mins)	130.00		
Examination (30 mins) medicals, PSV, LGV, HGV, Pilots, Adoption etc.	130.00		
Extract from records (15 min) by GP (i.e. for solicitors)	65.00		
Lighter Life Medical / Weight loss programme	100.00		
Pro forma report, no examination (20 mins) taxi license examination	100.00		
Medical or report (medical, sporting events, Camp America) NOT scuba diving 	98.00		
			
Travel Abroad			
Fitness to Travel confirmation	30.00		
Confirmation of Vaccinations 	30.00		
Passport form/photograph	40.00		

Please pay on receipt of our invoice via BACS, cash or cheque

Signature:                                                         Paid by:  Cash / Cheque

Total paid: