Request Private Medical Services

To request a letter, download the request form below, fill it out and post, email or bring it to the surgery OR you can fill out the form electronically.

The standard turnaround time for letters / medical reports is 10 working days from receipts of payment.

The turnaround time for urgent letters is 3 working days from receipt of payment.

NHS sick notes are only provided for absences of greater than seven days from work. Self certification forms should be used for situations where you have been off work for less than seven days. 

We no longer countersign passport application forms and photos as the guidance from the Passport Office has changed. For more information please click here.

Please note when collecting medical information, valid photo ID will be required.

Fees for Non NHS Services
(not all services are covered by the NHS and therefore a charge will apply as below)
Standard Fee
(10 working days from receipt of payment)
Urgent Fee
(3 working days from receipt of payment)
Private sick note for the first 7 days of illness      £20.00
Private prescription (non NHS drug and anti-malaria)£20.00
Holiday cancellation certificate£30.00
Fitness to travel certificate£30.00
Simple Provident Association claim form (e.g. BUPA, PPP)£50.00£75.00
Housing letter / Private Letter / TWIMC£30.00£45.00
Statement of Fact letter (No Medical info)  
     One patient£15.00£22.50
     Each additional patient£5.00£5.00
Any requested doctor’s letters              £30.00£45.00
School health report (OFSTED) / Child-minder Form£75.00
Reply to solicitors’ letter – fees to be advised by individual doctors
Medical Examinations  
Medical examination (HGV, Taxi, Travel)£100 per 1/2hour
Medical Examination for Adoption/Fostering (Agency only)£100.00
Medical examinations (for insurance purpose only)£120.00
Private ECG£60.00
Private Cryotherapy£75.00
Power of Attorney 
     One form  (40 min App)£175.00
     Two forms  (40 min App)£225.00
     Plus Home Visit£50.00
Driving licence application£25.00
Disabled parking medical report£25.00
Sports Medicals 
Sports medical with report£100.00
Examination for scuba diving£150.00
Examination for fitness to participate (<18)£50.00
Certificate of fitness (without examination)£25.00
Fitness to attend school£30.00£45.00
Yellow fever vaccination and certificate£65.00
Meningitis vaccination and certificate ACWY£50.00
Hepatitis B vaccination£35.00 (per vaccine)
Road Traffic Accidents (RTA) appointment – (*no charge when accident is more than one day ago or patient seen by another medical professional)£20.00*

Please consult the Medical Reports Team for any service not listed above.