Description (the patient is responsible for payment unless otherwise stated below)
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1 Fees for non-nhs Services - Patients Information Sheet Sorry but we do not accept cheques; ments are required up front and we have Visa machines at both sites. Please allow at least 2 working weeks to process your request as NHS work will take precedence over private work. Description (the patient is responsible for ment unless otherwise stated below) Suggested fee (Patients) Access to Health Records Act copies of reports for patients (per side/also photocopies) (patient copy) 0.50 Access to Records under Data Protection Act (for solicitors only) whole record ( patient or solicitor) Access to Records under Data Protection Act copy of electronic record only on computer disc ( patient or solicitor) Administration charge for sending by recorded delivery (patient or solicitor) 8.00 Extract from records - not covered by above legislation Certificate of Incapacity this can include at the GP's discretion - a to whom it may concern letter with brief details of patient medical condition. Simple Certificates/Letters (e.g. I Certify that; To Whom it may concern) (patient to ) Freedom from infection certificate (patient to ) Passport application) sorry but we no longer will countersign passport application forms for patients Complex Letter/Written Report (no Examination)/Insurance companies (insurance company normally s) We no longer accept passport application forms Up to 15 minutes work Up to 30 minutes work Up to 45 minutes
2 work Up to 1 hours work Simple statement of fact or witness signature only Private Sick Note (patient to ) Duplicate or Copy Sick Note (patient to ) 5.00 Council Tax Certificate of Severe impairment free Free BUPA, PPP, WPA, Private Medical Insurance(PMI) Bus pass applications Report on prospective subscriber PMI - Extract from records Insurance Company Completion of form Insurance Company Full medical exam and report Insurance Company Provident Association Claim from ( eg: BUPA/PPP) (patient to ) School Fees Insurance Claim (patient to ) Fitness to attend state school Fitness for Sport, school, university etc ( short letter of incapacity) (patient to ) Health Certificate to attend university college, nurse training or teacher training Could be patient or employer if employer requesting Dentists, completion of Application for first registration of a Dentist (GDC) (patient to ) PADI Fitness for driving Medical Statement (patient to ) Adoption/Children 2
3 Childminder report Ofsted (Health Declaration Booklet) Examination of children/in for care-first examination Examination of children/in for care-subsequent examination Freedom from infection for children for care Adoption/Fostering Form IHA ( initial health assessment) Adoption/Fostering Form M,B Obstetric Neonatal Reports Adoption/Fostering For C, D, YP or AME Full examination of child Adoption/Fostering AH Health Assessment for Prospective Carer Adoption/Fostering AH2 Update report parent/carer Adoption/Fostering Calderdale Metropolitan Borough Council (fees paid directly by the authority ) and book patient a double appt to see GP. Employment claim direct from CMBC Employment - Full Medical with report or certificate ( private/insurance) 30 mins (patient/or employer or insurance company may ) Employment report without examination (private/insurance) 30mins (patient/or employer or insurance company may ) Report of Pro forma ( 20 mins) (patient/or employer or insurance company may ) Medical Report requested by solicitors (½hr of GP time) Solicitor to Police/Local Authority medical examination certificate, opinion
4 Police/Local Authority medical examination certificate, without examination ( ½hr) Police/Local Authority Police Medical for higher grade appointment NHS Employee Prospective Local NHS Body Fireman's Medical Examination Fire Master Fireman's Medical Examination for Continuation of part time FM Fire Master Forces Medical (government dept. to ) Candidate for the Priesthood Medical examination report GYM Membership Letter we don t process Patient/employer or Insurer to Attendance allowance GP Factual report (paid for by DWP) DS1500 (paid for by DWP) Mental Capacity Certificate Mental Capacity Report (without examination) ( solicitor/guardian to ) Mental Capacity Report (with examination) ( solicitor/guardian to ) Mental Health Psychiatric Examination - non specialist fee ( ) Private Blood Test / Paternity / DNA / Tricho Testing (patient to ) Private Prescription (for medication not available on NHS) (patient to ) Private Consultation (including prescription) ( patient to ) normally if they don t have a visa or an EU citizen - then they will be required to this amount. See Oversee's visitor protocol Driving Medicals: HGV, some mini cab/taxi apps, etc. (patient to ) n/a
5 Elderly Driver Fitness Medical (patient to ) Employment or Education Medical (e.g. University) (patient to ) Sports Medical + Report (patient to ) TAXI - Ltd physical examination (e.g. BP check & Vision check) with report e.g.: London Taxi & Private Hire Medical declaration (will confirm fee on sight of application- (patient to ). Driving report with no examination 20-30mins (patient to ) Report to DVLA with examination DVLA to Report to DVLA without examination DVLA to Seat Belt exemption with medical (patient to ) Seat Belt exemption without medical (patient to ) Blue Badge & freedom Pass schemes Report only (CMBC to ) claim direct from CMBC DS1500 (paid for by CMBC) for by CMBC Blue Badge Letter of Appeal against an adverse decision ( patient to )
6 Application for naturalisation as a British Citizen - form AN from the UK Border Agency Patient to bring photograph with them - (patient to ) Criminal Injuries compensation report on pro forma (criminal injuries authority to ) Insurance Sickness Travel Abroad Pregnant Woman's Medical certificate attesting fitness to Fly -noting their good health and indicating the baby s expected date of birth (patient to ) Fitness to Fly travel certificate - pre existing (patient to ) Holiday cancellation simple certificate (patient to ) holiday cancellation insurance claim (patient to or insurance company) simple letter detailing prescription medicines with surgery stamp (patient to ) Vaccinations Hepatitis B Standard Course (x 3 vaccinations) (patient to ) Hepatitis B booster (x 1 vaccinations) (patient to ) Meningitis - Menveo - (18-25 year olds only free of charge) free of charge if aged years old Meningitis B (2 doses required) (patient to ) 120 per dose Malaria Tablets Prescription (patient to ) Private Shingles (patient to ) 1 dose Chicken Pox Vaccine (patient to ) 2 doses
7 Exam and report to assess fitness for detention centre training Gender Recognition Ministry of Justice Reports (justice dept. may if not patient) Medical Report (transgender people) Simple Report up to 2 hours work Report over 2 hours Court ordered Blood Test (patient of solicitor to )
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