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Non-NHS services fees

Fees for services not provided under the National Health Service

The services shown below are not provided as part of our NHS contract. We will endeavour to assist patients by providing these services but reserve the right to decline to provide non-NHS services.

ServiceFee
Letters, certificates and forms 
Private prescription£20.00
Private sick note£20.00
Capacity form£55.00
To whom it may concern letter (no review of records)£25.00
To whom it may concern/fitness letters (requiring review of records£45.00
Claim form (eg holiday cancellation)£55.00
Firearms licence & renewal£40.00
Proof of life form£25.00
Child minder health/adoption/fostering form£45.00
Examinations and reports
Full medical with report (eg pre-employment, HGV, PSV, taxi driver, insurance, fitness for sport or education£155.00 (£105.00 if patient is paying)
Report giving detailed opinion and statement of patient condition without examination£140.00 (£90 if patient paying)
Assessment of capacity for power of attorney£120.00

Medical Fitness Letters

Please note that this practice does not provide letters or certificates confirming fitness for recreational or leisure activities, including but not limited to:

  • Skydiving
  • Scuba diving
  • Parachuting
  • Bungee jumping
  • Attending or joining a gym
  • Other high-risk or recreational activities

These activities are not part of NHS-funded services, and GPs are not able to assess or certify fitness for participation.

If you require medical clearance, please contact:

  • The activity or gym provider who should advise on their requirements, or
  • private medical provider offering fitness-to-participate assessments

Thank you for your understanding and cooperation.

Page published: 6 August 2024
Last updated: 18 December 2025