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Non NHS Service Fees

There will be certain forms that require a doctor to complete. GP’s are entitled to charge a fee for certain services that are not part of their normal NHS work.

Medical Records

Brief Summary Printout                                                   No Charge 

Full Summary Printout (exceeding 20 pages)                     £10.00

Paper Records and Summary                                           £10.00 plus 20p per sheet (max £50)

Fitness Statements

Marathon Statement                                                  £7.50

Health Club/Gym Statement                                       £7.50



Holiday Cancellation Form                                          £10.00

Fitness to Travel/Fly Form                                          £7.50

Fitness to Travel (Letter from Doctor)                          No charge



Medical Form – completed from health records              £15.00-£30.00

Full Medical Examination and Form                               £60.00


Letter to confirm registration                                        No charge


If you have a form that is not on this list then please contact our reception team who will be able to advise you.

Please be aware that private forms and requests can take up to 2-3 weeks to complete.

All forms are completed in strict date order from when they are received.                                                  

Doctors have a heavy workload and cannot prioritise your form before medical matters.

Should you require a medical examination, then please hand your form into reception and you will be contacted with an appointment to see Dr Kate Adams.

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website