North Hill Medical Group
Fees for Non–NHS services
Medical Examinations and Reports / Fee / VAT / Total payableFull Medical and Report for Private Company / £178.50 / £35.70 / £214.20
Report with no medical examination for Private Company / £105.00 / £21.00 / £126.00
Full Medical and Report for Local Authority / £110.50 / £22.10 / £132.60
HGV/LVG/PCV/taxi medical examination and report / £120.00 / £24.00 / £144.00
ECG test for medical examination / £40.00 / Nil / £40.00
ECG report for medical examination / £40.00 / £8.00 / £48.00
Medical Records / Fee / VAT / Total payable
Access to medical records under the Data Protection Act
(copies of individual sheets 50 pence per sheet) / £10.00 / Nil / £10.00
Copies of personal medical record / £10.00-£50.00 / Nil / £10.00 - £50.00
Extract from records / £65.00 / £13.00 / £78.00
Report on proforma, no examination / £87.50 / £17.50 / £105.00
Written report without examination, providing a detailed opinion and statement on the condition of the patient / £130.00 / £26.00 / £156.00
Forms and Certificates / Fee / VAT / Total payable
Private Sick Note (Incapacity Certificate) required by patient for presentation to an employer except for those which the doctor is obliged to provide for statutory sick pay purposes / £29.50 - £61.50 / Nil / £29.50 - £61.50
Private prescription / £16.00 / Nil / £16.00
Straight forward certificates of fact / £17.50 / Nil / £17.50
Freedom of Infection certificate e.g. school, travel or employment / £29.50 - £61.50 / Nil / £29.50 - £61.50
Health club brief written report to certify patient is fit for exercise / £29.50 - £61.50 / £5.90 - £12.30 / £35.40 - £73.80
School fees and holiday certificates / £29.50 - £61.50 / Nil / £29.50 - £61.50
Child minder health forms (Ofsted) / £87.50 / £17.50 / £105.00
Seat belt exemption certificate / £100.00 / Nil / £100.00
Fitness to attend school or university – report or letter / £25.00 / £5.00 / £30.00
Fitness to attend school or university with medical examination / £40.00 / £8.00 / £48.00
Fitness to participate report and medical examination – PADI, motor racing etc / £120.00 / £24.00 / £144.00
Fitness to travel certificate / £25.00 / £5.00 / £30.00
Fitness to travel – medical examination and report / £120.00 / £24.00 / £144.00
Signature on driving licence / £25.00 / £5.00 / £30.00
International certificate of vaccination / £25.00 / £5.00 / £30.00
Certificate of negative HIV test for travel abroad (excluding pathology costs) / £35.00 / Nil / £35.00
Private Consultations / Fee / VAT / Total payable
For a 10 minute appointment / £45.00 / Nil / £45.00
For a 20 minute appointment / £90.00 / Nil / £90.00
Private prescription charge / £17.50 / Nil / £17.50
Reference form to practice profession / £45.00 / £9.00 / £54.00
Insurance Forms / Fee / VAT / Total payable
Provident associations (e.g. BUPA, PPP) certificate to reclaim fees – Standard form / £35.00 / Nil / £35.00
Provident associations (e.g. BUPA, PPP) certificate to reclaim fees – Large form / £55.00 / Nil / £55.00
Accident or sickness insurance certificate – short certificate of incapacity without examination for patient to claim under a sickness and accident policy / £29.50 - £61.50 / Nil / £29.50 - £61.50
Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance , or completion of pre-treatment form / £29.50 - £61.50 / Nil / £29.50 - £61.50
Medical Examination / £132.00 / Nil / £132.00
Medical Report / £115.50 / Nil / £115.50
Supplementary report/further information / £38.50 / Nil / £38.50
Medical, counselling and blood test for HIV / £100.00 / Nil / £100.00
Counselling and blood test only / £52.00 / Nil / £52.00
Pathology Cost HIV test / £24.22 / Nil / £24.22
Court of Protection Certificates/Adoption and Fostering forms / Fee / VAT / Total payable
Court of protection certificate – CP3 without examination / £70.00 / £14.00 / £84.00
Court of protection certificate – CP3 with medical examination / £150.00 / £30.00 / £180.00
Child in Care report / £40.00 / Nil / £40.00
Subsequent medical examination / £35.00 / Nil / £35.00
Form 1HA – Initial health assessment / £76.24 / Nil / £76.24
Form AH – health assessment, prospective carer / £80.00 / £16.00 / £96.00
Forms C, D, YP or AME – Full medical examination of child / £105.00 / Nil / £105.00
Form AH2 – update report / £30.00 / £6.00 / £36.00
Hair sample and/or drug and alcohol testing / £110.00 / £22.00 / £132.00
Effective 16th February 2015
All fees must be paid in cash, cheque or card (Nayland and North Hill only) prior to or at the time of the appointment or upon collection of the report