FORTON MEDICAL CENTRE

WHITES PLACE, GOSPORT, PO12 3JP

TEL: 02392 583333 FAX:02392 601107

Price List for Non-NHS Services

Certificates and Forms

Private Sick Certificate / £20.00
Bupa/PPP Claim Form / £35.00
Insurance Claim Form / £35.00

Private Patient Fees

Private Prescription / £16.00

Travel Abroad

Passport Form and Appointment / £35.00
Holiday Cancellation Certificate / £35.00
Fitness to Travel Certificate / £35.00

Access to Medical Records under Data Protection Act

Copy of records Per Side / 0.60p (minimum £2.00 - £30.00 maximum)
Access to Computerised Records (older than 40 days) / £10.00
Access to Manual Records or combination of both / £20.00

Medical Examinations and Reports

HGV / PSV / Taxi / Elderly etc / £120.00
Driving Licence form and appointment / £25.00
MCA (Boat masters Licence) / £120.00
Sub-Aqua, Motor Racing etc / £120.00
Medical Exam and Report to Employer (Fitness to work) / £175.00
Fitness to Attend and Appointment (Private School) / £48.00
Fitness to Attend and Appointment (State School) / £39.22
Food Handlers Medical and Appointment / £35.00
Fitness to Exercise without Examination / £32.00
Consultation and Report (Lighter Life) / £60.00
Follow-up BP Check (Lighter Life) / £12.00
Vitalise Medical Report / £16.00

Non NHS Services fees – last review 23 October 2013