The practice offers a range of non-NHS administrative services to our patients. As this work must take place outside of NHS time, we:
- charge a fee – please see fee table for more details
- Have 28 days to complete your request
- Require the patient’s consent before we can process your request
Please be aware that this service is discretionary and the GP may not be able to include some information/ complete a request in some cases. All requests are assessed by the GP before completion and if they are unable to complete your letter or form the practice will contact you.
We do not countersign for passports or proof of identity
For further information on Non-NHS services please see: Why does my doctor charge fees? (bma.org.uk)
Requests for support letters/ you have no official form that needs to be filled in
If you would like the GP to write a statement of support for you, for example:
- Private sick note
- Support letter for housing or court case
- Confirmation of registration
Then please complete the below request form and email this along with any supporting documents to Clccg.belgraviasurgery@nhs.net
REQUEST FOR PRIVATE GP LETTER FORM
Requests including a form
If you have been provided with an official form that has a section for the GP to complete please make sure that you have first completed all your relevant sections before you leave it here
Most forms require a fee, in some cases this may be requested directly from the organisation requesting the information such as: DWP, DVLA and some insurance companies or solicitors however in most cases you will be required to pay the fee to the practice yourself.
Requesting a private letter or report on behalf of someone else
If you would like to request a private letter or medical report on behalf of someone else you will need to provide proof to the practice that you have the patient’s consent to access their information. This could be:
- Proof of parental responsibility if the patient is aged 15 or under
- Copy of power of attorney or court order
- Signed consent form by the patient
A copy of our request & consent form can be accessed below
Private Fees
Please see our fee table below
Medical Reports/ Letters
| Request type | Examples | Additional information | Price |
| Report and Medical | Ofsted / Fostering / Adoption / Insurance / GPR / eGPR | £112 | |
| Supplementary report for Insurance | Insurance company | BMA agreed fee | £100 per hour Check with Dr time spent |
| IB113 (Government forms) | Universal Credit / Employment Support Allowance /Benefits agency / ATOS | Must be returned within 10 working days for payment | £DWP Pre-set by GOV on form Paid by DWP |
| Discount application for the severely mentally disabled | Form states any charge is payable by patient | £49 | |
| Private GP letter / TWIMC | Private GP letter | £49 per page | |
| One line letters | Proof of address / ID of PT | £25 |
Forms
| Request type | Examples | Additional information | Price |
| Allergy Certificate | £49 | ||
| Copy Notes Requested by Patients or Solicitor | Digital copy preferred method of sending. Advise PTs to join online access. | Free Postage cost only, if hard copy | |
| Private sick note/Fit to work | Including schools and colleges | £49 | |
| Blue badge application form | No GP input needed. Print list of PT’s current medication only. | £49 | |
| Disability Medical | £49 | ||
| BUPA forms | BUPA your moratorium pretreatment form BUPA healthcare practitioner’s questionnaire Any other BUPA forms | £49 £49 Check with Dr as fee is time based | |
| Covid verification | £8 | ||
| Insurance form for illness abroad | Insurance company | Escalation fee often applies | £49 |
| Holiday Cancellation Form | Travel company | £49 | |
| Fitness to participate form or letter | Gym / sport / charity event / act | £49 | |
| Fitness for accommodation form | Residential/nursing/warden assisted homes | £49 | |
| Fitness to travel | Travel / Fly / Cruise / Pregnancy fit to fly | £49 | |
| Exemption from … letter | Exam adjustments or extensions / seatbelt / exercise / etc. | £49 | |
| Fitness to scuba dive form | BSAC/PADI | £60-£100 | |
| Fitness to scuba dive form and medical | BSAC/PADI | £150 | |
| Housing Support | £49 | ||
| Injury & Accident confirmation | £49 | ||
| Event/Holiday & Activity Cancellation | £49 | ||
| Gym & Health Club Cancellation | £49 | ||
| Pre-employment Form | British Nursing Association / Police | £75 | |
| Armed forces | Pre-set by GOV on form Paid by GOV | ||
| DVLA forms | Pre-set by GOV on form Paid by DVLA | ||
| LGV/PCV Medical | £112 | ||
| Taxi Medical | £112 | ||
| Shotgun | NOT ALL GPs ARE HAPPY TO DO THIS | £75 | |
| Travel with Medication | £49 | ||
| Youth Camp medical | £49 |
Urgent requests/Discounts
| Request type | Examples | Additional information | Price |
| Urgent requests | Expedition of any above request | 1 week turn around to completion | £30 |
| Student discounts | NOT GIVEN | – |