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Non-NHS work

Most services your doctor provides are supplied under the National Health Service (NHS) contract, however there are some letters, reports and other documents which are not covered by this.

Fees for Non-NHS services

Your doctor is entitled to charge you for the time it takes to supply this information as it is non-contractual and, therefore, private work.

A list of indicative fees is provided below. Anything not listed will be charged according to the complexity of the requirement, and will usually cost between £40 and £140.

PLEASE NOTE: Private letters and reports do not take priority over contracted NHS work, so please allow up to 28 days for any requests to be fulfilled.

Certificates, forms and short letters – £40.00

A straightforward letter or one or two pages of a form to be completed by the doctor.

These include:

  • To whom it may concern letter
  • Private sick note
  • Certificate of vaccination
  • Student certificate of illness
  • Fit to travel (letter only)
  • Freedom from infection certificate
  • Sports – record extract
  • Camp America form

Reports – £50.00 to £80.00

Report forms (usually two or three pages of form), longer letters, written reports, extracts from medical records. Fee is dependent on complexity of form and time spent.

These include:

  • Health insurance claim verification
  • Fitness to travel certificate
  • Fit to travel – extract from records
  • Holiday cancellation insurance claim verification

Medical examinations – £90.00 to £140.00

Where an appointment for an examination is required.

These include:

  • Holiday cancellation insurance
  • Accident/sickness insurance
  • Fitness to attend – education, sports, etc.
  • Pre-employment
  • Driving – HGV, PCG, Taxi, Elderly, Diabetic, etc.

PLEASE NOTE: Prices may vary. Last reviewed 19/05/25

Page published: 30 November 2023
Last updated: 19 May 2025