Moss Grove Surgery – Kingswinford – Schedule Of Private Fees

Access To Medical Records

Computer Printout Only £10.00 – Patient / Solicitor
Photocopying Manual Notes (Can Charge Patient Only If They Have Not Been Seen Within The Last 30 Days)

Insurance – Proposal

GP Exam £77.50 – Ins co
GP Report No Exam £70.50 – Ins co
Supplementary Report £18.00 – Ins co

Insurance – Accident

Extract From Records – £49.00 Ins co/pt
Full Medical & Report – £148.00 Ins co/pt
Report, No Exam – £98.50 Ins co/pt
Report on Proforma – £66.00
Short Certificate – £13.00 Ins co/pt

Insurance – View A Report

Patient Viewing A Report – £10.00 Patient

Insurance – Sickness

Full Exam/Report – £148.00 Ins co/pt
Extract From Records – £49.50 Ins co/pt
Incapacity Certificate – £13.00 Ins co/pt
Sick Note Private – £15.00 Pt

Solicitors

Copy Computer Records – £10.00 Sol/pt
Computer Plus Manual Up to – £50.00 Sol/pt
Solicitors Report Without Exam – £50.00
Solicitors Updated Information Report – £25.00
Assessment of capacity – £95.00

Court of Protection

CP3 With Exam –  £120.00 Sol
CPS Without Exam – £61.50 Sol

Power of Attorney

Report With Exam – £120.00
Report Without Exam – £61.50

Social Services – Adoption

Child Form IHA Looked After Child – £59.00 Soc ser
Forms M,B Obstetric Neonatal Reports – £45.00 Soc ser
Forms C,D, YP or AME Full Medical Examination – £98.00 Soc ser
Form AH Health Assessment-Carer – £74.00 Soc ser
Form AH2 Update Report-Carer/Parent – £25.00 Soc ser
Adoption Update – £28.00

Certificates – Except Sick Note

Any Simple £13.00
More complex – £22.00 – £46.50

Coroner

Report – £60.50
Extract From Records – £30.00

Childminder

Childminder – Ofsted Form – £74.00 patient

Mental Health

Examination (Sectioning) by approved doctors – £174.00 Soc ser/NHS
Exam by Others – £54.00 Soc ser/NHS
Mental Capacity Cert Exam / No Exam – £55.00/£110.50 Sol/Guardian

Sundry

BUPA Report –  £30.00
Copies of Reports for Patient Under Access to Health Records
Act 1990, how ever many – 33p per side
Copies of Whole Sets of Records For Patient –  £50.00
Cremation Certificates (B and C) £62.00 Funeral Dir.
Entry to Country Medical Information Emigration – £90.50
Fit To Attend School Examination – £90.50
Full Medical Report – £148.00
No Exam – £98.50
State School – £40.00
Letter Re: Illness During Exams etc – £20.00
Lighter Life Report – £20.00
Photo-copy of Manual Records Up To – £50.00
Microlight Pilot Licence – £50.00
Police Report – £50.00
Private Prescription £15.00 – Patient
Print Out Of Immunisations – £10.00
Print Out of Hepatitis B Blood Test Result – (Non NHS Worker) – £10.00
Print Out of Hepatitis B Blood Test Result – (If Work For The NHS) – £5.00
Provident Association Claim for BUPA / PPP – £30.00
Racing Driver Fitness – £90.50
School Fees Insurance Claim Form – £30.00
Seat Belt Exemption Examination – £65.00
Sickness / Accident Benefit Claim Form (If Payment by Patient) – £49.50
Sickness / Access Short Certificate Without Examination – £49.50
Sickness / Accident Report and Medical Examination (If requested by Insurance Company) – £96.50
Solicitors Report Without Exam – £50.00
Solicitors Updated Information Report – £25.00
Sports Medicals – £90.50

Driving

DVLA Exam / Report  – £30 to £50 DVLA
DVLA Report Only – £23.00 DVLA
Elderly / Taxi Driver / Diabetic – £90.50 Patient
HGV / PSV PCV / LGV – £90.50 Patient
New Driving Licence – Signature only – £10.00
Report and Exam – Blue Badge – £40.00 Loc auth
Report Only – Blue Badge – £26.00 Loc auth

Employment

Employer’s Report and Opinion (With Exam) – £96.50
Employer’s Report and Opinion (Without Exam) – £60.00
Report for Occupational Health (With Exam) – £96.50
Report for Occupational Health (Without Exam) – £60.00
Employer’s Report For The Police (Without Exam) – £30.00
Pre-Employment Medical With Report – £148.00
Private (Full Medical) – £148.00 Patient
Private 15 mins – £49.50 Patient
Private 30 mins – £98.50 Patient
Proforma Report – £66.00 Patient
Local Authority – £90.50 Loc auth
Fireman – £90.50 Loc auth
NHS – £40.00

Travel

Fitness to Travel – £30.00 Patient
Hepatitis B Course of 3 (Payable on attending for first injection)
One off Booster = £47.25 – Fitness to Travel £30.00 Patient
Hepatitis B Course of 3 (Payable on attending for first injection) one off Booster = £47.25 – £121.00
HIV Cert of Negative Result – £20.00 Patient
Holiday Cancellation Certificate Simple / Complex – £30.00 Patient / Ins co
Japanese Encephalitis (Licensed vaccine supplied by Novartis
via Masta) Course of 2 = £142.00 (Payable prior to attending for first
injection as bought in on named basis only) – £195.00
Letter re: Medication To Carry On Person During Flight – £10.00
Meningitis ACWY – £36.00
MMR Traveller (2 vaccines required) – £30.00 Each Vaccine
Print Out Of Immunisations – £10.00
Print Out of Hepatitis B Blood Test Result – Non NHS – £10.00
Print Out of Hepatitis B Blood Test Result – (If Work For The NHS) – £5.00
Private Prescription for Drugs Not Needed Immediately by patients travelling abroad – £15.00
Rabies Course of 3 = £165.00 (payable prior to attending for first infection as bought in on named basis only) Single vaccine – £80.00 – £185.00
Single Vaccine – £80.00
Swine Flu Injection for Travellers to Southern Hemisphere – £15.00 charge for giving vaccine No charge for the vaccine
Tick Encephalitis – £126.00
Tick Encephalitis (Junior) Price on request Vaccine cost + £30.00
Vaccination Certificate – £15.00
Yellow Fever Vaccination – (Payable at time of injection) – £58.00
Yellow Fever Certificate Only (Where vaccination not indicated) – £25.00
Yellow Fever Duplicate Certificate – £15.00

DNA testing

Kit(s) to be supplied
1 test – £50
2 tests – £65
3 tests – £80
4 tests – £95
Tests must be done at the same time – otherwise charge as single tests. Patient pays

Hair tests

Kit(s) to be supplied Per Test – £50.00 Usually solicitor

ECG

Recording – £64.00
Report – £36.00

Diving

Proforma Report (PADI Form on Intranet) – £100.00 Patient

Private Patient Consultation

£176.50 per hour – Patient

Overseas Visitor Consultation

£35.00

A £10.00 admin charge will be incurred for any items not collected.