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Dr N Issac's Surgery 
Acton Health Centre

Acton Health Centre
35-61 Church Road
Acton
W3 8QE
Phone: 020 8992 6768
Fax: 020 8896 2908

 

 

ACTON HEALTH CENTRE NON-NHS SERVICES

 

FEES

 

2015-2016 

 

 

 

 

 

Adoption and Fostering

 

Adult Applicant Examination                                                                                  £80.00

 

Child: Adoption Medical

 

Child: Fostering Medical

 

Registered Child Minder

 

Forms C, D, YP, or AME (detailed medical examination to report on child

 

Each Other Report eg. Adult 1 - Medical Examination to report on prospective parent,

 

preliminary examination of child.

 

 

 

Driving

 

Driving Licence Application Form (patient)                                                              £30.00

 

Fitness to Drive Report (DVLA Report)                                                                    £40.00

 

Endorsing Driving Licence for Elderly (patient)                                                        £15.00

 

L.G.V. (H.G.V) Examination & Report or Diabetic                                                      £120.00

 

Cab Drivers Examination & Report                                                                          £120.00

 

Cab Drivers Extract from Report                                                                              £100.00

 

Diabetic Drivers Form – no examination (patient)                                                    £30.00

 

Elderly Drivers Medical (examination and report)                                                     £50.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 Insurance

 

Insurance Report Only (PMA)                                                                                  £100.00

 

Comprehensive Clinical Examination and Report                                                    £160.00

 

Report with Examination (detailed opinion and statement on the condition of the patient)  £160.00

 

Accident/Sickness Insurance Certificate Extract from records                             £30.00 £105.00

 

 

 

Short Certificate (without examination)                                                                  £30.00

 

BUPA/PPD Claim Form                                                                                              £30.00

 

 

 

Life Assurance Reports

 

Medical Examiners Report with Examination                                                            £100.00

 

Extract from Records                                                                                                £100.00

 

Report Without Medical Examination or Opinion (private medical attendants report)        £100.00

 

Legal Solicitor Report                                                                                                          £100.00

 

Photocopying notes/ Data protection                                                                                  £50.00

 

 

 

Miscellaneous

 

Private consultation per appointment inclu. overseas visitors                                             £80.00

 

Employment Medical                                                                                                            £100.00

 

Employment Report                                                                                                             £100.00

 

Pre employment Medical                                                                                                      £100.00

 

Fitness Centres & Gyms                                                                                                       £30.00

 

Copying Medical Notes and Reports               £10.00 FOR ELECTRONIC RECORDS ONLY                      

 

                                                                                                                      UP TO £50.00 FOR COMBINATION OF ELECTRONIC AND MANUAL RECORDS

 

Private Letter                                                                                                                        £20.00
Private Prescription                                                                                                               £20.00

 

Private Sick Note                                                                                                                   £20.00

 

Advised Self Certificate -

 

 

 

 

 

 

 

Social Services/Social Issues

 

Attendance Allowance                                                                                                            £35.00

 

Disability Living Allowance                                                                                                      £35.00

 

 

 

Solicitors

 

Solicitors Report                                                                                                                     £130.00

 

Solicitors Examination & Report                                                                                              £160.00

 

Patients Records sent to Solicitor                                                                                           £50.00

 

 

 

Sports

 

Miscellaneous Examination Special Act Medical                                                                       £130.00

 

Miscellaneous Special Act Report                                                                                            £130.00

 

Certificate of Fitness                                                                                                              £100.00

 

Racing Drivers Medical                                                                                                            £130.00

 

 

 

Statement of Character

 

Passport – GPs will no longer sign photographs

 

 

 

Travel

 

Record of Imms. For Occ. Health                                                                                             £30.00

 

Vaccination and Immunisation for Travel Abroad (per course of injections excluding cost of

 

vaccine)  See Travel Fees

 

Holiday Cancellation of Certificate                                                                                          £30.00

 

Holiday Cancellation Report                                                                                                   £30.00

 

Fit to go on Holiday                                                                                                                £30.00

 

Fit to Fly                                                                                                                                                                     £30.00

 

Letter for Travel – Insulin/Epipens                                                                                         £15.00

 

International Certificate Vaccination                                                                                       £15.00

 

Freedom of Infection Certificate                                                                                              £15.00

 

 

 

Holiday Insurance Certificate (for person unable to travel on grounds of ill health)               £30.00 


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