Adoption and Fostering Who pays Charge. Adoption fees normally paid by parent, fostering by NHS, but sometimes paid by the adoption/fostering agency

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1 The New Mill Street Surgery PRIVATE MEDICAL SERVICES AND NON-MEDICAL SERVICES FEES LIST April 2015 FEES FOR MEDICAL REPORTS, LETTERS Access to records under Data Protection Act Who pays Charge Computerized records Manual records or combination of manual/computer records /Solicitor up to up to p per page Administration Charge for sending by recorded delivery /Solicitor 8.00 Adoption and Fostering Who pays Charge Adoption fees normally paid by parent, fostering by NHS, but sometimes paid by the adoption/fostering agency Form IHA Initial Health Assessment Forms M, B Obstetric Neonatal reports Forms C, D, YP or AME Full examination of child Form AH Health assessment, Prospective carer Form AH2 Update report, parent/carer Child minder (Ofsted health declaration form) /Employer Examination of children in /for care-first exam Subsequent exam Freedom from infection for children for care Attendance allowance/disability living allowance Who pays Charge GP factual report DWP DS1500 DWP Blue Badge scheme Who pays Charge Report only Local authority Examination and report Local authority Certificates and forms Who pays Charge Criminal injuries compensation report on pro forma Criminal Injuries Authority Freedom from infection certificate Letter re fitness to exercise, travel etc 25.00

2 Passport form/photograph/care Commission report Private Sick Note (any sick note within 7 days is private) Provident Association claim form (e.g. BUPA/PPP) School fees insurance claim form Fitness to attend state school Local authority Fitness for sport, school, university, etc Health Certificate to attend university, college, teacher and nurses training /Employer Dentists, completion of Application for first registration of a dentist (GDC) Letter Fit to Fly Driving Who pays Charge Full medical and report, HGV, PSV Report no examination (20 to 30 mins) Extract from records (15 mins) Report to DVLA with examination DVLA Report to DVLA No examination DVLA Seat belt exemption Taxi driver and elderly driver certificates Driving licence photograph PCV/LGV driver /Employer Local Authority PCV/LGV driver Local authority Employment - Private Who pays Charge Full medical with report or certificate (private/insurance - 45mins) Report without examination (private/insurance - 30mins) /Employer/Insurance /Employer/Insurance Report on Pro-forma (20mins) /Employer/Insurance Extract from records (no examination or opinion -15 min) Employer Certificate of Incapacity /Insurance 25.00

3 Employment - Local Authority/Police/NHS Who pays Charge Police/Local Authority medical exam, certificate, opinion Local Authority/Police: report without examination (30 mins) Extract from records (no examination or opinion -15 min) Local Authority Local Authority Local Authority LA/Police Medical for higher grade appointment Local Authority NHS Employee Prospective Local NHS Body Fireman's Medical Examination Fire Master Fireman's Medical Examination for Continuation of part time FM Fire Master Extract from records Who pays Charge Private (15 mins) Employer Government /Local authority Fitness for sport, school, university, etc Who pays Charge Examination and report /Insurance company Extract from records 15mins /Insurance company Short Certificate of Incapacity /Insurance company Insurance (Sickness) Who pays Charge Examination and report Insurance Company/ Extract from records (15 mins) Insurance Company/ Certificate of Incapacity Insurance Company/ Insurance Claim form completion Insurance (Accident) Who pays Charge Examination and report Insurance Company/ Report without examination Insurance Company/ Report on pro forma (20 mins) Insurance Company/ Extract from records Insurance Company/ Short certificate Insurance Company/ Life Assurance Proposal Who pays Charge GP examination own patient Insurance Company 92.50

4 GP report no examination Insurance Company GP supplementary report Insurance Company BUPA, PPP, WPA, Private medical insurance Who pays Charge Report on prospective subscriber PMI Extract from records Insurance Company Completion of Form Insurance Company Full medical exam and report Insurance Company Mental Capacity Certificate Who pays Charge With examination Solicitor/Guardian No examination Solicitor/Guardian Mental Health Psychiatric Examination- non specialist fee Local Authority Private Medical Examinations and Reports Who pays Charge Full examination with report or certificate /Employer/Insurance Government Department Government Department Report no examination Private (30 mins) /Employer/Insurance Report on Pro-forma (20mins) /Employer/Insurance Extract from records Private (15 mins) /Employer/Insurance Travel Abroad Who pays Charge Fitness to travel certificate Prescription for drugs required solely for purpose e.g. Malaria tab Vaccination certificate Holiday cancellation simple certificate Holiday cancellation insurance claim Insurance Company/ Insurance Company/ Simple letter detailing prescription medicines Treasury Rates

5 Extract from records Report written (e.g. 45 mins) Medical examination and report/complex written report and opinion (eg 60 mins) Sessional fee (e.g. 3 hrs) Treasury rate for Work in surgery Extract from records Report on pro forma (e.g. 20 mins) Report written (e.g. 30 mins) Medical examination and report in surgery (e.g. 45 mins) Session (e.g. 3 hours) Treasury rates are applicable to : AXA/PPP Healthcare Occupational Health Services Ltd, Department for Education and Skills (DfES), Department for Work and Pensions (Disability Support Division), Department of Trade and Industry (Coal Liabilities), Highlands and Islands Airport uthority (HIA), NHS Pensions Agency, Northern Ireland Civil Service Occupational Health Service VACCINATION CHARGES (Occupational & Travel) see note below Hepatitis A - first injection (2 injection course) Hepatitis A second/booster injections administration charge Hepatitis A Junior first injection (2 injection course) Hepatitis A Junior second/booster injections Hepatitis B (3 injections per course) Japanese B Encephalitis (3 injections per course) /course 45.00/injection Meningitis A & C (1 injection) Cholera Rabies (3 injections per course) Tick Borne Encephalitis (3 injections per course) 48.00/inj 45.00/injection 70.00/injection Influenza (Flu jab) 20 Pneumonia Jab Notes: Some Travel Vaccines are provided free of cost under the NHS. Some are not and is charged privately. Hepatitis B-3 injections per course - (charge for travel and Private employers only) includes pre and post testing if more injections are needed charged extra 40 per injection. ask for more information and "forms" for the employer at reception.

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