Forms and Reports (Private Medical Work)

Accident/Insurance Claim Form = £60.00

Camp America Form = £60.00

Camp America Form with Medical Examination = £130.00

Capacity Assessment Form = £80.00

Capacity Assessment Form with Medical Examination = £120.00

Charity Cycle/Marathon Form = £60.00

Charity Cycle/Marathon Form with Medical Examination = £130.00

Firearms Licence Form = £60.00

Holiday Cancellation Form = £60.00

Police Pre-Employment Form = £105.00

Police Pre-Employment Form with Medical Examination = £180.00

Ofsted Form = £50.00

Power of Attorney Form = £80.00

Power of Attorney Form with Medical Examination = £120.00

Pre-Employment Form = £105.00

Pre-Employment Form with Medical Examination = £180.00

Seat Belt Exemption = £105.00

Seat Belt Exemption with Medical Examination = £180.00

Tanden Paracute Jump Form = £105.00

Tanden Paracute Jump Form with Medical Examination = £180.00

 

If a GP Home Visit is required for any type of form/private work = £75.00 (this does not count if the patient is part of a ward round)

Requests for services can be paid at the front desk by Cash or Card (Old Anchor Surgery Cash only).

Please know that all Letters/Services will need to be paid in full prior to the work being carried out.
Forms can be collected from the front desk/posted once payment is made, you should receive a text/phone call when the form is ready to collect.