Fees for non-NHS work

NHS work is free. Work for insurers, employers, the DVLA and private bodies is charged at the rates below.

Fees are payable in advance. We accept card at reception. Work is not started until the fee is paid, and fees are not refundable once the clinician has begun.

Fee scale, from 1 July 2026
Document Fee
Letter confirming registration or a fact on the record£25
Travel cancellation letter£25
Private sick note (employer request)£30
Insurance report, short£95
Insurance report, full£150
Pre-employment or sports medical£180
HGV or taxi medical£190
Copy of records, per 20 pages after the first 20£10

Free of charge

  • Fit notes (Med 3)
  • SR1 Special Rules medical evidence
  • Summary of your record for your own use, once a year
  • Referral letters and hospital correspondence
  • Vaccination records for travel

Page last reviewed 1 July 2026. Next review 2026-14. If you spot something out of date, tell reception.