<p> SEAFORD MEDICAL PRACTICE CHARGES FOR NON-NHS SERVICES</p><p>PAYABLE IN ADVANCE</p><p>WITH EFFECT FROM 1st JULY 2015</p><p>CERTIFICATES, FORMS & LETTERS Letter “To whom it may concern” £20.00 Private sick note £15.00 Driving Licence Photograph / Signature £26.00 BUPA / PPP or other forms £30.00 Holiday cancellation letter £30.00</p><p>MEDICAL EXAMINATIONS & REPORTS Pre-employment, LGV, PCV, Taxi Driver, Elderly Driver, Racing £110.00 Driver, Fitness for Sports, Seat Belt Exemption Medical consultation with GP (10 minute appointment) £40.00 Medical consultation with GP – visit £80.00 Medical consultation with nurse (10 minute appointment) £30.00 Report from notes (no examination) £85.00</p><p>TRAVEL Private prescription for drugs required whilst abroad £15.00 Private prescription for malaria tablets £15.00 List of vaccinations received £20.00 Fitness to Travel letter £20.00</p><p>IMMUNISATIONS NOT AVAILABLE ON THE NHS FOR TRAVEL ABROAD Hepatitis B: course of 3 + blood test £38.00 per dose Hepatitis B: single dose £40.00 Rabies: course of 3 £45.00 per dose Japanese Encephalitis: single dose £75.00 Meningitis ACWY: single dose £65.00 Tick Bourne Encephalitis: course of 3 £70.00 per dose Cholera £38.00</p><p>IMMUNISATIONS FOR PRIVATE PATIENTS Tetanus / Diphtheria / Polio £38.00 Typhoid £28.00</p><p>1 Hepatitis A (Adult) £48.00 Hepatitis A (Child) £36.00 MMR £28.00 Hepatitis A&B: course of 3 + booster at one year £60.00 per dose Flu vaccination £18.00</p><p>ACCESS TO MEDICAL RECORDS To view notes / records £0 Summary printout from computerised records £10.00 Copies of manual entries or supporting computerised reports £10.00 standard fee + £0.50 per sheet copied / printed</p><p>OTHER CHARGES Police Witness Statement £35.00 Form AH Application for Fostering £110.00 Court of Protection (COP3) £200.00 Ofsted Health Declaration £20.00 Form IHA – YP Looked After Children £80.00 Private Pilot Licence £30.00 Army Questionnaire £70.00 Medical report (without examination) for local authority £35.00 for up to 15 minutes. or the police etc Additional £15 for every 15 minutes or part of thereafter Coroner’s Report £75.00</p><p>2 COLLABERATIVE PAYMENTS EAST SUSSEX PCT 2010 Examination and reports in a form recommended by the British Association for Adoption and Fostering (BAAF): 1. Form IHA – initial health assessment for looked after child 1. £77.00 2. Form IHA2 – update report on health assessment for looked 2. £30.00 after child 3. £77.00 3. Forms M/B – obstetric report on a birth mother and neo-natal 4. £155.00 report on baby 5. £103.00 4. Forms C, D, YP or AME – detailed medical examinations to (+VAT) report on a child 6. £30.00 (+VAT) 5. Form AH – health assessment on a prospective carer / special guardian 6. Form AH2 – update report on parent / carer / special guardian (*VAT only applies if VAT registered) Session Fees: Consultants or Specialist Work: 1. Full session (1.5 – 2.5 hours) 1. £200.00 2. Short session (not exceeding 1 hour) 2. £100.00 3. Child protection conference (per child only) 3. £27.67 (*VAT only applies if VAT registered) (+VAT) Mental Health: 1. on the approved list of the Strategic Health Authority – Section 1. £190.70 12 approved (plus 23 pence per mile on motor car mileage but 2. £150.00 no payment is made for car parks / parking fees) 2. Patients own GP or other GP Blue Badge – BB3 report (*VAT only applies if VAT registered) £27.79 (+VAT) CV1 (formerly BD8) – certificate for blind / partially sighted £155.00 people Reports and Opinion: 1. £29.00 1. Occupational Health 2. £27.67 2. Housing Reports</p><p>For any fees not covered by the above list, please refer to Phil Abbott. </p><p>Phil Abbott, Business Partner, 1ST July 2015 .</p><p>3</p>