<p> BURDWOOD SURGERY Wheelers Green Way, Thatcham, Berkshire, RG19 4YF Tel: 01635 868006 Fax: 01635 867484 Email: [email protected] Website: www.burdwoodsurgery.nhs.uk PRIVATE FEES 2017 / 2018</p><p>CERTIFICATES (£) Private Sick Note 20.00 MENTAL HEALTH (£) Complicated Sick Note Section Admission – 35.00 Negotiable (requiring notes being checked) NHS/Social Services ID Verification Photo Only 15.00 Housing Letter 30.00 Passport Form And Photo 35.00 Power of Attorney 150.00 Holiday Insurance Cancellation Form 40.00 Mental Capacity Certificate 150.00 (with Examination) Private Insurance Claim Forms 40.00 Fitness to Travel 35.00 (letter no examination) Driving Licence Form / Photo 35.00 Health Club – Patient Fit to Exercise 25.00 BUPA forms, GP signature 35.00 Private Prescription 20.00 Slimming Club / Lighter Life COURTS / LEGAL (£) - Initial Consultation 35.00 Cremation Certificate - Undertaker 73.50 - Review Consultation 15.00 For every 10 minute appointment Court of Protection Certificate 125.00 (or part of) with GP or Nurse 40.00 (with examination) - Solicitor (£) SOLICITORCourt of Protection REPORTS Certificate Private short letter (under 5 minutes) 15.00 30.00 Basic(non-examination) Report 90.00</p><p>Medium Report (over A4 sheet) 125.00 Long Report (2 x A4 sheets) 150.00 ACCESSExtra Long ReportTO RECORDS 175.00(£) UNDER(more than DATA 2 x A4 sheets) - 250.00 PROTECTION ACT: 180.00 Global report interpreted by GP per hour Global report un-interpreted 10.00 Manual / Computer records 50.00 un-interpreted Minimum Legal Fee (detailed) 120.00</p>