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08/09/2008 04:38:42  
   
 
 
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Please note that the fees below are for both Churchill Medical Centre Kingston and Churchill Medical Centre Surbiton.

CERTIFICATES  
Private sick note (employment/school) 15.00
Passport form/photograph per person (per family of four only) 20.00 (40.00)
Private prescriptions for travel abroad 12.00
Holiday cancellation certificate 15.50
Holiday cencellation - more complicated 25.00 - 53.00
Fitness to travel certificate 15.50 - 30.00
Certificate of fitness (short report, extract of medical notes) 36.00

REPORTS  
Private Health claim forms (no examination) 25.00 - 53.00
Sickness/accident benefit claim form (no examination) 55.00
Sickness/accident short certificate (no examination) 36.00
Employers report and opinion (no examination) 55.00
Employers report and opinion (with examination) 122.00
Employers report and opinion (with examination NHS employee) 65.00
Employers report and opinion (with examination local authority) 65.00
Ofsted Health declaraion form 82.00
Access to records under Data Protection Act 10.00
Copies of reports for patients under  
Access to Health Records Act1990 5.00
(up to 5 pages)

MEDICAL EXAMINATIONS  
Adoption medical – parents 36.65
Employment medical (with report) 122.00
LGV, PCV, driver examination (full medical) 122.00
Elderly/Taxi/Racing driver fitness certificate (with medical) 122.00
Elderly/Taxi/Racing driver fitness certificate (without medical) 55.00
Sports medical (with examination) 122.00
Sports medical report 55.00
Fitness to attend sports/school/university etc (without medical) 42.00 – 61.50
Fitness to attend sport/school/university etc (with medical) 122.00

 

 

 
     
© 2008 Churchill Medical Centre Surbiton