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Fee |
VAT |
Total |
VAT Status |
| Army Recruitment Questionnaire |
£74.75 |
£14.95 |
£89.70 |
Standard Rate |
| Blue Badge Hidden Disability Form |
£33.06 |
£6.61 |
£39.67 |
Standard Rate |
| Child Fitness to Perform (Acting/Modelling) |
£51.57 |
£10.31 |
£61.88 |
Standard Rate |
| Childminder Health Form (OFSTED) |
£66.12 |
£13.22 |
£79.34 |
Standard Rate |
| CICA reports (patient) |
£51.57 |
£10.31 |
£61.88 |
Standard Rate |
| Claim forms (BUPA, PPP, etc) |
£39.67 |
£7.93 |
£47.60 |
Standard Rate |
| Copy Medical Records |
£50.00 |
£10.00 |
£60.00 |
Standard Rate |
| Council Tax Exemption Form |
£19.83 |
£3.97 |
£23.80 |
Standard Rate |
| Court of Protection 3 including private consultation & forms |
£105.80 |
£21.16 |
£126.96 |
Standard Rate |
| Court of Protection 3 as above but if home visit required |
£171.92 |
£34.38 |
£206.30 |
Standard Rate |
| Disabled Student’s Evidence Form |
£26.45 |
£0.00 |
£26.45 |
Exempt |
| DVLA Medical Report – Fitness to Drive |
£40.00 |
£8.00 |
£48.00 |
Standard Rate |
| DVLA Examination – Fitness to Drive |
£85.00 |
£17.00 |
£102.00 |
Standard Rate |
| Employer Request for Medical Opinion and Report |
£99.18 |
£19.84 |
£119.02 |
Standard Rate |
| Firearms Report |
£82.66 |
£16.53 |
£99.19 |
Standard Rate |
| Fitness Statement |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Fitness to Travel Examination and Report |
£99.18 |
£19.84 |
£119.02 |
Standard Rate |
| Foster/Adoption – reference or update (Form AH 2) |
£49.59 |
£9.92 |
£59.51 |
Standard Rate |
| Foster/Adoption – report & examination (Form AH) |
£99.18 |
£19.84 |
£119.02 |
Standard Rate |
| Holiday Insurance Claim |
£49.59 |
£9.92 |
£59.51 |
Standard Rate |
| Housing Strategy Warwick District Council |
£39.67 |
£7.53 |
£47.20 |
Standard Rate |
| Incapacity for work |
£0.00 |
£0.00 |
£0.00 |
Exempt |
| Insurance Company 3 Blood Pressure Readings |
£59.51 |
£0.00 |
£59.51 |
Exempt |
| Insurance Company Blood Test |
£39.67 |
£0.00 |
£39.67 |
Exempt |
| Insurance Company ECG Report |
£79.35 |
£0.00 |
£79.35 |
Exempt |
| Insurance Company Hearing Test |
£52.90 |
£0.00 |
£52.90 |
Exempt |
| Insurance Company Targeted Report |
£55.20 |
£0.00 |
£55.20 |
Exempt |
| Insurance Report (eGPR/PMA) |
£119.60 |
£0.00 |
£119.60 |
Exempt |
| Insurance Report (further information) |
£31.05 |
£0.00 |
£31.05 |
Exempt |
| Letter of Fact / To Whom It May Concern |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Looked After children reviews & summaries |
£0.00 |
£0.00 |
£0.00 |
Exempt |
| Medical Certificate |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Medical Taxi/HGV/PSV – our patient |
£121.23 |
£24.25 |
£145.48 |
Standard Rate |
| Medical Taxi/HGV/ PSV- (not our patient) |
£138.48 |
£27.70 |
£166.18 |
Standard Rate |
| Mental Health Assessment – see Court of Protection above |
£0.00 |
£0.00 |
£0.00 |
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| Occupational Medical Report |
£118.36 |
£0.00 |
£118.36 |
Exempt |
| Paternity (patient paying) * |
£33.06 |
£6.61 |
£39.67 |
Standard Rate |
| PIP form |
£33.50 |
£6.70 |
£40.20 |
Standard Rate |
| Pre-employment forms |
£59.51 |
£11.90 |
£71.41 |
Standard Rate |
| Private Consultation ( per 10 mins or part thereof) |
£66.12 |
£0.00 |
£66.12 |
Exempt |
| Private Prescription |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Private Sick Note |
£38.58 |
£7.72 |
£46.30 |
Standard Rate |
| Sickness/Accident Benefit Claim Form |
£49.59 |
£9.92 |
£59.51 |
Standard Rate |
| Sickness/Accident Benefit Claim Form without Examination |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Signature Required by a GP |
£22.04 |
£4.41 |
£26.45 |
Standard Rate |
| SR1 form |
£17.00 |
£3.40 |
£20.40 |
Standard Rate |
| Surrogacy Forms |
£39.67 |
£7.93 |
£47.60 |
Standard Rate |
| Tests Diagnostic (patient paying) * |
£33.06 |
£0.00 |
£33.06 |
Exempt |
| Fitness to travel letter |
£27.55 |
£5.51 |
£33.06 |
Standard Rate |
| Travel Pass |
£19.83 |
£3.97 |
£23.80 |
Standard Rate |
| Yellow Fever Vaccination certificate |
£19.83 |
£3.97 |
£23.80 |
Standard Rate |
| * NB Warwick Hospital may charge additional fees for pathology |
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