Our doctors are frequently asked to provide private “to whom it may concern letters or reports for third parties. The standard fee for this is £55, which is payable in advance. More complicated letters or reports may attract a higher fee. The preparation of these letters or reports is not covered by the NHS. The doctor must complete them during their own time and as such there is a fee payable. All letters require the doctor to take time to review a patient’s medical records to ensure that the information provided is correct, then the doctor has to dictate the letter, and finally the secretary has to type and print it out.