What to charge your patients: guide for GPs

A table of certificates you should charge registered patients for, and how much.

Location: UK
Audience: GPs Practice managers
Last reviewed: 8 February 2021
Till article illustration
This page is under review
Certificates Charge
Straightforward certificates of fact £18
More complex certificates Range of charges
Private sick note (incapacity certificate) required by patient
for presentation to an employer except for those which
the doctor is obliged to provide for statutory sick pay purposes
£30 to £63
Accident or sickness insurance certificate - short certificate of
incapacity without examination for patient to claim under
accident or sickness insurance
£30 to £63
Freedom from infection certificate, eg for school, travel or employment £30 to £63
Validation of private medical insurance (PMI) claim form,
to support a claim for benefit in connection
with private medical insurance, or completion of
a pre-treatment form
£30 to £63
Health club brief written report to certify that a patient is fit for exercise £30 to £63
School fees and holiday insurance certificates £30 to £63
Work in surgery Charge
Extract from records £67
Report on a pro forma, no examination (eg 20 minutes) £89.50
Written report without examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes) £133

This could include:

  • accident or sickness insurance to support a claim for payment of benefit under accident or sickness insurance policy
  • employment report pre-employment, or report on an employee, requested by an employer
  • fitness for education to attend university, college, teacher and nurses training and, for dentists, completion of the form of application for first registration of a dentist issued by the GDC
  • pharmaceutical trials report on suitability of patient to take part as non-patient volunteer
  • private medical insurance: report on prospective subscriber to a private medical insurance (PMI) scheme (eg BUPA, PPP, WPA, etc).


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