Non-NHS Services

Letter/Report/Certificate Request Form (please download and hand over the completed form to the reception)

Certificates

Private Sick Note For The First 7 Days Of Illness
Private Prescription (Non Nhs Drug And Anti-Malaria)
Vaccination Certificates (Record Of Vaccine)
Holiday Cancellation Certificate
Fitness To Travel Certificate

Reports

Provident Association Claim Form (E.G. Bupa, Ppp)
Housing Letters
Any Requested Doctor’s Letters
General Practitioner’s Report (Gpr)
Additional Information On Gpr
Copies Of Medical Notes For Solicitors
Reply To Solicitors’ Letter – Fees To Be Advised By Individual Doctors

Medical Examinations

Private Consultations (Without Prescription) 15 Minutes
Private Consultations (Without Prescription) 30 Minutes
Private Consultations (Without Prescription) 1 Hour
Medical Examinations (E.G. Hgv, Taxi, Travel)
Medical Examinations (For Insurance Purpose Only)
Private Ecg

Sports Medicals

Sports Medical With Report
Examination For Scuba Diving
Examination For Fitness To Participate
Certificate Of Fitness (Without Examination)

Travel

Travel Vaccination Form (please download and hand over the completed form to the reception)

Yellow Fever Vaccinations And Certificate
Meningitis Vaccination And Certificate
Hepatitis B Vaccination
Immunisation Certificate

Photocopy Of Blood Results, X Rays Etc (Per Set)

Please consult the Practice Manager or Deputy for any service not listed above. Please note practice do not provide a character reference for any of its patients under any circumstances.

Collaborative Work Fees

Certificates/Reports For Prospective Adoptive Or Foster Parents
Form 1ha (Initial Health Assessment For Looked After Child)
Form Ah2 (Update Report On Parent/Carer Reviewed From Gp Records)
Form Ah (Health Assessment On Prospective Carer)
Psychiatric Examination For The Sectioning Of Patients Under Mental Health Acts
Blue Badge Application Form
Priority Housing Reports
Priority Housing Reports Requested By Local Authority
Attendance At Case Conferences And Other Meetings Arranged By Social Services
Attendance At Case Conference
Written Report To Case Conference

Certificates To Enable Chronically Disabled Or Blind Persons To Obtain Telephones

Bd8

Re-Examination In Consulting Room
Rta – Road Traffic Accident
Coroners Report
Report For Coroners Office
Extracts Only For Coroners Report

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© Neighbourhood Direct Ltd 2017
Belmont Health Centre - Belmont Health Centre, 516 Kenton Lane Harrow, Middlesex, HA3 7LT
  • Telephone 020 8863 6863 / 0208 861 5663
Long Elmes Surgery (Branch) - Long Elmes Surgery, 252 Long Elmes, Harrow, Middlesex, HA3 6LF
  • Telephone 0208 428 4249
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals Save time and nominate your local pharmacy. Commissioned Counselling Services
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