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The NHS provides most healthcare free of charge, however some services are not covered under the NHS and so we need to charge a fee for these in order to cover the clinical and admin time required for this work. See  below for information on Chargeable services.

These charges will come into effect from the 21st September 2021.


Item Charge Payee
Form AH Adoption Report and Examination £75 Patient/Adoption Agency
Form AH2 Follow up Adoption Certificate £25 Patient/Adoption Agency
To Whom it may concern:

·       Freedom from Infection Certificate short letter

·       Medication abroad letter

·       Fitness to exercise

·       Illness during exams

·       Vaccine certificate

·       Doctors discretionary

·       Pharmaceutical trial suitability to take part as non-patient volunteer

·       To establish unfitness for Jury Service

£20 Patient
HGV/LGV/PSV/Taxi Driver Examination

(60 minute appointment)

£90 Patient
Mental Health Assessment fees

·       COP3 Form with Video consultation

·       COP3 Form with face to face

·       office of public guardian paper sign off only

·       office of public guardian paper sign off with Face to face or video


Minimum charge of

£45 for up to 30 mins


£90 per hour


Private Sick Note £16 Patient
Private Prescription £16 Patient
Holiday cancellation form £30 Patient
Yellow Fever Vaccine £65 Patient
Seatbelt exemption £20 Patient
Items that will not be charged:    
Copies of Patient notes must go via RWT Health Records    
Benefits Claims
Coroners’ post-mortem
Council Tax Exemptions
Death Certificates
Legal Aid and Domestic Violence Work
Notification of Infectious Diseases
Patient to View notes via RWT Health records
Professional Evidence in Court
The Royal Wolverhampton NHS Trust