Application for Non-NHS Doctors Letters or Forms
You have requested that the practice provides you with a private letter or form. In order to arrange for the appropriate work to be carried out please complete this application form.
Private letters and forms are not part of the Practice’s NHS contract and therefore there are charges for this work, there may also be a delay in processing the request as NHS contract work will take priority. For this reason, we cannot provide a specified time in which it will be completed. The GP is within their rights to reject this private work, should it be
If you require a quick response, please note the practice will endeavor to complete the request promptly; this may incur an additional charge which will be discussed with you.
Your application will be acknowledged and the charges will be agreed before work commences.
You will be required to place a deposit of £10 (if you require a To Whom It May Concern letter) before the application will be processed this is a non-refundable deposit (unless the work is rejected by the practice). Please bring this with you when handing in the application. Please note, the practice only accepts cash or cheque payments.
If applicable, the remaining balance will need to be paid before the request can be handed over, if you wish to read the information before paying the full balance this can be arranged.