From time to time, we are asked to sign various forms, or write letters on behalf of patients. In general, this is not considered to be NHS work, and therefore we will make a charge which will vary according to the work involved. The receptionists can provide details of these charges on request. Examples of work for which a fee is payable include passport and driving licence forms, forms for private health or travel insurance claims, some medical examinations and private certificates for absence from work. This list is not comprehensive, and we try to advise you before work is undertaken whether a charge will be made.