Request for Private Work - Cwmbran Village / Llanyravon Surgery

PLEASE NOTE WE ONLY ACCEPT REQUESTS FROM REGISTERED PATIENTS

We do not provide support letters to patients, eg. Universal Credit, DVLA, Housing, Occupational Health, Employment etc

Declaration

The request that you have stated above will be classed under private work to be carried out by one of the GP’s at the practice.

The GP’s will complete this work outside of their dedicated NHS time, so there will be a wait for completion of your request, this could be up to 30 working days. Please do not contact us regarding your request until after this time.

We do not carry out URGENT private work and you will need to source other services for this.

There will be a charge for all services that do not fall under NHS work, these will vary and could be subject to change. We have indicated an estimate of costs within this form.

Payments are by BACS and details will be shared when the form is ready for collection.

Please insure you understand the conditions that we have noted before submitting your request.

Please confirm that you agree to the conditions noted

Yes

If you have a form that requires completion, please upload it here:

We do not provide support letters to patients, eg. Universal Credit, DVLA, Housing, Occupational Health, Employment etc