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Coombe Medical Practice Fees

	Retainer	Non-Retainer
Consultation at clinic*	£89	£118
Weekday home visit: 9am - 6pm*	£198	£253
Consultation at clinic: weekends 9am - 6pm*	£162 - £286	£197 - £352
Home visit: weekend 9am - 6pm*	£366	£429
Consultation at clinic 6pm - midnight* (extra charge for weekend & home visit)	£446	£507
Blood test (s) / bacteriology. Please note: laboratory will also invoice directly per test	£29	£41
Immunisations	POA
Additional family member consultation*	+ £65 (weekday) + £114 (weekend)	N/A
Telephone advice/email – at doctor's discretion	Up to ten included (UK only) £54 charge if after 6pm and before 9am weekdays, and throughout weekend.	£65 (extra charges apply for out of hours and weekends)
Ear syringe: consult +	Included	£66
Audiogram: consult +	£74	£101
ECG: consult +	£74	£101
Referral letter	£50	£53
Prescription	Up to 6 repeat regular prescriptions included (excl. weekend emerg requests)/£40	£40
Insurance forms/medical letters	POA	POA
Retainer fee (for year)	£118 for single patient £225 for two members £321 for three members £419 for four members £477 for five members £577 for six members (+ additional family member(s) £81 per person
*Consultation charge is for 20 minutes. Extra charges apply for extended consultations/number of medical issues – in consultations, home visits and telephone calls. New patient registration appointments will be charged a minimal of double rate (or more if extended time) for the first appointment. Home visiting rates (charged according to duration) apply to 'local' visits (Coombe, Kingston, New Malden, SW19 and SW20). Visits outside these areas are not undertaken. Appointments are not guaranteed on the day. Higher rates are charged during the Easter holiday, Christmas Eve/Christmas Day/Boxing Day, New Year's Eve/New Year's Day and on Bank Holidays.
Missed appointments
Cancelled more than 6 hrs before appt	No charge
Cancelled less than 6 hrs before appt / failed to attend	Half fee

Interest at 6% above base rate will be charged on accounts outstanding by more than two weeks