12 High Street, Fochabers, IV32 7EP

Telephone: 01343 820247

Fax: 01343 829930


Current time is 15:27 - We're open

Apply for Non-NHS Services

Application pro forma requesting Non-NHS services to be undertaken

Fochabers Medical Practice Non NHS Fees (Link)

Application for Non-NHS services

To be completed by the patient before any Non-NHS work is undertaken
  • Details of the patient requesting Non-NHS services
  • I have read the General Information policy and understand that my request falls into the Non-NHS criteria and there may be a charge for these services.
  • Title of the Non-NHS work requested to be undertaken
  • Please provide as much detail as required.
  • Is there to be an accompanying hard copy file?
  • Please upload the file that you expect to be completed
  • This field is for validation purposes and should be left unchanged.