Charges & Payments


AN INITIAL FULL ASSESSMENT: This is generally carried out at a single appointment and assumes up to two hours face-to-face with you AS WELL as whatever preliminary time is needed for reading reports and letters and subsequent time for writing a report. It is not unusual for this to total 4 hours. I will produce a detailed assessment report and, where indicated, recommendations.

FEES: An initial assessment will be £900.00. For other appointments my fee is £500.00 per hour. Most straightforward follow-up appointments are 30 minutes and therefore cost £250.00.

Fees include a brief letter (to you and your GP). Multiple letters, special letters to schools or education authorities, telephone calls to and liaison with other professionals etc. take time and I need to charge for these pro rata.

Paperwork and administration associated with my practice are very time-consuming. There are some things that I don’t charge for if they are simple:
• Prescriptions
• Forms for insurance companies
• Very straightforward and short email replies

If I have to write a separate report for an insurance company when they request it, discuss things at length with you on the phone or compose an extensive reply to an email then I will charge pro rata according to the time it takes.

PAYMENTS: Payment is due on the day of appointment. Please bear in mind that I have no secretarial services at 35 Great James Street, so for convenience payment by BACS is preferred when possible. Payments can also be made by UK cheque (payable to Dr D V Keen) or by cash

INSURANCE: Please carefully check beforehand what your health insurance company will cover. I have been recognised by all major UK insurers. Up till recently, there has been no difficulty with health insurance reimbursement but not all UK health insurance policies will cover developmental or what they call ‘behaviour problems’. There have been occasional incidents where insurance companies resist paying the full charge, which they claim is above their usual limits. They may say they no longer ‘recognise’ me for this reason. It is essential to make clear this is not a typical medical appointment (which usually lasts less than 30 minutes) and is a highly specialist consultation.

My contract is with you and it should be clear that in bringing your child to see me you accept the responsibility to pay my fee if your insurance does not.

I reserve the right to charge in full for appointments cancelled less than two full working days before they are due, as it is difficult to offer them to and make arrangements with other patients to attend at very short notice.

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