Estimated cost of an MLR in Euros (€)
Note: Where several figures are quoted in the responses from a country, the average cost is shown.
Europe
Some of the European member centres provided an explanation of how the estimated costs of producing an MLR are accrued.73
• Finland: the cost of a medical certificate provided by the centre is estimated at 450 EUR. This
includes four to five appointments with the doctor, two to three meetings with a psychiatric
nurse, two to three physiotherapy sessions and, if needed, three to five support sessions with
other professionals. A certificate provided by a private forensic expert can cost between 60
and 120 EUR.
• Germany: bzfo indicated that the cost charged to the court, or (in rare cases) to BAMF when
they request an independent MLR, depends on the length of the examination, including the
costs of the interpreter and time to write up the results. A short MLR in response to specific
questions that are posed can cost as little as 250 EUR. However, on average, a full MLR, according to Istanbul Protocol and German SBPM standards, costs about 2,000 EUR.74 In bzfo an MLR
carried out for a client in therapy (i.e. a private MLR) is not charged to the client; it is covered
by various sources of funding. Sometimes, if an MLR is submitted during the appeal stages of
the asylum procedure, the costs may be reimbursed by legal aid together with the costs of the
lawyer. This is dependant on the court’s decision. The other member centre, MFH-Bochum,
estimated the costs of producing an MLR to range from 250-2,000 EUR with an average cost
of 1,200 EUR.
• Hungary: The Cordelia Foundation does not charge any external stakeholder for producing
MLRs as this is covered by the organisation’s core funds. However, the member centre has
estimated the cost of producing an MLR based on the salary of the medical expert and the
interpreter’s fees.
• Ireland: The actual cost of producing an MLR is c. 800 EUR (as indicated on the chart). However, SPIRASI indicated in its response that it charges a fixed rate of 492 EUR for an MLR. The
member centre generally only agrees to prepare an MLR if it is requested by a legal profesRecognising victims of torture in national asylum procedures / 39
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