Medical Report/Letter Request

To request a medical report/letter, please fill out the form below. Make sure to provide detailed information about what you need included in the report/letter. Please note that the doctor can only include information that is supported by your medical records. As this service is not covered by the NHS GP contract, it is chargeable. Please refer to our Non-NHS Services page for more information.

Medical Report/Letter Request Form

Personal Details

Name
Name
DD slash MM slash YYYY
Address

Proof of Address and Photo ID Information

To process your request for a letter, the practice requires proof of address (such as a tenancy agreement, council tax bill, utility bill, or bank statement) and photo ID (such as a passport or driving licence). Please ensure you attach both documents. Our practice policy allows up to 3 weeks (excluding weekends) to complete routine letter requests. Please note that we must receive proof of ID and payment before we can release the letter.
Max. file size: 50 MB.
Max. file size: 50 MB.
Please confirm your request and verify that the information you have provided is accurate by signing your name above.
Consent