Medical Request, Reports & Letters

If you would like to request a medical report or letter, please use this form.

Medical Request, Reports & Letters

Medical Request, Reports & Letters

Section

What do you require? *
Please select the appropriate certificate(s) you require: *
Please select the appropriate letter:

Please not there is a fee of £18 for a To Whom It May Concern letter which we require in advance before we can process this request.

Please note this may affect the time it takes as some clinicians work part time.
Please use the format DD/MM/YYYY.
Is there someone this letter needs to be addressed to? *

Many thanks for this information, if we require anything further we will get in contact with yourself.

In the meantime we will put at invoice at front desk for you to pay. If for any reason the clinician is unable to do the letter, we will contact you and issue a full refund.

We aim to complete these requests in 3 working days from the date of payment.

Please select the appropriate report(s) you require: *
Please specify if you would like the following with the employer's report & opinion (with examination):
Please specify if you would like the following with the life insurance report:
Please specify if you would like the following with the Court of Protection/Power of Attorney Certificate:
Please select the appropriate medical(s) you require: *

Expedite Request

Do you have any new symptoms? *
Have your symptoms worsened? *
Are your symptoms affecting your activities of daily living? *

Due to answering no to the above questions, we are unable to process an expedite request as there has to be a clinical need to do so.

If you have provided medical reasons please be aware that we will process this request and send it onto the hospital, but it is the consultants at the hospital who make the final decision, so there is a chance this expedite will be rejected.