ALL certificate requests between 10th-12th June 2024 will be processed on the 13th June 2024.

Specialist Referrals


10 min
£45  GBP
  • Speak with a registered UK practitioner 
  • Receive general advice, a specialist referral
  • Open 7 days a week - 6am to midnight BST


Please note, your Partner Practitioner is unable to prescribe controlled substances under the Misuse of Drugs Act 1971.

Select a Date

Select a Time

Your Details
Full Name *
Email *
Mobile Number *
Date of birth *
Sex *
What is your address?

(e.g., 49 ABC Street, London, XY1 Q23, United Kingdom)

What is your NHS number?

(N/A if you don't have one)

Please share specific details about your condition and symptoms.

Please also provide info on any existing conditions, medication, allergies, and surgical history.

Describe your current medical condition or health concern.

When did you first notice the symptoms or the condition began?

Have the symptoms improved, worsened, or remained the same since their onset?

Please provide detailed information about the symptoms you are experiencing.

Are there any specific triggers or factors that exacerbate your symptoms?

How does your medical condition affect your daily life, including work, activities, and overall well-being?

Are there any specific concerns or challenges related to your condition that you would like to address in the referral?

Do you believe you need to see a specialist for your condition? *
Please specify the type of specialist you believe is required. *

How soon do you think you need to be seen by a specialist?

Have you received any previous treatment or medical care for this condition? *
Please provide details. *

Do you have any relevant medical records, test results, or documentation related to your condition?
Are you currently taking any medications or undergoing any treatments for your condition? *
Please provide details of the medications and treatments.

Is there any other relevant medical information or specific concerns that you would like to share with the GP for the referral?

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