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The GP Clinic

DOCTORS ARE ONLINE NOW We have saved 8322 NHS GP appointments.

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

Medical Letter Questionnaire

Before releasing your medical letter, our group of practitioners will review the evidence you submit. Only upon approval, shall you receive the medical letter via email including a unique reference number, which can be used to confirm its authenticity

I am in need of a Medical Letter regarding: Disability Medical Certificate
Your Details
Full Name *
Email *
Mobile Number *
Date of birth *
Sex *

Nature of Disability

Please describe your disability and its nature. *

When were you diagnosed with this disability? *

Impact on Daily Life

How does your disability affect your daily life, including work, education, and personal activities? *

Are there specific challenges or limitations you face due to your disability? *

Previous Medical History

Have you received any previous medical treatment, therapy, or surgeries related to your disability? *
Please provide details. *

Do you have any relevant medical records, test results, or documentation related to your disability? *

Work or Education Requirements

Are you seeking a Disability Medical Certificate for workplace accommodations or educational support?
Please specify your requirements. *

Treatment and Medications

Are you currently receiving any medical treatment, therapy, or taking medications related to your disability? *
Please provide medical treatment details. *

Supporting Information

Are there any specific accommodations or support services you believe you require due to your disability? *

Specialist or Consultant Information (if applicable)

Have you consulted any specialists or healthcare professionals for your disability? *
Please provide their names and contact information. *

Additional Information

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

Checkout

If your Partner Practitioner determines that telehealth is not appropriate for your case, you will be refunded.

Priority options: *

STANDARD REQUEST

This will be reviewed, signed by a UK health practitioner and sent via email.

£45.00
RECOMMENDED EXPRESS REQUEST

This will be reviewed, signed by a UK health Practitioner, and sent via email. Typically, you can expect to receive it within the same day.

£55.00

Confirm your details

Please double check your details below. These will appear on the medical letter, if suitable, and can't be edited after submission.

Name:
Date of birth:
Sex:
Male
Email:
Mobile:
Letter type:
Disability Medical Certificate

Terms

Upon submitting your medical consultation, you acknowledge our Terms and Privacy Policy and consent to the following:

  • You are NOT seriously unwell with any of the following symptoms: chest pain, shortness of breath, unable to swallow fluids or saliva, weakness or numbness down one side, slurred speech.
  • You have comprehended the questions in the questionnaire and answered them honestly.
  • The requested letter is solely for the individual with the provided name and details.
  • The GP Clinic is not a replacement for a doctor's visit, nor is The GP Clinic your primary doctor or GP, and your Partner Practitioner may be unable to access your NHS or regular GP medical records.
  • The GP Clinic facilitates access to private medical letters and does not issue Med3 notes, which are obtainable through your NHS GP for UK government benefits.
  • If your symptoms persist or you have not fully recovered, you agree to consult with your regular doctor or GP for further medical advice.
  • The GP Clinic is unable to process refunds once our GP has reviewed your request and you've been sent a letter written by them. No exceptions.
Do you agree to the above Terms? *

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124 City Road, London, EC1V 2NX

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