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: Injury and Accident Confirmation Certificates
Your Details
Full Name *
Email *
Mobile Number *
Date of birth *
Sex *

Details of the Injury or Accident

Date and time of the incident: *

Location where the incident occurred: *

Briefly describe the nature of the injury or accident: *

Medical Evaluation

Have you sought medical treatment for this injury or accident? *
Please provide details of the healthcare provider(s) you visited. *

Describe any medical tests or diagnostic procedures you have undergone as a result of this incident. *

Are you currently receiving medical treatment or therapy for this injury or accident? *

Doctor's Assessment

Have you discussed your injury or accident with your GP regarding the need for an Injury and Accident Confirmation Certificate? *
Please provide the GP's name and contact information. *

Did your GP conduct any medical examinations or assessments related to this injury or accident? *
Please describe the examinations and findings. *

Confirmation Requirements

Why do you require an Injury and Accident Confirmation Certificate? (Provide a brief explanation of your circumstances or the purpose of the certificate.) *

Are there specific details or information you would like your GP to include in the certificate? *

Additional Information

Do you have any allergies or medical conditions that healthcare professionals should be aware of in relation to this injury or accident? *
Is there any other relevant information you would like to share with your GP regarding this incident? *


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

Priority options: *


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


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.


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.

Date of birth:
Letter type:
Injury and Accident Confirmation Certificates


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.
  • The GP Clinic cannot complete additional forms requested by your workplace, educational institution, or any other interested party.
  • 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? *

Coupon Code

Subtotal $0
Discount $0.00
Hard Copy $0.00
Total $0.00

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