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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: Sick Note for Work
Your Details
Full Name *
Email *
Mobile Number *
Date of birth *
Sex *

Medical Questions

Do you have any pre-existing health conditions your Partner Practitioner should be aware of? *
Please provide information about your pre-existing health conditions. *

Are you taking any medications regularly? *
Please tell us which medications and their doses that you take. *

How long do you need this for?

Have you self-certified for a week already? 
Valid from *

Please note, length of absence recommended is at the doctor's discretion based on the information provided, a follow-up call and the doctor's own clinical experience. We can only back-date upto two weeks.

Valid to

Symptoms

What treatment was administered in A&E or by your GP? *

Please upload your A&E discharge summary, if available
Browse Files
Click here to upload file
Start date of symptoms *

Main reason for medical letter *
Please describe the timeline and the details of your symptoms. *

20 words minimum

Have you sought medical care from your GP or local A&E for your medical issue? *
Condition Status *

Are your symptoms still ongoing, partially recovered or are you fully recovered?

Your workplace

Please confirm where you work *

Please describe your daily work activities *

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.

£39.00
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:
Sick Note for Work

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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Hard Copy $0.00
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