Application for Whom It May Concern / Support Letters

 
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We do not issue letters during appointments, all applications for letters must be made on this form.

  • There is a one letter per person policy. You will need to fill in another form for subsequent household members for example.
  • It may take up to 28 days to process your letter.
  • All reports are written entirely at the doctor’s discretion and some requests may be refused. 
  • All letters will be a true reflection of your medical notes and no further information or conclusions can be added.
  • You can use Online Access to print a summary of your medical record for free by signing up to the service on our website.

Learn more about Online Health Record Access

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Who is this letter for?: *

Please provide further details of the kind of letter you need. We may need to email or call to discuss further as consent be needed.

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Details of the Patient
Please double check you've entered the correct email address
May be used to identify you
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Letter/Report
Please select which type of medical report you require: *

You can use "Online Access" to print a summary of your medical record for free by signing up to the service on our website.

Learn more about Online Health Record Access

The next page will take you to complete payment.

Once payment has been received, you will receive notification that your letter is ready to collect. We can email a copy if you prefer. Please reply to the notification to receive a digital copy.

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