Requesting Medical Information

If you are requesting medical information for university purposes, please go to the appropriate section below.

Our standard charge for completing a medical form (eg for an insurance company) is £20.00. As part of this process, you will be asked to provide photo ID with Date of Birth shown (i.e.: passport, drivers licence, residence permit, etc.) as well as written authorisation if you are requesting this on behalf of a patient or proof of address if you are requesting on behalf of your child.

We can also provide copies of recent consultations, results or brief patient summaries that may be helpful, and this service is free of charge. You will still need to go through the same process as stated above.

Any request will usually take between 10-14 working days to be completed. If the request is likely to take longer than this, our Admin Team will be in contact with you to discuss this further.

You can view your medical record online via the NHS App

FIND OUT MORE ABOUT USING THE NHS APP

 

Student Requests

If you are a student and need to make an application for compelling personal reasons (CPR) or Disabled Students Allowance (DSA) / Student Finance, you will need to fill out a Student Medical Evidence Request Form by clicking on the link below.

We will use this form to generate a medical report for which there will be a fee of £20.00 payable on completion of the request. Students in severe financial hardship can apply for financial support from the University Support Grant to cover these costs.

If you are unsure of the process and would like to discuss this further, or you have any other queries, then please contact the Admin Team at the surgery on 023 8033 3778.

 

Camp America Forms

If you are in the process of applying for Camp America and require the doctor to complete a medical form, this no longer needs to be done through an appointment at the surgery.

Please click on the relevant option to complete a request, attach the forms with your completed section to the request and make a £50.00 payment for completion of this.

If you are unsure of the process and would like to discuss this further, or you have any other queries, then please contact the Admin Team at the surgery on 023 8033 3778.

 

Please Complete a Relevant Form below:

REPORTS OR COMPLETION OF FORMS - CHARGEABLE £20 FEE

 PATIENT SUMMARIES OR COPIES OF RESULTS OR CONSULTATIONS - FREE OF CHARGE

STUDENT MEDICAL EVIDENCE REQUEST FORM -  CHARGEABLE £20 FEE