Medical Report Request

If you would like to request a medical report, please use this form.

Please note that all payments will need to be taken upfront. After submitting your form a member of staff will contact you to arrange payment and for you to bring in your written request to the surgery.

It can take 4-6 weeks for a medical report request to be processed by the GP.

Medical Report Request Form

Please use this date format: DD/MM/YYYY.