Request a Letter

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

Request a Letter

Letter Request

The doctor can only include factual information and cannot add personal statements or judgements. If the doctor needs clarification or cannot provide the requested information, they will contact you to explain what the letter can and can’t contain before proceeding.

If not known, please leave blank.

Letters are not part of the NHS so there is a charge to pay for GP and secretary time. The charge is £35, but it could be more if the letter is longer. Letters will not be created until the payment has been received. Please call the practice to make a payment, after you have submitted this form.

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Please upload any relevant evidence in relation to this request.
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB