We can provide a number of letters (To Whom It May Concern, TWIMC), reports and certificates for our registered patients. Some services are free through the NHS but for non-NHS services, we charge a fee. See the Non-NHS services listed below to see the fees we charge.
Non-NHS services we provide
In line with the British Medical Association guidance, we charge for the completion of some non-NHS medical reports, letters, and certificates. Typically these requests come from insurance companies, employers, or from our patients directly and include the types of letters, reports and certificates that are not funded by the NHS. This work does not form part of our NHS contract and as such, we charge for these services to cover the cost of the administrative and clinical time required to complete them.
As this work is not a contractual obligation and we must prioritise delivery of our NHS care, we aim to but may not always be able to complete your request within our timeframes. In some cases, an appointment may be required prior to a report being actioned, or we may need to request records from PCSE which can take several weeks, please factor this in when making a request. Letters are only done during a consultation. These are not regulatory SLAs (Service Level Agreements) and we may need longer to complete requests, so please leave enough time for these requests to be completed, but we will aim to complete all letters within 30 days from receipt of payment.
Once you have submitted your request via SmartTriage you will usually be sent a questionnaire with additional questions about your request. Once you have completed the questionnaire the Medical Reports Team will review your request and let you know whether the report can be provided by us.
You will then be sent an invoice to the email you have set up on your account and the link will be open for 7 days. Please ensure your email address on your account is correct, check your spam/junk folder for the invoice email and that you request your report with enough time to complete the request.
The work on your letter will only commence once payment has been received.
If you do not pay within the 7 days, the request will be cancelled and you will need to submit the request again.
Please note that we do not provide the following types of letters / reports:
- Fitness for sport events / sporting activities
- Scuba Diving Forms
- Fitness to fly letters
We kindly ask that you do not contact our support team if your request is within our SLA. Our support team is unable to escalate your request and all reports will be completed as soon as we are able to.
A detailed table of reports and letters that we provide is outlined below, although this is not exhaustive. Our prices are reviewed regularly against British Medical Association Guidance and are subject to change.
| Type of Report | Description | Price Range |
| Summary of Medical Record | This is a summary of your problems, allergies, vaccinations, medications. Please request this here under ‘Questions and Admin’ | Free |
| Medical Exemptions | A medical exemption certificate (MEC) is an NHS document that allows individuals with certain medical conditions to receive free NHS prescriptions. Please request this here under ‘Questions and Admin’ | Free |
| Statement of Fact (‘To whom it may concern letter’) | This is a statement of fact that is provided on grounds of your medical record. We are not able to give an opinion. If in doubt we will decline to complete the request and may issue a copy of your medical records instead with your consent. When applying for benefits, housing, passes, adjustments or any other matter where medical conditions may be relevant, please note that we will only supply this information when approached formally by a third party for a factual report. We will ask you to provide your written consent for this. Please request this here under ‘Questions and Admin’ | £30 – £120 |
| Insurance Claim Forms | Insurance claim forms are documents used to formally request compensation from an insurance company for a covered loss or event. These forms are essential for initiating the claims process and ensuring that the insured receives the benefits they are entitled to under their policy. These can either be With or Without Examination (Please request this here under ‘Questions and Admin’) | £50 – £200 |
| Medical Report (With / Without Examination) -Employer Request -Adoption/Fostering -Standard Insurance -GPR (Non Targeted) -Insurance (Targeted) | Written report / questionnaire which does or does not require an examination and/or provision of a factual statement. Please note we do not provide occupational health reports for employers. | £100 – £200 |
| Shotgun License | A shotgun license medical report in the UK is a review of an applicant’s medical history to determine if they are fit to possess a firearm. The report is based on the applicant’s medical records and is sent to the applicant and the police. This service is provided by an external organisation (Medi2data) Please request here | Please enquire with Medi2 |
| HGV Medical (D4) | The D4 medical form is a document that assesses a driver’s physical and mental fitness to drive large vehicles like lorries and buses. It’s required for applying for or renewing a Group 2 driving licence. Completion of the form requires a 30 minute appointment at one of our clinics. (Please request here under ‘Questions and Admin’) | £120 |
| Taxi Medical | A TfL Taxi Medical is a health assessment required by Transport for London (TfL) for taxi and private hire vehicle drivers. The assessment ensures that drivers meet the physical and mental health standards to operate a vehicle safely. It requires a 30 minute appointment at one of our clinics. (Please request here under ‘Questions and Admin’) | £120 |
| Disabled Students’ Allowance (DSA Disability Evidence form) | See Statement of Fact Request: We can only certify what is recorded on the Medical Record – we cannot offer an opinion. | £30 – £60 |
| Freedom pass | A Freedom Pass application on disability grounds does not usually require a letter from your GP, however if you have a mental health condition that would prevent you from obtaining a driving license a GP letter is sometimes requested; this letter should detail your diagnosis and the impact it has on your ability to travel independently. Please request here under ‘Questions and Admin’ . | £30 – £60 |
| Blue badge | We do not recommend patients requesting letters for support for blue badge applications. You can get all the information you require directly from your medical record, which is available via the NHS App. Alternatively we can provide you with a summary of your medical record free of charge. To improve the chance of a successful blue badge application, you need to ensure you have filled the form out thoroughly, ensuring you are clearly detailing the difficulties and disabilities you have in your everyday life. A doctor’s letter will not add anything extra to your application as we can only produce a letter from your records. Local authorities will usually contact us directly with any questions in regards to your medical conditions. If you do still require a letter, you can request a statement-of-fact-letter here under ‘Questions and Admin’. | £30 – £60 |
*The fees charged are based on the British Medical Association (BMA) suggested scales
How to make a request
Frequently asked questions
“Why do I have to pay?”
The preparation of these letters or reports is not covered by the NHS. The letters/reports/forms are completed outside of NHS tasks and as such there is a fee payable. All of these tasks require the doctor to take time to review a patient’s medical records to ensure that the information provided is correct, the letter/report/form then has to be generated and sent to the patient and/or third party.
“How long will it take?”
Private letters/reports/certificates etc. do not take priority over NHS work and hence may take some time to prepare. Please allow at least 30 working days for reports from receipt of payment and be aware that these are not regulatory SLAs and depending on workload, it may take longer.
“I need it today/tomorrow/next week/sooner”
In genuinely urgent cases, we will do our best to meet your deadline; however, we cannot promise this and expedited letters may incur an additional fee. Please ensure you leave enough time for your request and submit it as soon as possible.
“I only need the doctor’s signature”
When a doctor signs a certificate or completes a report it is a condition of remaining on the Medical Register that they only sign what they know to be true.
To complete even the simplest of forms, the doctor might have to check the patient’s entire medical record. Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (the doctors’ regulatory body) or even the police.
“I need an amendment to the letter I’ve received”
If an amendment to a letter is required, please make another request here under ‘Questions and Admin’. You will be sent a questionnaire to detail the type of amendment you are requesting. Please note that depending on the type and complexity of your request we may charge you an additional fee.
“The doctor has to write these exact words…”
We are very sorry, but we usually cannot accept requests for the doctor to write the letter in a specific way. The doctor will write what they know is supported by your medical record, and reserve the right to refuse your request or provide alternative wording.
Please note: Our doctors can only provide letters or reports which are factually accurate based on your medical records. They cannot modify them based on individual preferences or requirements. If you request changes to letters or reports which do not match your medical records, your request will not be actioned.