Medical Certificates from medicalcert.co.uk

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Name* This field is required.as it should appear on the certificate

First Name

Last Name

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Date of Birth* This field is required.

Date

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Sex* This field is required.

Female

Male

Prefer not to say

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Email* This field is required.where the certificate will be delivered

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Phone* This field is required.

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What is the main reason for your medical letter?* This field is required.Please provide as much detail as possible. If our doctors do not have enough information, it may delay your certificate as they will need to contact you to clarify.

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Please describe your condition, your symptoms and timeline in detail. Please provide as much information and detail as possible.* This field is required.More detail will help our doctors issue your letter quickly. Insufficient detail may delay your letter, as our doctors may have to contact you for further clarification before issuing a letter.

20 words minimum.

0/0

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Are you registered with an NHS GP?

YESNO

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Whom will this letter or certificate be provided to?* This field is required.

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Are you pregnant or breastfeeding?* This field is required.

Yes

No

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Please provide details regarding your pregnancy

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Have you sought medical care for your issue before?* This field is required.

Yes, from my GP or a specialist

Yes, I visited A&E

No, never consulted a doctor for this before

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What treatment was administered?* This field is required.

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Please upload photos of your A&E discharge summary, if available

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Select files to upload

Max. file size: 10.6MB

15

Please list any underlying health issues or past medical history:If none, please write None

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Please list any allergies you have. * This field is required.If none, please write none.

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Please list any regular medication you take, whether prescribed or over-the-counter:If none, please write None

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If you require a specific custom form completed, please upload this here.Alternatively you can send any attachments to support@medicalcert.co.uk quoting your consultation reference number or name and date of birth.

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Max. file size: 10.6MB

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Medical Evidence

In order to issue your certificate, in the next pages you will be asked to provide:

Evidence of your condition: This can include copies of medical records, medical communication, prescriptions, test results, screenshots from your NHS app, etc.
A photo of your ID or Passport
A selfie (photo of yourself) for ID verification

Note: If you do not have your documents to hand, you can click the save icon below to save and return to this form later.

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Please upload Medical Evidence* This field is required.E.g. photo/video of your condition, copies of medical communication, prescriptions, test results, screenshots from your NHS app.

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Select files to upload

Max. file size: 10.6MB

Our doctors can only begin working on the certificate if this is received,

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Please attach a photo of your ID as proof of identification.* This field is required.Accepted forms of ID include: photo of your driver's license, passport, work badge, residence permit, or military ID card.

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Select files to upload

Max. file size: 10.6MB

We respect your data privacy and all personal information is processed confidentially and never shared.

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Take a Selfie * This field is required.Please take a clear photo of yourself for identity verification purposes.

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Terms* This field is required.

I agree that upon submitting my medical consultation, I acknowledge the Terms and Privacy Policy and consent to the following: I am NOT seriously unwell with any of the following symptoms: chest pain, shortness of breath, unrelenting severe headache, worsening severe abdominal pain, loss of vision, thoughts of suicide, confusion, ongoing bleeding, unable to swallow fluids or saliva, loss of limb sensation or control, facial numbness or weakness, slurred speech. I understand the questions in the questionnaire and answered them honestly. The requested letter is solely for the individual with the provided name and details. Medical Cert is not a replacement for a doctor's visit. I confirm I do not think I need to see a medical professional in person. Medical Cert is not my primary doctor or GP, and the doctor issuing my certificate may be unable to access my NHS or regular GP medical records. Medical Cert facilitates access to private medical letters and does not issue Med3 notes, which are obtainable through your NHS GP for UK government benefits. Medical Cert is unable to process refunds once a medical letter has been written and sent to you. If my symptoms persist or I have not fully recovered, I agree to consult with my regular doctor or GP for further medical advice. I consent to having this website store my submitted information so they can respond to my inquiry.

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End of Consultation

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Custom Medical CertificateDelivery before 9AM next day
£67.00Edit
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First Name

Last Name