Medical Report Request

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

A number of reports are subject to a fee, for all prices please see our Private Fees and Charges page.

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Named GP (if known):

What type of medical report would you like?

Please specify:

A subject access request is a copy of your medical records. We will endeavour to respond to your request within one calendar month or two months if the request is complex.

Please provide the Start date for the records you wish to access:

Please provide the End date for the records you wish to access:

Why do you need this report?

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Medical Report Request