Administrative Letters

This form can be used to request administrative letters which require medical information.  Please note, this is not an NHS service and, as such, a fee will be payable. (If you have a specific form that needs to be completed please forward this directly to the practice at [email protected] you do not need to complete this form. A fee will still apply).

Examples include:

  • Fitness to fly/travel
  • Fitness to return to work/university
  • Private sick note
  • Letter for gym membership
  • Letter for bank or building society
  • To Whom it May Concern letter

Payment Required

The standard fee for a short letter is £33,  but if a more in-depth report or examination is required additional charges will apply.

Now Accepting PayPal

Payment may be made via PayPal. You will be directed to our PayPal Checkout page upon submission. The request will not be sent to the Practice until payment is processed. There is no requirement to have a PayPal account using this method and you can check out as a guest using credit card or debit card.

Please complete the form below with as much information as possible. 

We aim to provide the letter within one week of receipt of the form and payment.

Administrative Letter Application Form
Please use the same email address when you check out via PayPal.
Please use format day/month/year e.g. 12/05/1979

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.