Medical clearance for skydiving, adventure sports and organised events that require a doctor's sign-off.
Unhurried care from a GMC-registered GP
6am to 10pm, seven days a week
Prescriptions, sick notes and referral letters included
Your NHS records in the room, with your consent
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Skydiving centres, adventure sports operators and endurance events increasingly require medical clearance, particularly over a certain age or where you have declared a health condition.
Most use a standard declaration that a doctor countersigns. Send it in advance and it can be completed during your consultation.
What the activity involves matters — altitude, exertion, water, duration. The risks differ enormously.
Focused on the systems that matter for that activity: cardiovascular fitness, respiratory function, seizure history, and any medication that could be a factor.
Within about ten minutes.
What the activity actually involves changes the whole assessment. Altitude, sustained exertion, water, remoteness, duration and how quickly help could reach you are what the questions turn on — a tandem skydive and a two-week trek at 4,000 metres raise almost nothing in common.
So send the operator's form, the event or itinerary, and anything they have already said in writing.
Several clearance forms require a specific licensed examiner, and no GP can substitute. We will tell you at booking rather than after you have paid:
The systems that matter for that specific activity:
Cannot honestly be completed by video. Chest auscultation, urinalysis, a vision test, a measured girth — the truthful answer is that we did not perform it, and a form completed otherwise is worth nothing to you the moment it is scrutinised, which is precisely when you would need it to hold.
Poorly controlled epilepsy, unstable cardiac disease, uncontrolled asthma and some anticoagulation raise real questions about altitude, water and sustained exertion.
Our job is to give you a defensible answer, not the one that gets you on the manifest. Where the answer is no, you will be told why, and what would need to change.
Some operators require a physical examination. Check their wording first.
Operators reject these for an unsigned page or a missing date far more often than for anything clinical. Confirm the whole form is completed, dated inside their window, and carries the GP's GMC number.
This is the expensive gap. Adventure and endurance activities are excluded from most standard travel policies unless declared and paid for as an add-on.
Tell the operator. A clearance letter describes you on the day it was written. A new diagnosis, a new medicine, or an injury needs declaring — and it is what makes their insurance and yours work.
A number of clearance forms require a specific licensed examiner, and no GP can substitute. We will tell you at booking rather than after you have paid:
Any form with boxes for examination findings cannot honestly be completed by video. If it asks for chest auscultation, urinalysis, a vision test or a measured girth, the honest answer is that we did not perform it, and a form completed otherwise is worth nothing to you if it is ever scrutinised.
Where the activity genuinely carries risk for you, we will say so. Poorly controlled epilepsy, unstable cardiac disease, uncontrolled asthma and some anticoagulation raise real questions about altitude, water and sustained exertion. Our job is to give you a defensible answer, not the one that gets you on the manifest.
Clearance is not insurance. Adventure and endurance activities are excluded from many travel policies unless declared and paid for separately. Check that before you check the medical.
No. Recreational diving follows the UK Diving Medical Committee standard and generally requires a doctor with specific diving medicine training; commercial diving requires an HSE Approved Medical Examiner.
We can advise on whether something in your history is likely to be an issue, but we cannot certify it, and a certificate from the wrong sort of doctor is not accepted.
No — all require an in-person examination by a specifically authorised examiner. Pilot and air traffic medicals need a CAA-authorised Aeromedical Examiner; HGV, PCV and D4 need vision testing and physical examination that cannot be done by video.
Not truthfully, so no. We can record a blood pressure reading you provide, labelled as self-reported, but we cannot state examination findings we did not obtain.
That matters most precisely when the form matters most — after an incident, when it is read closely.
Often yes — having a condition is not automatically disqualifying, and well-controlled asthma, treated blood pressure and stable diabetes are all compatible with a great deal.
Where it genuinely is not safe, we will say so and explain why. Poorly controlled epilepsy and water or height, unstable cardiac disease and sustained exertion, uncontrolled asthma and altitude — those are real risks rather than form-filling.
Not everything, but it is the single most important thing to declare, and time since the last seizure is usually decisive.
Operators apply their own thresholds — commonly a defined seizure-free period — and for water sports and anything at height those thresholds exist for obvious reasons. Send the operator's criteria and we will tell you honestly where you stand.
No, and they are entirely separate things. Most standard travel policies exclude adventure and endurance activities unless declared and paid for.
Check the altitude cap, check that mountain rescue and evacuation are covered, and declare every condition. A clearance letter has no bearing on whether a claim is paid.
Usually — appointments run 6am to 10pm, seven days a week, and the letter is issued within about ten minutes.
What we will not do is sign something we have not established because a deadline is close. If the form needs an examination or a specific examiner, no amount of urgency changes that.
You will be told why, and what would need to change — often better control of a condition, a specialist opinion, or an in-person assessment. Many people come back later and are cleared.
Most operators allow a deferral to a later date on medical grounds. Ask.
Usually not for a mass-participation event, unless you have declared a condition or are over an age the organiser specifies.
Read the entry conditions before paying us. If it is not required, do not buy one.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
Patient reviews
