Letters for employers, schools, universities, gyms, insurers and airlines — written after a proper assessment.
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
Institutions ask for medical letters constantly: to excuse an exam absence, support a mitigating circumstances claim, confirm fitness to participate, or release a gym or event contract.
Tell us who the letter is for and what it needs to say, and the GP will confirm during your consultation whether it can be supported.
The exact wording your employer, school or gym has asked for. A letter that does not address their criteria is worth nothing to you.
The GP establishes what can honestly be confirmed — which is not always everything that was asked for.
On letterhead, signed, with a GMC number the recipient can verify.
This determines everything. Institutions have specific criteria, and a letter that does not address them is worth nothing however well written.
Send whatever you have: the email from HR, the university's mitigating circumstances form, the gym's cancellation policy, the exam board's requirements. If there is a form, send the form — many organisations will only accept their own.
Mitigating circumstances claims and exam boards usually have hard cut-offs, and they are rarely moved for a medical letter obtained late. Find out the date first and work backwards.
What can honestly be confirmed — which is not always everything that was asked for. Expect questions about dates, what you experienced, whether you sought help at the time, and what evidence exists.
Contemporaneous evidence carries far more weight than recollection. A prescription from that week, a message to a tutor, a hospital discharge letter, an appointment record — anything dated from the period is worth bringing.
These usually require the letter to address the specific assessment period and its effect on your ability to study, not simply that you were unwell at some point. Read the criteria before the appointment — they typically name what they need confirmed.
A letter can only state what the GP has genuinely assessed. We will not backdate a claim we cannot support, confirm a diagnosis we have seen no evidence of, or write something that misrepresents your situation.
The fee covers the assessment either way, so raise the request at booking rather than discovering at the end that it cannot be written as worded.
A letter can only state what the GP has genuinely assessed. We will not write something that misrepresents your situation, backdate a claim we cannot support, or confirm a diagnosis we have not seen evidence of.
If that means we cannot help, we will tell you — the consultation fee covers the assessment, so please raise it at booking rather than after.
The letter is issued digitally, on letterhead, signed, with the GP's GMC number so the recipient can verify it on the public register.
Ask for the reason in writing. Most refusals are procedural rather than clinical — submitted late, sent to the wrong place, or on the wrong form — and several of those are fixable on appeal.
If the gap is genuinely that they wanted something the letter does not say, tell us what and we will look at whether it can honestly be added.
Read the contract terms first. Most require the condition to prevent participation for a minimum period — often three months — and a letter confirming a shorter problem will not release the contract.
Consumer rights around unfair contract terms may also apply, and are sometimes a better route than a medical letter.
A letter is a document. Where the underlying problem is continuing — anxiety affecting exams, a condition disrupting work, something that has now caused several letters — that is worth addressing in its own right, and usually more valuable to you than the paperwork.
A letter can only state what the GP has genuinely assessed. We will not write a letter that misrepresents your situation, and we may decline if the request isn't clinically supportable — the consultation fee still applies in that case, as it covers the assessment itself.
The exact wording of what has been asked for. Not a summary — the actual email, form or policy extract.
Institutions have specific criteria, and the commonest reason a letter fails is that it did not address them. If there is a form, send it; many organisations accept nothing else.
The GP can record what you describe and attribute it clearly to you, and can confirm today's assessment. What cannot happen is presenting an unassessed period as an independent clinical finding.
Contemporaneous evidence changes what is possible. A prescription from that week, a dated message, an A&E record — anything from the time makes a far stronger letter than recollection alone.
Usually, where it addresses their stated criteria and is submitted through their process by the deadline.
Most rejections are procedural — late, wrong form, sent to a tutor rather than the panel. Read the criteria before booking rather than after being refused.
Possibly, but check the terms first. Most gym contracts require a medical condition preventing use for a minimum period — commonly three months — and a letter confirming a shorter or intermittent problem will not release you.
Also worth knowing that consumer rights around unfair contract terms sometimes achieve more than a medical letter, and cost nothing. See our gym cancellation letter page.
Often not, and you can ask. Most institutions need confirmation that a health problem affected you during a defined period and how — not the specific condition.
Raise it during the consultation. Where a diagnosis genuinely is required by their criteria, the GP will tell you so you can decide.
We can assess and write that where it is supportable. Note that a fit note does not need a countersigning "fit to return" letter — you can go back before it expires without one, which is a widespread misunderstanding.
Where an employer is asking for something more formal, that is usually occupational health rather than a GP, and the distinction matters. See occupational health letters.
You will be told, and the fee covers the assessment either way. Please raise the specific request when you book, so that if it is not something any doctor could honestly write you find out before paying.
A letter that overstates what a doctor found does not help you — institutions verify GMC numbers, and a letter that does not hold up is worse than none.
Same-day appointments are usually available, seven days a week, and the letter is issued within about ten minutes of the consultation ending.
Deadlines do not move for medical letters, so book with time in hand rather than on the day something is due.
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
