Universities want dates, impact and a named clinician. We write it in the form they actually accept.
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Universities ask for medical evidence at exactly the moment you are least able to chase it — a deadline in two days, a GP appointment in three weeks, and a mitigating circumstances form that closes on Friday.
We provide the letter after a proper consultation, usually the same day. The letter is written to say what universities actually need to see: the dates affected, the functional impact on your ability to study, and the professional details of the doctor who assessed you. Vague letters get rejected, and that is the commonest reason a claim fails.
Upload the form, the policy, or the email from your department when you book. Requirements differ between institutions and we would rather match theirs than guess.
A genuine clinical assessment. This is not a form-filling service — the letter carries a doctor's name and GMC number, and it has to be true.
Within 10 minutes of the consultation ending, as a PDF you can upload directly.
Tell us. If it is a detail we can properly confirm, we will amend it at no charge. If it is something we cannot honestly state, we will explain why.
Mitigating circumstances deadlines are hard, and they are rarely moved because a medical letter arrived late. Check the closing date before anything else and work backwards.
Same-day appointments are available seven days a week, so tight timing is usually workable — but not if you discover the deadline was yesterday.
Upload the form, the policy extract, or the email from your department when you book. Institutions differ substantially in what they will accept, and several will only take their own form.
Read their criteria before the appointment. They usually name exactly what they need confirmed — typically the dates affected and the effect on your ability to study, rather than simply that you were unwell.
This changes what can honestly be written. Contemporaneous evidence carries far more weight than recollection — a prescription from that week, a message to a tutor or flatmate, an A&E or 111 record, a pharmacy receipt.
Where you did not seek help at the time, say so. It does not disqualify you, and it is extremely common.
The letter will clearly separate two things: what was found on assessment today, and what you have reported about earlier dates. Both can appear, attributed correctly.
What cannot happen is presenting an unassessed period as an independent clinical finding. Some universities accept a clearly attributed account; some do not, which is why reading their policy first matters.
Extra time, rest breaks or a separate room usually require formal specialist assessment rather than a GP letter — particularly where the basis is ADHD, autism or a specific learning difficulty. We can assess, advise and refer, but we cannot make those diagnoses.
This is where most claims fail, and it is procedural rather than clinical.
Tell us what they asked. If it is a detail we can properly confirm, we will amend the letter at no charge. If it is something no doctor could honestly state, we will explain why so you can respond to them accurately.
Ask for the reason in writing, and check whether there is an appeal route — there usually is, and most rejections are procedural: late, wrong form, wrong recipient, or evidence that did not address their stated criteria. Several of those are fixable.
Universities have student support, wellbeing and disability services that are free, confidential and consistently under-used. They can often arrange far more than a letter can — extensions, interruption of study, learning support plans, accommodation adjustments — and they know their own processes.
If you are an international student, check what interrupting your studies would mean for your visa before agreeing to it. That is a question for the university's international office, and it is important.
Repeated mitigating circumstances claims usually mean something is not being addressed. Anxiety around exams, a long-term condition, undiagnosed ADHD, or a mental health problem that has never been properly assessed — treating that serves you considerably better than another letter each term, and we would rather help with it.
We write what we can honestly assess, and no more. The letter is a professional statement by a GMC-registered doctor, and the GMC treats a misleading medical report as a serious matter. That constraint protects you too: a letter that overstates is worth nothing if it is challenged.
What we cannot do:
The consultation fee covers the assessment and the letter together. There is no separate charge for the document.
Usually, but check their policy before you book — and we would rather you did than pay for something that will not be accepted.
Some institutions require evidence from an NHS GP specifically, or will only accept their own form. Most accept a letter from any GMC-registered doctor that addresses their stated criteria.
Partly. The letter will clearly distinguish what was assessed today from what you have reported about earlier dates, attributing each correctly.
That is honest and it is often accepted. What cannot be done is presenting a period nobody assessed as an independent clinical finding — which would be worthless if challenged and a GMC matter for the doctor.
Anything dated from the time strengthens it considerably.
No — and be cautious of anyone offering to. Exam access arrangements based on ADHD, autism or a specific learning difficulty require formal specialist assessment, typically several hours and including evidence from childhood.
We can discuss whether assessment is warranted, screen for conditions that mimic it, refer you privately, and explain the NHS Right to Choose route — which is free and which most students have never heard of.
Universities generally want three things: the dates affected, the functional impact on your ability to study or sit the assessment, and the professional details of the doctor with a GMC number they can verify.
Vague letters are the commonest reason a claim fails. "Was unwell" achieves little; "unable to attend or complete written work between these dates due to..." is what panels act on.
Often not. Most institutions need confirmation that a health problem affected you during a defined period and how — not the diagnosis.
Say during the consultation if there is something you would rather was not named. Where their criteria genuinely require it, the GP will tell you so you can decide.
A parent can book and pay, but if you are 16 or over you need to attend and consent yourself — they can be present with you if you want them there.
Also worth knowing: your university's student support or wellbeing service can often act on your behalf when you cannot, including with departments and deadlines. It is free, and it is what they are there for.
Mitigating circumstances processes are confidential and handled by a specific panel rather than shared with teaching staff generally.
Nothing we write goes to your university unless you send it. The letter is issued to you.
Same-day appointments are usually available seven days a week, and the letter is issued within about ten minutes of the consultation ending — so a claim due tomorrow is often still achievable.
But deadlines do not move for medical letters, and a claim submitted late for lack of evidence is a much weaker position than one submitted on time with a note that evidence follows. Check the date first.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
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Told when a test isn’t needed
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£40 for 20 minutes
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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.
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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.
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