Custom Medical Certificate

Your details

We need your name exactly as it should appear on the certificate.

First name *

Please enter your first name

Last name *

Enter your name exactly as it should appear on the certificate.

Please enter your last name

Date of birth *

Please enter your date of birth

Sex *

Please select an option

Contact details

We’ll send your certificate to this email address.

Email address *

Where the certificate will be delivered.

Please enter a valid email address

Phone number *

Please enter a valid phone number

Why you need the certificate

Tell us about the certificate you need and the condition it’s for.

What is the main reason for your medical letter? *

Please provide as much detail as possible. If our doctors do not have enough information, it may delay your certificate as they will need to contact you to clarify.

0 / 20 characters minimum

Please provide at least 20 characters

Please describe your condition, your symptoms and timeline in detail *

20 words minimum. Please provide as much information and detail as possible.

0 / 20 words minimum

Please provide at least 20 words

Whom will this letter or certificate be provided to? *

Please tell us who will receive the letter

Are you registered with an NHS GP?

Medical background

A couple of clinical questions to help our doctors prepare your certificate.

Are you pregnant or breastfeeding? *

Yes No

Please select an option

Please provide details regarding your pregnancy *

Please provide pregnancy details

Have you sought medical care for your issue before? *

Yes, from my GP or a specialist Yes, I visited A&E No, never consulted a doctor for this before

Please select an option

What treatment was administered? *

Please describe the treatment

Medical history

Any relevant background health information for our doctors.

Please list any underlying health issues or past medical history

If none, please write None.

Please list any allergies you have *

If none, please write none.

Please list your allergies or write “none”

Please list any regular medication you take, whether prescribed or over-the-counter

If none, please write None.

Supporting documents

Please upload the documents below so our doctors can begin your case.

Medical Evidence

In order to issue your certificate, you will be asked to provide:

Evidence of your condition (copies of medical records, prescriptions, test results, NHS app screenshots, etc.)
A photo of your ID or passport
A selfie for ID verification

If you do not have your documents to hand, you can email them to certificates@medicalcert.co.uk quoting your consultation reference number.

Please upload medical evidence

E.g. photo/video of your condition, copies of medical communication, prescriptions, test results, screenshots from your NHS app.

Our doctors can only begin working on the certificate if this is received.

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

Please attach a photo of your ID as proof of identification

Accepted forms of ID include: photo of your driver’s license, passport, work badge, residence permit, or military ID card.

We respect your data privacy and all personal information is processed confidentially and never shared.

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

Please upload photos of your A&E discharge summary, if available

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

If you require a specific custom form completed, please upload this here

Alternatively you can send any attachments to certificates@medicalcert.co.uk quoting your consultation reference number or name and date of birth.

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

I will send the files via email to certificates@medicalcert.co.uk instead of uploading now. (Please note, our doctors will start on your case once we have received your documents.)

Review your details

Please check everything is correct before proceeding to payment.

Terms & Conditions

I agree that upon submitting my medical consultation, I acknowledge the Terms and Privacy Policy and consent to the following: I am NOT seriously unwell with any of the following symptoms: chest pain, shortness of breath, unrelenting severe headache, worsening severe abdominal pain, loss of vision, thoughts of suicide, confusion, ongoing bleeding, unable to swallow fluids or saliva, loss of limb sensation or control, facial numbness or weakness, slurred speech. I understand the questions in the questionnaire and answered them honestly. The requested letter is solely for the individual with the provided name and details. Medical Cert is not a replacement for a doctor’s visit. I confirm I do not think I need to see a medical professional in person. Medical Cert is not my primary doctor or GP, and the doctor issuing my certificate may be unable to access my NHS or regular GP medical records. Medical Cert facilitates access to private medical letters and does not issue Med3 notes, which are obtainable through your NHS GP for UK government benefits. Medical Cert is unable to process refunds once a medical letter has been written and sent to you. If my symptoms persist or I have not fully recovered, I agree to consult with my regular doctor or GP for further medical advice. I consent to having this website store my submitted information so they can respond to my inquiry.

I agree to the Terms & Conditions above. *

You must agree to the terms to continue

Payment

Secure checkout · your certificate will be delivered latest by 9AM next-day.

Custom Medical Certificate £87

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Custom Medical Certificate

Your details

Contact details

Why you need the certificate

Medical background

Medical history

Supporting documents

Review your details

Terms & Conditions

Payment

Consultation Submitted