Custom Medical Certificate

When a standard certificate does not fit your situation, our registered UK GPs can review your case and issue a tailored medical document, whether for a specific legal requirement, an unusual employer request, or a personal circumstance.

Each custom certificate follows an individual clinical assessment by a GMC-registered UK doctor, so the letter sets out that doctor's own clinical opinion and carries their GMC number for the recipient to check.

✔ Issued by a registered UK GP following clinical assessment
✔ Tailored to work, legal, travel, education, or personal requirements
✔ Most requests reviewed same day, from £87

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UK GMC Doctors

Accepted by most UK employers, universities and insurers, subject to their own policies. All consultations are subject to clinical assessment and certificates are issued only where clinically appropriate.

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Receive a full refund if we can't provide a certificate

Doctors registered with the General Medical Council GMC Registered Doctors
Registered with the Information Commissioner's Office, registration number ZC112101 ICO Registered No. ZC112101
Compliant with the UK GDPR and the Data Protection Act 2018 GDPR UK Data Protection


How It Works

01

Complete short online consult

No appointment required.

Complete a short medical questionnaire and upload any supporting evidence.

02

Doctor reviews your evidence

A GMC-registered doctor reviews your submission individually.

✔ Full refund if a certificate cannot be issued.

03

Receive your certificate

Most certificates are issued same day, almost all by 9AM the next morning. Delivered as a signed PDF. A doctor will email you if more evidence is needed.

Certificate security

Every MedicalCert certificate can be checked as genuine

Each certificate is issued with anti-tampering protection and its own verification reference. If your employer, university, airline or insurer wants to confirm the document came from a GMC-registered doctor, they can check it against MedicalCert records. Altered or copied documents do not pass that check.

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Very happy, I ordered my Medical Certificate in the early morning hours and before noon time of same day I had it on my inbox. Speedy service and they present the health condition precisely, get to the point.

Georgia K. · 2 months ago

They meet the incredibly fast turnaround stated (certificate/letter sent before 9am the following morning if the doctor feels that a letter/certificate is appropriate) which is incredibly quick and I am really grateful for the help provided!

Mark K. · 2 months ago

Very easy and quick to get my certificate. And the certificate was approved from the specific company to travel with my dog. I will use them again. Well done.

Emanouela M. · 2 months ago

Second time using this company and they are fabulous! Always great, fast, friendly service. Highly recommend!

Gemma H. · 3 months ago

This was my second time using Medical Cert, and once again the service was exceptionally quick and professional. Everything was handled efficiently, with clear communication throughout.

Hayley G. · 3 months ago

I found the service very straight forward and quick. Exactly what I needed to get my Padi medical form signed before our holiday. Thank you very much.

Trianda O. · 3 months ago

Process was easy and responses were quick. I would recommend their service.

Cameron M. · 3 months ago

Fast efficient service for medical certificates. I used the not fit to fly service and was provided with a certificate the next day, the price is very reasonable and enabled a flight credit refund with my airline. Would recommend and would use again if needed.

Katharine H. · 7 months ago

A fast and efficient service. It wasn't complicated and the Fit-to-fly note was accepted by the Airport without any further questions. Thank you.

Mick W. · 6 months ago

Ideal for me, I am looking to get a certificate for some medical issues I have. So this is the perfect solution for me, uploading docs was easy and the forms very straightforward to fill in. Will definitely use them again. Many thanks.

Nicholas O. · 7 months ago

Excellent service. Easy to use and certificate issued in less than 24 hours. £39 as opposed to the £150 my GP charges. Highly recommended.

Joanna R. · 8 months ago

Quick and reasonably pain-free. Received their standard certificate as well as my requested bespoke certificate, by email, by 9am the following morning. Both completed properly, signed and stamped as required. More expensive than my GP, but infinitely quicker and easier.

Will R. · 7 months ago

One of the best experiences. It's easy to get a GP note.

Himanshu T. · 3 months ago

Excellent. My GP refuses to issue DWP MED 3 Fit Notes to students. MedicalCert were excellent and extremely helpful in providing a necessary certificate. Highly recommended.

Graham H. · 9 months ago

You were amazing, you kept me updated and replied promptly to any queries I had. I thank you from the bottom of my heart.

Anne · 5 months ago

They helped me, they were very professional and nice.

Luna B. · 4 months ago

Very pleased. Quick service with very professional letter provided.

Ann C. · 7 months ago

Great service, pretty straight forward and easy to use the website.

Alexandru P. · 6 months ago

I was recommended Medical Cert by a friend and was so impressed with the service received. I would recommend using a laptop rather than a phone. Overall a fantastic and fast service.

Sarah · 5 months ago
Rated 4.8 / 5 based on 225 reviews. Showing our 5 star reviews.
Quick answer: A custom medical certificate is a bespoke GP letter drafted individually by a GMC-registered doctor for situations that fall outside standard certificate templates. MedicalCert issues custom certificates online following individual clinical review, with most delivered the same day or by 9AM the next morning, and a full refund if the GP determines the letter cannot be issued on clinical grounds.

What Is a Custom Medical Certificate?

A custom medical certificate is a tailored medical document issued by a GMC-registered UK doctor for situations that fall outside standard certificate templates. When an employer, insurer, legal entity, or institution has unusual wording requirements, non-standard forms, or complex health circumstances, a custom letter lets the reviewing doctor address those specific points, as far as your clinical evidence supports them.

Unlike templated certificates designed for common scenarios, a custom letter is drafted individually by a doctor who reviews your specific evidence and circumstances. This approach is particularly valuable when standard solutions do not fit, and you need personalised medical documentation signed and verified by a qualified clinician.

Private certificate vs NHS Med3

Custom medical certificates issued by MedicalCert are private documents valid for employers, insurers, universities, and travel purposes. They are not NHS Med3 Fit Notes, which are required for government benefits including Employment and Support Allowance (ESA) and Universal Credit. If you are claiming these benefits, you will need to contact your NHS GP for a Med3 Fit Note.

Request my custom certificate

Individual GP review  |  Most issued same day  |  Full refund if we cannot issue

Looking for a standard certificate instead? See our full range of medical certificates or browse all certificate types.


When Standard Certificates Don't Fit

Not every health situation or institutional request aligns with standard certificate categories. Custom certificates exist precisely for those cases. Common scenarios where a tailored letter is needed include:

Unusual Employer Requirements

Your employer has requested specific wording, unique form fields, or non-standard language that generic certificates do not include. The reviewing doctor addresses the points your employer has raised and states what the clinical evidence supports. Wording the doctor cannot stand behind is not included.

Legal or Formal Documents

Court proceedings, legal claims, or formal complaints often require medical documentation with precise language and clinical detail that templated formats cannot provide. A custom letter addresses each specific legal requirement individually.

Insurance or Claims

Insurance companies sometimes require detailed medical opinion or evidence structured in a particular way. A custom letter lets the doctor set out their clinical opinion in the form the insurer has asked for, within the limits of the evidence you provide.

International or Visa Requirements

Different countries and visa authorities have varying requirements for medical documentation. A letter can be drafted with a particular country's requirement in mind, but acceptance is decided by that authority, and some require a set form, an in-person examination, or apostille legalisation that a remote service cannot provide.

Complex Health Situations

Rare conditions, unusual workplace adjustments, or situations not covered by standard categories all benefit from an individually drafted medical assessment rather than a pre-set template.

Pre-Made Form Completion

You have an employer, sporting body, or institutional form that needs to be completed and signed by a doctor. Upload the form and the reviewing GP will complete it where clinically appropriate.


Standard Certificate vs Custom Letter

Unsure whether you need a standard or custom certificate? The table below clarifies the key differences to help you choose the right option.

Feature Standard certificate Custom letter
Format Templated, proven wording Individually drafted by a GP
Best for Sick notes, fit-to-fly, sports medicals, recovery certificates Unusual employer forms, legal documents, visa requirements, complex conditions
Clinical review Yes, individual GP review Yes, individual GP review
Wording Fixed, standardised Drafted around your situation, within what the doctor can clinically support
Form completion Not applicable Yes, upload your form for GP completion
Draft review included Not applicable Yes, one round of edits at no extra cost
GMC-signed and verifiable Yes Yes
Refund if not issued Yes, full refund Yes, full refund

Browse our standard certificate categories to see if your situation is already covered. If not, a custom letter is the right choice.


What Medical Evidence We Need

The strength of your custom certificate depends on the quality of evidence you provide. The reviewing GP uses everything you upload to draft a clinically sound letter tailored to your situation.

Typical evidence types include:

GP or Hospital Letters

Existing correspondence from your GP, hospital, or specialist confirming your health condition, diagnosis, or clinical opinion. These carry significant weight in the reviewing GP's assessment.

Discharge Summaries

If you have been hospitalised or attended a clinic, the discharge summary provides detailed clinical information that informs a more precise custom letter.

Test Results and Imaging

Blood tests, scans, X-rays, ultrasounds, or other diagnostic results that objectively confirm or support your health situation.

Prescription Records

Current and historical prescriptions demonstrate ongoing medical treatment and support the clinical narrative around your condition.

Diagnosis Letters

Formal diagnosis or condition confirmation from a specialist, therapist, or consultant relevant to your request.

Pre-Made Forms

If your employer or institution has sent you a form for a GP to complete and sign, upload it directly. The reviewing GP will complete the sections that require clinical input if the information supports doing so.

The more comprehensive your evidence, the more detailed and clinically robust the custom certificate can be. If evidence is limited, the reviewing GP may contact you for clarification before proceeding.


How We Create Your Custom Certificate

Unlike automated or templated services, each custom certificate involves individual clinical review. Here is exactly how the process works from start to finish.

1

Describe Your Requirement

Complete a short online questionnaire explaining what you need the custom certificate for. Include details about your employer, insurer, institution, or the specific form you need completed. The clearer your explanation, the better the GP can judge what they are able to certify.

2

Upload Your Medical Evidence

Provide medical documentation supporting your request. This might include GP letters, test results, hospital discharge summaries, diagnosis letters, prescriptions, or the form itself if you need it completed and signed. Upload everything relevant to help the GP understand your situation fully.

3

GP Reviews and Drafts Your Letter

A GMC-registered doctor reviews your questionnaire and evidence individually. No automation, no templates. They assess whether the letter is clinically appropriate and draft a custom document tailored to your specific needs, employer requirements, or form specifications.

4

Review the Draft and Request Changes

We send you the draft for review. If you would like minor edits such as additional detail or different emphasis, let us know. Reasonable changes are made at no extra cost. Edits change how the clinical opinion is expressed, not what it says: the doctor will not add a statement your evidence does not support.

5

Receive Your Signed Certificate

Once approved, the GP signs the letter. You receive a verified PDF with a unique reference number and QR code for verification. Most requests are delivered the same day. Most are delivered by 9AM the next morning.

Request my custom certificate

Individual GP review  |  Most issued same day  |  Full refund if we cannot issue


Cost and Turnaround

Custom medical certificates are priced to reflect the individual clinical review and bespoke drafting they involve.

Standard Delivery

  • Price: £87
  • Delivery: Most certificates issued same day. Most delivered by 9AM the next morning.
  • Included: Individual GP review, custom letter drafting, QR code verification, one round of edits at no extra cost

If the reviewing GP determines there is insufficient clinical basis to issue the certificate, you receive a full refund. No questions, no conditions. You can submit your request with confidence knowing there is no financial risk if the GP cannot help.


Will Third Parties Accept Your Custom Certificate?

A custom certificate is a private medical document signed by a GMC-registered UK doctor after individual clinical review. Every certificate is signed by a qualified clinician, includes your name, the clinical opinion, the doctor's GMC registration number, and a unique reference number with QR code for independent verification.

What MedicalCert provides: a letter drafted and signed by a GMC-registered doctor after individual clinical review, carrying that doctor's GMC number and a verification reference any recipient can check.

What the receiving party decides: Your employer, insurer, visa authority, or other institution makes the final decision on acceptance based on their own policies. Some have specific wording requirements we cannot predict in advance. Where you know their requirements, include them in your questionnaire and the GP will address them where the clinical evidence supports doing so.

Check your institution's policy before submitting, and ask them what wording or clinical detail they require. Tell us in the questionnaire, and the reviewing doctor will address those points as far as the clinical evidence allows, and will tell you where something cannot be certified.

Learn more about how our doctors assess and verify certificates.


What Your Certificate Will Include

Every custom medical certificate is a professional signed PDF document containing the following elements, each verifiable by the receiving party.

Your Certificate Includes

  • Your details: Full name, date of birth, and address
  • Condition or situation: The specific health issue, circumstance, or requirement the letter addresses, as recorded by the reviewing doctor
  • Clinical opinion: The GP's assessment based on your submitted evidence, including relevant medical detail and any recommendation
  • GP signature: Signed by the GMC-registered doctor who reviewed your case
  • GMC registration number: The doctor's registration number, allowing third parties to verify their qualification on gmc-uk.org
  • Unique reference number: A code unique to your certificate for tracking and verification
  • QR code: Scannable code linking to your certificate's verification record for instant confirmation by any receiving party

Frequently Asked Questions

A custom certificate is individually drafted by a GP for your specific requirements, whereas a standard certificate uses a proven template for common situations. Standard certificates cover scenarios like sick notes, fit-to-fly letters, and sports medicals with fixed wording that has established acceptance. Custom certificates are tailored to unusual employer forms, legal language, non-standard health situations, or any requirement that a template cannot address. Both are signed by a GMC-registered doctor after individual clinical review. Choose a standard certificate if your situation matches an existing category, and custom if it does not.

Yes. Form completion is one of the most common uses of the custom certificate service. Upload the form along with your medical evidence and the reviewing GP will complete the sections that require clinical assessment or signature, where clinically appropriate. If further clarification is needed, the GP will contact you directly before proceeding. This applies to forms from employers, sporting bodies, educational institutions, insurers, and other organisations requiring a GP signature.

You need a custom certificate if your situation does not match one of our standard certificate categories, or if the receiving party has specified requirements that a templated certificate cannot meet. Common indicators include: you have been sent a form for a GP to complete and sign; your employer has requested specific wording; your health condition is not covered by our standard certificate range; or you are unsure whether a standard certificate will satisfy the requirement. When in doubt, request a custom letter. The reviewing GP will assess clinical appropriateness during review.

Custom certificates are signed by a GMC-registered doctor after individual clinical review, with the doctor's registration number and a QR verification code included. Final acceptance depends on your employer's own policy. Some employers accept any doctor-signed letter; others have specific requirements. If you know what your employer needs, include those requirements in the questionnaire and the GP will address them where the clinical evidence supports doing so. If you are uncertain, check your employer's policy before submitting.

There is no fixed evidence requirement, but more documentation enables a more detailed and clinically robust certificate. Common evidence types include: GP or hospital letters, discharge summaries, test results, prescriptions, diagnosis letters, clinic notes, and any relevant medical documentation. If you have limited evidence, the reviewing GP may contact you for additional information before completing the letter. Upload everything you have that relates to your situation and health condition.

Yes. One round of edits is included at no extra cost. We send you the draft certificate for review before it is signed. If you would like changes, for example additional clinical detail or different emphasis, let us know and we will make the edits. The doctor certifies their own clinical opinion, so edits adjust how that opinion is expressed rather than what it says, and a statement the evidence does not support will not be added. Once you approve the draft, the GP signs it and the final PDF is delivered to you.

Most custom certificates are reviewed and issued the same day you submit them. Most are delivered by 9AM the next morning. Each request is reviewed individually by a GP, not processed automatically. Actual turnaround depends on the complexity of the request and the time of submission, but requests are prioritised and not held in a queue. The draft review stage does not add delay for straightforward requests.

You receive a full refund if the reviewing GP determines there is insufficient clinical basis to issue the certificate. No questions, no conditions, no delay. Clinical integrity is not compromised to complete a sale. This means you can submit your request without financial risk. If the GP cannot help, you will be informed clearly and the refund will be issued immediately.

Custom certificates can be used abroad, but acceptance is decided by the employer, insurer, authority or overseas body receiving them, and requirements vary by country. Check what the recipient needs before ordering. Some countries require a specific form, an in-person examination, or the document to be legalised with a Hague Apostille from the FCDO Legalisation Office. MedicalCert does not arrange legalisation. You apply for it yourself at gov.uk/get-document-legalised after you receive your certificate.

Every certificate includes a unique reference number and a QR code. Third parties can scan the QR code to access the verification record, or contact us at verify@medicalcert.co.uk with the reference number for written confirmation. Verification is free and available to any receiving party. They can also verify the signing GP's registration and qualification directly through the GMC register at gmc-uk.org.


Standards and Guidance Referenced

The UK regulatory standards and official guidance referenced on this page:

📚 Referenced sources

  • 📋 General Medical Council (GMC), registers and regulates all doctors practising in the UK. The GMC registration number included on every certificate allows third parties to verify the issuing doctor's qualification independently. gmc-uk.org
  • 📋 Good Medical Practice (GMC, 2024), the GMC's core guidance on professional standards for UK doctors, including requirements for honesty, clinical integrity, and accurate record-keeping that govern all certificates issued by MedicalCert GPs.
  • 📋 Hague Convention Apostille, GOV.UK, the official UK process for legalising documents for use in countries that require Apostille certification. Relevant for custom certificates intended for international use. gov.uk/get-document-legalised
  • 📋 Statutory Sick Pay (Medical Evidence) Regulations 1985 (SI 1985/1604), the regulations setting out the medical statements used as evidence of incapacity for Statutory Sick Pay. Employers decide what evidence they accept for their own absence policies. legislation.gov.uk/uksi/1985/1604
  • 📋 NHS Med3 Fit Note guidance, GOV.UK, the official description of when an NHS Fit Note is required versus a private medical certificate. Custom MedicalCert certificates are private documents; Med3 Fit Notes are required for statutory benefit claims. gov.uk/government/collections/fit-note

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Reviewed by Dr Maria Knobel

Medical Director, MedicalCert · GMC 7495073 · Last updated: 4 September 2026