Study Sick Leave Medical Certificate

Main Reason 8% complete

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What’s the reason you need time off?

Pick the closest match — you can add details on the next step.

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Or type your reason:

Please select a reason for your medical letter

About your symptoms

Tell us when your symptoms started and how they’re affecting you.

Start date of symptoms *

Please enter when your symptoms started

Current condition status *

Ongoing — still experiencing symptoms Partially Recovered — improving Recovered — fully better

Please select your condition status

Describe your symptoms *

Brief bullets are fine. Include what’s affecting your ability to study or attend.

Please describe your symptoms

Previous certificate?

Have you had a previous medical certificate from MedicalCert?

Previous certificate from MedicalCert? *

Please select Yes or No

Any treatments or investigations since your last submission? *

Please describe treatments or investigations

Wellbeing check

These questions help our doctor assess safety. Your answers are confidential.

In the past month, have you had thoughts of suicide? *

Please select Yes or No

Have you ever made a suicide attempt? *

Please select Yes or No

Are you having thoughts of suicide right now? *

Please select Yes or No

⚠️ If you’re in crisis right now, please get urgent help

Call 999 or go to your nearest A&E if you feel unsafe.

Samaritans: 116 123 (free, 24/7). Text SHOUT to 85258.

You can still submit this form — our doctor will review your case with priority.

Your studies & certificate dates

Tell us about your educational institution and the dates you need covered.

Educational institution *

The name of your university, college, or school.

Please enter your educational institution

Certificate start date *

Please enter your certificate start date

Certificate end date *

Please enter your certificate end date

Your details

Tell us about yourself so we can prepare your certificate.

First name *

Please enter your first name

Last name *

Please enter your last name

Date of birth *

Please enter your date of birth

Sex *

Please select your sex

Pregnancy or breastfeeding

This helps us advise on any medication or treatment appropriately.

Are you pregnant or breastfeeding? *

Please select Yes or No

Pregnancy / breastfeeding details *

Please provide details

Have you sought medical care for this?

Please tell us if you’ve seen a GP or attended A&E for this condition.

Sought medical care from GP or A&E before? *

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

Please select one option

Treatment administered *

Please describe the treatment administered

Upload A&E discharge summary (optional but helpful) If you have it, upload your A&E discharge letter so our doctor can review the details.

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

General health

Please provide any additional health information for our doctor.

Any underlying health issues or past medical history?

Include past or current medical conditions and anything your doctor would want to know. Brief bullets are fine.

Regular medication (if any)

Contact details

We’ll send your certificate to this email address.

Email address *

Please enter a valid email address

Phone number *

Please enter your phone number

Your mental health condition

One quick question so we know what evidence to ask you for.

Do you have an existing diagnosis or documentation of your mental health condition? *

Please select Yes or No

We’ll ask you to complete two short standard questionnaires (GAD-7 and PHQ-9) on the next step so the doctor can assess your condition.

Supporting documents

Upload documents now, or email them to us after submitting.

Send to certificates@medicalcert.co.uk with your submission reference.

or upload now

🩺 Medical evidence (if available)

✓ Questionnaire completed — results will be sent with your submission.

📄

Tap to upload or drag & drop

JPG, PNG, PDF, MP4 — max 10MB

🪪 Photo ID

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Tap to upload or drag & drop

JPG, PNG, PDF — max 10MB

Diagnostic Questionnaire

Please complete the following mental health questionnaires so that our doctors may better assess your condition.

These are standard clinical screening tools (GAD-7 and PHQ-9). Your answers are confidential and reviewed only by your doctor.

⚠️ Please answer all questions before continuing.

Review your details

Please check everything is correct before proceeding to payment.

✓ Your answers have been saved. Expand any section to check details before paying.

I confirm that the information I have provided is accurate and complete to the best of my knowledge.

I consent to Medical Cert storing and processing the information I have submitted, including health information, in order to provide this service.

I understand that Medical Cert is unable to process refunds once a medical letter has been written and sent to me.

I request that the clinical review begins immediately and I acknowledge that I will lose my right to cancel once the service has been fully performed.

I agree to the Terms and Conditions (https://medicalcert.co.uk/terms-and-conditions/) and Privacy Policy (https://medicalcert.co.uk/privacy-policy/).

Disclaimer
Any medical certificate is void if information is later discovered to have been falsely disclosed or deliberately withheld. The certificate represents the doctor’s considered opinion based on the information available. It does not guarantee fitness or any specific outcome. Nothing in this disclaimer excludes or limits liability that cannot lawfully be excluded.

I have read and agree to the Terms and the Disclaimer above. *

You must agree to the Terms and the Disclaimer to continue

Payment

Study Sick Leave Medical Certificate £49

📧 Certificate delivered to

Please tick the consent box on the review step before paying.

Name on card

Card details

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Study Sick Leave Medical Certificate

What’s the reason you need time off?

About your symptoms

Previous certificate?

Wellbeing check

⚠️ If you’re in crisis right now, please get urgent help

Your studies & certificate dates

Your details

Pregnancy or breastfeeding

Have you sought medical care for this?

General health

Contact details

Your mental health condition

Supporting documents

Diagnostic Questionnaire

Review your details

Payment

Consultation Submitted!