Medical assessment form

Medical assessment form

Medical assessment form for your Medical Certificate as required for your Visa application.

We will post your Medical Certificate with Royal Mail to this address. We operate and post certificates only within the UK.

NOTE:
We will try our best to accommodate same day GP appointments. We will email you the link to attend the video call with the doctor.
If the slot is not available, we will provide you with an alternative time slot for your online GP appointment. In case you are not sure about your availability, you can inform us through email once we send you the appointment link. The duration of the appointment is about 15 minutes.


Click or drag a file to this area to upload.

How to get your medical record:

Contact your GP to request your Medical History
You still can apply for the Medical Certificate without a Medical History. The Healthify GP will take your medical history during your video consultation.


Click or drag a file to this area to upload.

Submitting a copy of your passport is optional. If you want your passport number and details on the certificate, please attached a copy here. This is optional but recommended.

Please answer the below questions related to your medical history.

Example:

Consent Statements

I confirm that: 1) I am the patient (or) their legal guardian/representative/parent, 2) the details entered are true and correct to the best of my knowledge, 3)and the medical record/passport or any other documents submitted are an original and has not been edited in any way.

£89.00