Order

a

Medical

Certificate

Apply for a Medical Certificate of Good Health (IHR 2005)

Please complete the form below to provide your personal details and answer the required health-related questions. If you have any relevant medical records, you can upload them to support your application. These appointments are conducted exclusively online with a GP via a secure video consultation.

Once you submit your details, our team will review your request, and a doctor will assess your information. Your appointment will only be confirmed once you receive an email from us with the consultation details and the secure video link. If you have any questions, feel free to contact us.

Get in touch

Name *

First

Last

Email *

Phone number *

Address *

Address Line 1

City

State / Province / Region

Postal Code

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

Dropdown Items *

Tell us when you are available for your video GP appointment (Monday-Sunday, 8:00am-10:00pm, UK timezone) *

Date

Time

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.

Please let us know if you are submitting a medical record *

Yes, I am submitting my medical record.
I will submit my medical record later.
I want a Medical Certificate without a medical record.
I don't know how to/I can't get the medical record.
Other, I will explain once you (The Healthify) contact me.

Do you need help with the Apostille and translation to Spanish for your Medical Certificate? *

Yes, please email me the details
No, thank you
I am not sure, send me more information

Submit your Medical Record

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.

Submit a copy of your passport

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.

Do you have or have you had serious infectious diseases in the past 5 years? *

Example:

Are you under medical treatment for a chronic disease? *

Is there any other medical condition or anything else we need to be aware of?

Stripe Credit Card *

Credit Card field is disabled, Stripe keys are missing.

Consent Statements

Personal information *

I confirm that I am the patient and declare that I have read and understand the questionnaire above

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.

Medical information *

I consent to clarification of the medical information with my treating medical practitioners, GP and/or specialists involved in my health if necessary.

Submitted information *

I confirm I have not knowingly withheld any relevant information and it has not been has not been edited in any way. I confirm I have answered all questions honestly, correctly and completely.

Residence Permit *

I understand that incorrect or misleading statements or omissions may result in invalidation of my residence permit in Spain.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.