Request for a private letter / medical form (NON NHS)
For emergencies or urgent help please click here
Contact the practice to request a letter / form (fee applies for private work outside NHS)
Before you start
- Your practice will aim to respond to your query within 2 working days.
- If your query is not submitted, no details will be sent to your GP.
- You must be over 16 to use this service, although you may use this service to contact the practice about a person you care for who is under 16.
- You must be registered as a patient with Dr Samuel and Dr Khan Practice.
- I am resident in, and am currently in, the UK.