Application Form | Doctor's Note For University
Please enable JavaScript in your browser to complete this form.

Section 1: Your Details

Full Name
Your note will be sent to this email address
Address
Date of Birth

Section 2: Medical Issue

Please select why you need this medical letter (you can select more than one option)

Section 3: Identity Verification

Click or drag files to this area to upload. You can upload up to 100 files.
Click or drag files to this area to upload. You can upload up to 100 files.

Section 4: Additional Documents

We can complete and sign any extra documents that are needed by your educational institute. There is a one-time fee of £25 for any additional forms that require signing. If you have any questions about this, feel free to email us at hello@wilmerhealth.com, and you’ll receive a response within just a few hours.

Do you have any other documents that need to be signed?

Section 5: Anything Else? (Optional)

Terms and Conditions

Upon submitting your application, you acknowledge our Terms and Privacy Policy and consent to the following:

  1. You confirm that you have understood and answered all questions in the application truthfully and accurately.
  2. The requested medical letter is issued solely for the individual whose name and details have been provided.
  3. You understand that Wilmer Health is not a substitute for a visit to your GP or primary doctor, and our healthcare professionals do not have access to your medical records.
  4. You acknowledge that Wilmer Health provides private medical letters and does not issue MED3 Fit Notes, which must be obtained through your NHS GP for UK government benefits.
  5. You understand that Wilmer Health does not offer diagnostic, consultation, or treatment services, and we accept no liability for any adverse events affecting you or others.
  6. You agree to release both Wilmer Health and our doctors from any liability related to adverse outcomes affecting you or others at any time.
  7. You understand that once our doctor has reviewed your request and issued a letter, no refunds will be available.
  8. You acknowledge that if a third party or employer rejects the letter provided by Wilmer Health, neither the company nor its doctors are liable for any related costs.
  9. You agree to seek further medical advice from your GP, regular doctor, or nearest Emergency Department regarding the health issue described in your application.
Agreement to Terms and Conditions

Checkout

Checkout securely below