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Medical report, letter or medical records request

Medical Report, Letter or Medical Records Request

Your request

Is this regarding a new request or an existing request?

Most reports, letters and Subject Access Requests take time to process.

Please only use this form if:

  • you submitted your request more than one calendar month ago, and
  • you have not received an update from the practice
How did you submit your request?
Confirmation
What are you requesting?

ImportantImportant:

Horizon Healthcare does not provide letters in support of requests to move property due to health or housing circumstances.

As we are unable to provide the evidence required for these requests, please do not continue with this form.

If your housing provider requires evidence regarding your suitability for accommodation, they will normally arrange their own assessment process.

Please contact your housing provider, housing association or local authority directly.

ImportantImportant:

Horizon Healthcare does not provide Occupational Health assessments.

Please do not continue with this form, as we are unable to provide Occupational Health reports or assessments.

If you require an Occupational Health assessment, please speak to your employer, who can arrange this through the appropriate Occupational Health service.

ImportantImportant:

Horizon Healthcare does not provide supporting letters or medical reports for benefit claims.

Please do not continue with this form.

The Department for Work and Pensions (DWP) and other benefit agencies will contact the practice directly if medical information is required.

Please contact the organisation dealing with your claim directly.

Registration letter

Registration letters are available on request and are subject to a charge.

Registration letters are usually used to confirm that you are registered with Horizon Healthcare.

Who requires the letter?
Please provide the full name of the organisation, company or individual the letter should be addressed to.
For example, confirmation that I am registered with the practice, my registered address, the date I registered, or my NHS number.

Important information

Registration letters will normally be provided electronically to the email address supplied on this form.

If you require a paper copy, printing charges apply.

Current printing charge: 50p per page.

Information

We will review your request and contact you regarding any applicable fees before work is undertaken.

Subject Access Request (SAR)

Under UK data protection legislation, you are entitled to request access to your medical records.

Important information

Your first copy of the requested information is provided free of charge.

Records will normally be supplied electronically via secure email where possible.

Printed copies are not routinely provided.

Printed copies may incur a charge where permitted by legislation due to printing and administration costs.

Current printing charges are 50p per page.

Please ensure you keep a copy of any records supplied to you.

Repeat Requests

If you have previously received a copy of your records, further requests for the same information may be subject to a reasonable administrative charge where permitted by legislation.

For example, if you request your full medical record in November and receive a copy, then request your records again in January, we would normally only provide records created between November and January.

Requests for duplicate copies of information already supplied may be chargeable.

What records would you like?
For example, 31/3/1980
For example, 31/3/1980
For example, hospital letters, referral letters, consultation notes, vaccination records or medical reports.

Insurance report

Insurance reports are not NHS-funded services and are usually chargeable.

We will review your request and contact you regarding any applicable fees before work is undertaken.

Travel letter

Travel letters and reports are not NHS-funded services and may be chargeable.

We will review your request and contact you regarding any applicable fees before work is undertaken.

Firearms application

Firearms reports are not NHS-funded services and are chargeable.

We will contact you regarding fees and the next steps before any work is undertaken.

Have you received documentation from the police force?

Please upload the documentation using the file upload below.

HGV or Taxi medical

HGV and Taxi medicals are not NHS-funded services and are chargeable.

We will contact you regarding fees, appointment availability and the next steps.

Which medical do you require?
Have you been provided with a medical form?

Please upload the form using the file upload below.

Adoption or fostering assessment

Adoption and fostering assessments are not NHS-funded services.

We will review your request and contact you if further information or fees are required.

Solicitor or legal request

Solicitors should normally contact the practice directly with your written consent.

Medical evidence for a third party

Where possible, organisations should contact the practice directly with your consent.

Employer request

Requests from employers may be chargeable depending on the information requested.

We will review your request and contact you if a fee applies.

Completion of a third party form

Completion of third-party forms is not usually part of NHS contracted services and may be chargeable.

Please upload the form and provide as much information as possible.

General medical report

Medical reports are not usually part of NHS contracted services and may be chargeable.

We will review your request and contact you if a fee applies.

About the request

Please provide as much detail as possible.
Please tell us exactly what information has been requested and what the report, letter or form is intended to support.
Has the organisation provided a form requiring completion?

Please upload the form using the file upload below.

Is there a deadline?

Please note that we may not always be able to meet requested deadlines.

Supporting documents

Please upload any supporting documents relevant to your request.

Examples:

  • Forms requiring completion
  • Insurance documents
  • Solicitor correspondence
  • Employer documentation
  • Letters requesting information

Maximum file size: 67.11MB

Confirmation