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Orchard Medical Centre NHS GP Surgery in Kingswood, South Gloucestershire

Medical report request

Medical Report Request

Section

Named GP (if known):

What type of medical report do you require?

Letter – £30

Form to be completed – £30

Holiday Cancellation Form – £30

Signature Only – £30

Medical (HGV/Taxi) – £130

Fostering Forms – £90

Copy of Medical Records Only – Free

Insurance Forms – from £135

Power of Attorney – from £60

Other

Please specify:

Why do you need this report?

I give my consent for SMS text messaging *

Yes

I understand that my request will not be processed until the practice has received any necessary payment.

Note: We will respond to you once received and we require payment. Our reply will have all the necessary details.

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Macdonald Walk
Kingswood
South Gloucestershire
BS15 8NJ

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0117 980 5100

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