Application Form | Private Doctor's Sick Note

Before completing this application, you acknowledge that Merlin Health is NOT an emergency or medical consultation service. If you require urgent medical care or a medical consultation, please contact a healthcare professional, visit your nearest emergency department, or call emergency services in your area.

Before filling in this application, you confirm that you are NOT unwell with any of the following symptoms: thoughts of suicide, self harm or harm to others, inability to swallow, face drooping on one side, slurred speech, unable to hold up both arms, weakness or numbness down one side, chest pain or tightness, difficulty breathing, heavy bleeding or severe injuries.

Please confirm that you have acknowledged and agree to the above terms

Your Details

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

Who do you need this sick note for?

Is this Sick Note for your Workplace?

What do you need this sick note for?

Please select one of the options below:

Identification Confirmation

Drag & Drop Files, Choose Files to Upload You can upload up to 100 files.

Anything Else? (Optional)

Drag & Drop Files, Choose Files to Upload You can upload up to 100 files.

Terms and Conditions

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

(1) You have comprehended the questions in the questionnaire and answered them honestly.

(2) The requested letter is solely for the individual with the provided name and details.

(3) You are aware that Merlin Health is not a replacement for a doctor's visit, nor is Merlin Health your primary doctor or GP, and healthcare professionals at Merlin Health are unable to access your NHS or regular GP medical records.

(4) You are aware that Merlin Health facilitates access to private medical letters and DOES NOT issue MED3 notes, which are obtainable through your NHS GP for UK government benefits.

(5) You are aware that Merlin Health cannot complete additional forms requested by your workplace, educational institution, or any other interested party.

(6) You are aware that at Merlin Health, we do not offer a diagnosis, consultation or treatment service. No liability is accepted for any adverse events affecting you or any other party at any point in time.

(7) You agree to absolve both Merlin Health and our doctors of any liability for any adverse events affecting you or any other party at any point in time.

(8) You are aware that Merlin Health is unable to process refunds once our doctor has reviewed your request and you've been sent a letter written by them.

(9) You are aware that if an employer or third party does not accept or rejects a Merlin Health letter or certificate, for any reason, neither Merlin Health nor our Doctors are responsible for any costs incurred.

(10) You are aware that a workplace sickness note can be issued for a maximum of 14 days.

(11) You agree to consult with your regular doctor, GP or nearest Emergency Department for further medical advice regarding the medical issue you have described today.

Agreement to Terms and Conditions

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Price: £49.00