Apply For A Doctors Note for University, College or School

Apply For A Doctors Note for University or College

Please fill in the medical questionnaire below and one of our doctors will review the information submitted. Once approved, your medical note will be sent to your email address. If we are unable to provide you with a note, you will be issued with a full refund. If you need any support, please reach out to us at info@merlinhealth.co.uk - you can expect a same-day response.

Please enable JavaScript in your browser to complete this form.

IMPORTANT

(1) Before filling in this application, you agree that you fully understand that Merlin Health is NOT an emergency or medical consultation service, and should you require urgent medical attention or a medical consultation, you should contact your GP, attend your nearest A&E, or call 999.

(2) 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 *

I have read the above terms and accept them

Your Details

Name *

First

Last

Mobile Number *

Email *

Your letter will be sent to this email address

Sex *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth *

Your Role (e.g. undergraduate student) *

Which course or subject do you study? *

Name of Educational Institute *

About your Symptoms, Sickness or Condition

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

Sick Leave
Extenuating or Mitigating Circumstances
Exam Support
Other

When did your sickness period or problem start? *

Current Health Status *

Are your symptoms ongoing, partially recovered or fully recovered?

When did your sickness period or problem end?

Please leave blank if sickness is ongoing

Please describe your symptoms or medical issue, and the impact they have had on your studies *

Have you sought advice from your GP, A&E or another healthcare professional for this issue? *

If yes, who with or where did you seek medical attention? (e.g. GP, A&E etc) *

If yes, please give us further information about what happened during this consultation: *

Can you provide us with any documents confirming that you sought medical attention? (e.g. GP health record, clinic letter, NHS App screenshot etc) *

Please upload this here: *

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

If you selected no, why have you been unable to seek medical attention for this issue? *

When would you like your sick note to start? *

Please note: We can recommend sick leave beginning up to 14 days before today's date. We can not forward date a sickness letter.

When would you like your sick note to end? *

Please note: we can recommend a maximum of 28 days sick leave at a time.

If you selected extenuating or mitigating circumstances, please give us some further detail here: *

Please ensure you give us sufficient detail on how these mitigating circumstances have impacted your studies and ability, and if possible, a timeline of events.

If you selected exam support, please give us some further detail here: *

Please ensure you give us sufficient detail on why you think you need exam support

If you selected Other, please give us some further detail here: *

Please ensure you give us sufficient detail about why you need this letter

Anything Else? (Optional)

Would you like us to know anything else before you submit your application? (Optional)

Please leave this blank if you have nothing further to add

Would you like to upload any pieces of information to support your application? (Optional)

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

Please leave this blank if you have nothing further to add

Identification Confirmation

Please upload a clear IMAGE of your educational institute ID (e.g. student card) *

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

Please upload a clear IMAGE of your PASSPORT or DRIVING LICENSE to verify your identity *

Click or drag files to this area 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 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 *

I have read and agree to the Terms and Conditions listed above

Checkout

Doctors Note for University or College

Price: £45.00