Request a Letter

Please use this form to request a letter from the practice. 

The preparation of these letters or reports is not covered by the NHS. The GP must complete them during their own time and as such there is a fee payable. You will be notified of the fee for the type of letter you are requesting. As a minimum, a simple letter will cost £15; the fee may increase up to £55 if it is a more complicated letter or report. 

Once submitted, your request will be reviewed by our administration team and then passed onto the GP. The GP reserves the right to deny a request for a letter depending on the information you provide and you will be notified if that is the case. You may be contacted if the GP requires more information. Please note, private letters do not take priority over NHS work and it may take some time to prepare. Please allow at least two weeks when submitting your request. 

"*" indicates required fields

DD slash MM slash YYYY
Address*

Disclaimer

The information you provide in this form will be processed by Cedar Practice. The information will be treated as confidential and stored in a secure data centre located in the UK. The information will be uploaded to your record in the practice’s clinical system as soon as possible after submission, after which the copy of your information in the data centre will be securely destroyed.

Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of providing this information.

The information you provide will be processed with the sole purpose of providing you with Direct Care within the surgery and in support of Direct Care elsewhere. Our Privacy Policy provides further detail about how we process your personal information for the purposes of Direct Care.

You have the right to revoke this Consent to the terms laid here, in writing, signed by you. However, such a revocation shall not affect any disclosures we have already made in reliance on your prior Consent.

This field is for validation purposes and should be left unchanged.