Immigration Medical London: TB Test, Visa Medical, and ILR Health Assessment
Last updated: March 2026
The Online GP by The Wellness
The Online GP by The Wellness provides immigration medical assessments, TB screening, visa medicals, and medical reports for UK visa and immigration applications. Appointments are available same-day or within 24 hours, seven days a week. Immigration medicals including TB screening and certificate start from £350. Detailed medical reports for immigration cases start from £495. All assessments are conducted by GMC-registered doctors. Results and certificates are typically issued same-day. All cases are accepted at the complete discretion of the clinic, and final charges are determined by the assessment requirements.
WhatsApp us to book an immigration medical | Call 020 3951 3428 | Email team@thewellnesslondon.com
What is an immigration medical and who needs one?
An immigration medical is a health assessment required by UK Visas and Immigration (UKVI) as part of certain visa applications. The purpose is to confirm that the applicant does not have a health condition that poses a public health risk, particularly active pulmonary tuberculosis, and to assess fitness for entry or settlement.
Under current UKVI rules, a TB test certificate is required for visa applicants who are nationals of, or have recently lived in, any of the countries on the Home Office's designated list. This list includes over 100 countries across Africa, Asia, South America, and parts of Eastern Europe. The TB test must be conducted before the visa application is submitted and the certificate must be included with the application.
Applicants who may need an immigration medical include those applying for a settlement visa (spouse, partner, family reunion), Indefinite Leave to Remain (ILR), student visas from designated countries, work visas from designated countries, asylum seekers and those with pending human rights claims, and anyone whose visa application requires evidence of health status.
The Online GP by The Wellness conducts immigration medicals at our Marylebone clinic, with same-day appointments and same-day certificates in most cases.
Visa deadline approaching? WhatsApp us for a same-day appointment.
TB test for UK visa applications
The TB test is the most common immigration health requirement. UK Visas and Immigration requires applicants from designated countries to provide a certificate confirming they are free from active pulmonary tuberculosis before their visa can be processed.
What the TB test involves. The standard screening for immigration purposes is a chest X-ray, which is reviewed by a doctor to check for signs of active pulmonary TB. If the chest X-ray is normal, a TB certificate is issued confirming the applicant is clear. If the chest X-ray shows abnormalities suggestive of TB, further testing (sputum samples for culture and PCR) may be required. The Online GP arranges same-day chest X-rays at partner imaging facilities in central London, with results available within hours.
TB certificate requirements. The certificate must state the applicant's name, date of birth, and passport number. It must confirm that the applicant has been screened for active pulmonary TB and found to be clear. It must include the date of the test, the doctor's name, GMC registration number, and clinic details. The certificate is valid for six months from the date of issue.
Which countries require a TB test for UK visa? The Home Office maintains a list of over 100 countries. Major countries on the list include India, Pakistan, Bangladesh, Nigeria, Ghana, Kenya, South Africa, China, the Philippines, Thailand, Vietnam, Indonesia, Egypt, Sudan, Somalia, Ethiopia, and many others across Africa, Asia, and South America. If you are unsure whether your country is on the list, WhatsApp us and our team can confirm.
ILR medical assessment (Indefinite Leave to Remain)
Applicants for Indefinite Leave to Remain (ILR) may be required to demonstrate that they meet the health requirements of the Immigration Rules. While not all ILR applications require a medical, some routes and circumstances do, particularly where a previous visa was granted subject to health conditions, or where UKVI specifically requests a medical assessment.
The ILR medical assessment at The Online GP includes a general health assessment by a GMC-registered doctor, review of vaccination history, TB screening if applicable, and a written medical report confirming the applicant's health status in the format required by UKVI.
Medical reports for immigration and asylum cases
Immigration cases beyond standard visa applications may require detailed medical reports. These are substantively different from a TB certificate, requiring thorough clinical assessment and professionally structured medical documentation.
Medical reports for asylum claims and human rights cases. Where an applicant's medical condition is relevant to their claim, a medical report documenting injuries, scars, or psychological conditions consistent with the claimant's account may be required. In appropriate cases, reports may reference the Istanbul Protocol (the UN Manual on Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment). These reports must be factual, objective, and clearly distinguish between the doctor's clinical findings and their professional opinion.
Medical reports for immigration bail. Where a detainee's health is relevant to bail applications or challenges to removal, a medical report documenting current health status and the potential impact of continued detention or removal on the applicant's health.
Medical fitness-to-travel assessments. Where immigration removal requires medical clearance, or where an applicant needs to demonstrate that travel would pose a health risk.
Medical reports for visa extensions and appeals. Supporting evidence for applications to extend a visa on health grounds, or for appeals against visa refusals where health is a relevant factor.
All immigration medical reports are prepared by GMC-registered doctors and comply with the standards expected by the Home Office, immigration judges, and the First-tier Tribunal (Immigration and Asylum Chamber).
Need a medical report for an immigration case? WhatsApp us to discuss.
How much does an immigration medical cost in London?
Immigration medical pricing reflects the clinical assessment, documentation, and any investigations required. All fees are confirmed before the appointment proceeds.
TB screening and certificate from £450. Includes GP assessment, arrangement of chest X-ray at a partner facility, review of results, and issuance of TB certificate. Chest X-ray cost is included.
Standard immigration medical (health assessment, TB screening, and written medical report for UKVI) from £595. Includes consultation, screening, and same-day documentation.
ILR medical assessment from £595. Includes health assessment, vaccination history review, TB screening where applicable, and written report.
Detailed immigration medical report (for asylum, human rights, bail, or appeal cases) from £750. Includes detailed clinical assessment and a structured medical report compliant with tribunal standards. Complex cases involving multiple conditions or requiring extensive documentation from £1,250.
Expedited same-day service. Standard appointments are available same-day. For cases requiring rapid turnaround on complex reports, a 50% expedited supplement may apply.
Solicitors and legal representatives can instruct us directly for immigration medical reports. WhatsApp or email team@thewellnesslondon.com with your letter of instruction.
Multilingual immigration medical service
The Online GP's doctors consult in English, Arabic, Spanish, French, and Dutch. For immigration medical assessments, we understand that many patients may not be fluent in English, and clear communication during a medical assessment is essential for accurate documentation. Our multilingual doctors ensure the assessment is conducted in a language the patient is comfortable with, and that the medical report accurately reflects the patient's account.
For patients who speak other languages, a professional interpreter can be arranged. Please let us know when booking.
The process
1. Contact us.WhatsApp, email team@thewellnesslondon.com, or call 020 3951 3428. Tell us what type of immigration medical you need, which visa you are applying for, and any deadline.
2. Bring documentation. To your appointment, bring your passport, any previous medical records relevant to the assessment, your visa application reference number if available, and any correspondence from UKVI or your solicitor specifying the medical requirements.
3. Assessment. A GMC-registered doctor conducts the medical assessment at our Marylebone clinic. For TB screening, a chest X-ray is arranged at a partner imaging facility nearby, with results returned within hours.
4. Certificate or report issued. TB certificates are typically issued same-day. Standard immigration medicals and ILR assessments are issued same-day. Detailed immigration reports for asylum, bail, or appeal cases take three to five working days.
Book your immigration medical now.
Important information
All assessments and reports are at the sole discretion of the assessing doctor. The doctor will provide an honest assessment. If TB screening reveals abnormalities requiring further investigation, the doctor will advise on next steps but cannot issue a clear certificate until the clinical picture is resolved.
Acceptance of cases is at the complete discretion of the clinic. Final charges are determined by the assessment requirements and clinical complexity.
All doctors are GMC-registered. The Online GP operates as part of The Wellness, a private medical clinic at 10 Portman Square, Marylebone, London. The service adheres to CQC standards and GMC Good Medical Practice guidelines.
Frequently asked questions about immigration medicals
How quickly can I get a TB test for my visa? Same-day appointments are typically available. The TB certificate is usually issued on the same day as the chest X-ray, provided results are clear.
Is the TB certificate accepted by UKVI? Yes. Our certificates include all information required by UKVI and are issued by GMC-registered doctors.
Can I get an immigration medical via video consultation? TB screening requires an in-person chest X-ray. Standard immigration medicals require in-person assessment. Detailed medical reports for asylum or legal cases may involve both in-person and video elements depending on the case.
Do you accept instruction from solicitors? Yes. Solicitors and legal representatives can instruct us directly for immigration medical reports. Email team@thewellnesslondon.com with your letter of instruction.
The Online GP by The Wellness 10 Portman Square, Marylebone, London Phone: 020 3951 3428 WhatsApp to book | Book online: thewellness.co.uk
TB screening and certificate from £450. Immigration medical from £595. Detailed immigration reports from £1300. All assessments at the sole discretion of the assessing doctor. All cases accepted at the discretion of the clinic.
