Medical Certificates for Visas, Overseas Employment and Travel 2026. What Each Country Requires and How FCDO Legalisation Works
A medical certificate produced for use outside the United Kingdom has to satisfy 2 separate authorities, and most are rejected for failing the second rather than the first. The clinical content must meet whatever the receiving country requires, which varies enormously and is rarely stated in full on a visa website. The document itself must then be capable of being recognised abroad, which for most countries means an apostille issued by the Foreign, Commonwealth and Development Office under the 1961 Hague Convention. The FCDO charges £30 per document with a standard service currently around 2 working days for postal applications and a Premium Service offering same-day processing through approved providers, and it will only apostille a document bearing a signature it can verify. A GMC-registered doctor's signature is verifiable. A clinic stamp alone is not. For countries outside the Hague Convention, including several in the Gulf and elsewhere, the document requires apostille and then further consular legalisation by that country's embassy in London, which adds fees and days. Some also require the certificate to be translated by an approved translator and legalised again. Where a certificate concerns a controlled drug, a Home Office personal licence may be needed alongside it for supplies exceeding 3 months. The Wellness issues certificates, reports and letters for overseas use from £150, following a consultation and clinical assessment. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 1 September 2026.
Ask about a certificate for overseas use on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
What is an apostille and when do you need one
An apostille is a certificate attached by the FCDO confirming that a signature, stamp or seal on a UK document is authentic. It does not verify the content, only the signature, and it allows the document to be accepted in any of the countries party to the 1961 Hague Convention without further steps.
It is needed whenever an official body abroad asks for a UK document to be legalised, certified or authenticated. In medical work that usually means a visa medical certificate, a fitness to work certificate for overseas employment, a vaccination or health record required for residency, a fitness to marry or fitness to travel letter, or a medical report supporting an application to a foreign authority.
The FCDO charges £30 per document, with a standard postal service currently around 2 working days and a Premium Service available through registered providers for same-day or next-day processing, plus courier costs. Documents must be originals or certified copies, and the signature must belong to somebody on a recognised register, which is why a GMC-registered doctor's signature works and an unsigned clinic letterhead does not.
For countries outside the Hague Convention, an apostille is the first step rather than the last. The document then goes to that country's embassy or consulate in London for legalisation, which carries its own fee and timescale, and several require a certified translation legalised alongside the original. Building in 2 to 3 weeks for that route is realistic, and building in 3 days is not.
What do visa and residency medicals require
Requirements differ by country and by visa category, and the published guidance is frequently incomplete, so the practical approach is to obtain the receiving authority's own checklist before anything is written.
Common components include a general medical examination with height, weight, blood pressure and a systems review. Blood testing, which commonly covers HIV, hepatitis B and C, syphilis and a full blood count, and in some jurisdictions pregnancy testing and drug screening. A chest X-ray for tuberculosis, which for UK applicants to certain countries must be performed at a designated centre. Vaccination records. And a declaration covering specified conditions, which varies from a short list to an extensive one.
Tuberculosis testing deserves separate mention because it is the commonest sticking point. Several countries require a chest X-ray performed within a defined window before travel, some require it at an approved provider, and a few require an interferon gamma release assay blood test instead of or alongside imaging. We arrange imaging at specialist London centres with consultant radiologist reporting and blood analysis at accredited laboratories.
Overseas employment certificates, particularly for the Gulf, offshore work and seafaring, frequently have their own formats, and some must be completed on the employer's own form rather than on clinic letterhead. Supplying the form in advance saves a repeat appointment.
Send us the requirements on WhatsApp or email team@thewellnesslondon.com.
Why certificates get rejected
The wrong signatory. A document signed by somebody whose credentials the FCDO cannot verify will not be apostilled. A GMC-registered doctor's signature, with the registration number stated, is the reliable route.
Missing identifiers. Full name exactly as it appears on the passport, date of birth, passport number where requested, and the date of examination. A name that differs by a middle initial from the passport is a common cause of rejection at the receiving end.
A photocopy rather than an original, or a scan submitted where a wet original is required. Digital signatures are accepted by some authorities and refused by others.
Expiry. Many authorities require the certificate to be dated within 1 to 3 months of submission, so obtaining one too early is as much a problem as obtaining it too late.
Content that does not match the checklist. A certificate stating that somebody is fit to work will not satisfy a requirement for a declaration on specified conditions, and a fitness to fly letter will not satisfy a requirement for a full visa medical.
And the assumption that an apostille is sufficient for a non-Hague country. It is the first step there, not the whole process, and discovering that at the embassy costs a fortnight.
What we can and cannot issue
A doctor can certify only what they honestly believe to be true after assessing you, which is a professional obligation under General Medical Council guidance and not negotiable at any price. In practice that means we examine you, carry out or arrange whatever testing the requirement specifies, and complete the certificate accordingly. Where the findings do not support what the form asks us to state, we tell you rather than sign it.
We issue fitness to work and fitness to travel certificates, visa and residency medical forms, general medical examination reports, vaccination and health records, fitness to fly certificates including airline MEDIF forms, medication letters for customs, and reports supporting applications to foreign authorities.
We arrange the investigations those certificates depend on. Blood analysis at accredited laboratories, chest imaging at specialist London centres with consultant radiologist reporting, and specialist opinions through the Harley Street network where a condition requires one.
What we do not do is complete a form without an assessment, backdate a certificate, or state as fact that a doctor observed something on a date they did not. A document produced that way is worthless to the authority receiving it and exposes the applicant to a far larger problem than the one they were solving.
What does it cost
Private visa and immigration medicals in London commonly run £250 to £600 depending on the country and the testing required, with designated tuberculosis screening centres charging separately. Occupational health and overseas employment medicals run £200 to £500. Consultant reports for immigration and legal purposes run into the thousands. The FCDO charges £30 per document for an apostille, with Premium Service processing and courier costs additional, and embassy legalisation for non-Hague countries is charged separately by each embassy.
At The Wellness the consultation, the examination and the certificate are one fee, with investigations quoted before they are arranged. All figures are from prices.
Executive Health Programme, the most comprehensive assessment with full biomarker profiling and coordinated imaging, from £11,995.
Complete Biomarker Assessment, over 100 markers with extended review, from £1,400.
Complex medical report for a foreign authority, with records review and full examination, from £795.
Visa, residency or overseas employment medical, including consultation, examination and completion of the authority's own form, from £395. Required blood testing and imaging quoted separately.
Comprehensive Blood Panel with consultation from £495. Targeted panel from £295. Chest imaging arranged at a specialist centre with consultant radiologist reporting.
Fitness to fly certificate from £150, with airline MEDIF completion from £295.
Medical certificates, fitness to work letters, vaccination records and medication letters for customs, from £150 each.
In-person consultation from £220. Same-day video consultation from £150. Mini consultation from £59. Home, hotel or office visit from £495.
Same-day appointments 7 days a week at 10 Portman Square, Marylebone, 3 minutes from Baker Street, in Arabic, French, Spanish and Dutch.
Why The Wellness is the best place in London for certificates used abroad
Because the requirement is read before the certificate is written. Send us the receiving authority's checklist and the form, and the appointment is built around producing a document that will be accepted rather than one that will need repeating. That single step prevents most rejections.
Because every document carries a GMC-registered doctor's name, registration number, signature, clinic letterhead and contact details, which is what makes it apostillable and what allows an overseas authority to verify it.
Because the investigations are arranged rather than listed. Blood analysis at accredited laboratories, chest imaging at specialist London centres with consultant radiologist reporting, and specialist opinions where a condition needs one, all coordinated so the certificate is complete when it is issued.
Because appointments are available the same day, 7 days a week, which matters when a visa deadline is fixed and a certificate must be dated within a defined window before submission.
And because you are told the truth about the route. An apostille alone will not satisfy a non-Hague country, a certificate obtained too early will expire before submission, and a form we cannot honestly complete will not be completed. Knowing that before you pay is worth more than any speed of turnaround.
Related reading
Private medical reports and certificates covers UK-facing documents, travel clinic and vaccinations covers pre-travel health and malaria prevention, travelling to the UK with medication covers controlled drugs and Home Office licences, fit to fly certificates covers airline requirements, and healthcare for visitors to London covers care during a stay.
Book a certificate appointment on WhatsApp or call 020 3951 3429.
Frequently asked questions
What is an apostille and do I need one for a medical certificate
An apostille is a certificate attached by the Foreign, Commonwealth and Development Office confirming that a signature on a UK document is authentic, allowing it to be accepted in countries party to the 1961 Hague Convention. You need one whenever an overseas authority asks for a UK document to be legalised, certified or authenticated. The FCDO charges £30 per document.
How long does FCDO legalisation take
The standard postal service is currently around 2 working days once received, with a Premium Service offering same-day or next-day processing through registered providers plus courier costs. For countries outside the Hague Convention, the document then requires embassy legalisation in London, which adds its own fee and timescale, so allowing 2 to 3 weeks is realistic.
What does a visa medical include
It varies by country and visa category, but commonly a general examination with height, weight, blood pressure and systems review, blood testing which often covers HIV, hepatitis B and C and syphilis, a chest X-ray for tuberculosis sometimes required at a designated centre, vaccination records and a declaration on specified conditions. Obtain the authority's own checklist first.
Why was my medical certificate rejected
Most commonly the wrong signatory, missing identifiers such as a name not matching the passport exactly, a photocopy where an original was required, a certificate dated outside the acceptance window, content that does not match the authority's checklist, or an apostille submitted to a country that also requires embassy legalisation.
How much does a visa medical cost in London
Private visa and immigration medicals commonly run £250 to £600 depending on the country and testing required, with tuberculosis screening charged separately. At The Wellness a visa, residency or overseas employment medical including consultation, examination and completion of the authority's own form is from £395, with blood testing and imaging quoted separately.
Can you complete my employer's own form
Yes, and sending it in advance saves a repeat appointment. Many overseas employment and offshore medicals must be completed on the employer's or authority's own form rather than clinic letterhead, and knowing the format before the appointment means the document is finished on the day.
The Wellness is a doctor-led private healthcare group providing medical care from 10 Portman Square, Marylebone, adjacent to Harley Street. All doctors are GMC-registered. Certificates and reports are issued only following a consultation and clinical assessment, and only where the findings support them. Blood analysis is performed by accredited laboratories and imaging is arranged at specialist centres and reported by consultant radiologists. Legalisation fees, timescales and country requirements are set by the FCDO and by individual embassies and should be confirmed on GOV.UK and with the receiving authority before travel. This article is general information and not legal or medical advice about your own circumstances.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. GOV.UK guidance on getting a document legalised, including apostille fees, standard and Premium Service timescales and the requirement for verifiable signatures. Hague Convention of 5 October 1961 Abolishing the Requirement of Legalisation for Foreign Public Documents. Foreign, Commonwealth and Development Office Legalisation Office published guidance. GOV.UK guidance on travelling with medicine containing a controlled drug and Home Office personal licence requirements. General Medical Council, Good Medical Practice and guidance on writing reports and signing documents. International Air Transport Association medical information form requirements. Published 2026 London private visa medical and occupational health market pricing.
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