Private Medical Reports London 2026: Complete Guide to Specialist Reports
Medically reviewed by The Online GP by The Wellness clinical team | Last updated: April 2026
Private medical reports in London cover everything from a £59 sick note to a £495+ medico-legal expert opinion, with a wide range of report types in between for travel, employment, immigration, insurance, and licensing purposes. NHS GPs are not contractually obliged to produce most of these reports and typically charge British Medical Association suggested fees with 2 to 4 week waits when they do. Private GPs at The Online GP by The Wellness in Marylebone offer the full range of medical reports with same-day issue for most certificate types, transparent pricing from £59, and signed letterhead documentation accepted by airlines, insurers, employers, immigration authorities, and courts. This guide covers every report type you might need, what each includes, what each costs, and how quickly you can get one.
If you need a medical report today for travel, work, an insurance claim, a visa application, or any other purpose, contact us via WhatsApp before midday for a same-day appointment.
Speak to a GMC-registered doctor today: WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429
What types of private medical reports are available?
Private medical reports in London cover 15 main categories covering every common third-party documentation need. Each report type has specific content requirements driven by what the requesting authority needs to verify, and pricing reflects the time and complexity involved.
The Wellness offers all of these with GMC-registered doctors operating to General Medical Council standards. Every report includes a signed letterhead document, a stamped certificate where appropriate, and a clinical record kept securely for future reference. Same-day appointments are typically available for booking before midday.
Sick note / Fit-to-work certificate
Employer absence documentation — From £59 · Same day
Fit-to-fly certificate
Airline travel clearance — From £79 · Same day
Holiday cancellation letter
Insurance claim for trip cancellation — From £79 · Same day
Insurance medical report
Claims, applications, underwriting — From £195 · 1 to 3 days
Occupational health medical
Pre-employment, in-employment fitness — From £195 · 1 to 3 days
Pre-employment medical
New role health clearance — From £195 · 2 to 5 days
Visa medical
Immigration health requirements — From £195 · Same day to 3 days
HGV / D4 driver medical
DVSA Group 2 license — From £150 · Same day
PCV / Bus / Coach medical
Public service vehicle license — From £150 · Same day
Taxi medical (TfL or council)
Hackney/private hire license — From £150 · Same day
Asbestos medical
Workers exposed to asbestos — From £250 · 2 to 5 days
Sports / Diving / Aviation medical
Activity clearance — From £195 · 1 to 3 days
How much does a fit-to-fly certificate cost in London?
A fit-to-fly certificate in London costs £59 to £150 depending on the clinic and whether examination is needed. At The Wellness, fit-to-fly certificates start from £79 with same-day availability, including a private GP consultation, focused examination if relevant, and a signed letterhead certificate accepted by all major airlines.
When fit-to-fly certificates are required:
Pregnancy. Most airlines require a fit-to-fly letter from 28 weeks of pregnancy for single pregnancies and from 24 weeks for multiple pregnancies (twins, triplets). Some airlines refuse travel after 36 weeks regardless. The certificate confirms uncomplicated pregnancy and expected delivery date.
Recent surgery. Airlines typically require medical clearance for travel within 6 to 12 weeks of major surgery, with specific timelines for abdominal surgery, chest surgery, eye surgery, and orthopaedic procedures. The certificate confirms post-operative recovery is sufficient for safe air travel.
Recent illness. Travel insurance and airlines may require fit-to-fly clearance after recent acute illness, particularly cardiac events, stroke, deep vein thrombosis, pulmonary embolism, severe respiratory illness, or any condition that has required hospital admission.
Chronic conditions. Some chronic conditions including unstable angina, severe COPD requiring oxygen, recent heart attack, recent stroke, severe anaemia, and certain mental health conditions may require pre-flight medical clearance.
Travel with prescription medication. Particularly for controlled drugs, injectable medications (insulin, hormones), or medications with unusual packaging, a doctor's letter confirming medical necessity helps clear customs and border control without difficulty.
Travel with infants. Some airlines require medical confirmation of fitness to fly for newborns under 7 days old or premature infants.
What a fit-to-fly certificate includes:
Doctor's name, GMC number, and clinic letterhead
Patient name, date of birth, and identifying details
Specific medical condition or context being assessed
Confirmation of fitness to fly
Any specific advice or restrictions (oxygen, mobility assistance, medication arrangements)
Date and signature
The Wellness fit-to-fly certificates are accepted by British Airways, Virgin Atlantic, Emirates, Qatar Airways, Etihad, Singapore Airlines, Air France, Lufthansa, KLM, easyJet, Ryanair, and all other major carriers worldwide. We have provided certificates for travel to over 100 countries over the past 24 months.
Need a same-day fit-to-fly certificate? WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com
How do I get a private sick note in London?
A private sick note (technically called a fit-note or Statement of Fitness for Work) in London is available the same day from any GMC-registered private GP. At The Wellness, private sick notes start from £59 by phone consultation, including the consultation, the certificate, and same-day issue.
Why private sick notes matter:
NHS rule: NHS GPs only issue free fit-notes after 7 days of self-certified absence. For absences under 7 days, you self-certify using employer paperwork. Some employers nonetheless require formal documentation from day 1, particularly for safety-critical roles, recurrent absence, or workplaces with strict attendance policies. NHS GPs can charge for fit-notes covering the first 7 days as private work.
Speed: NHS GP appointments for fit-notes typically have 1 to 2 week waits during which you may already be back at work, making the certificate retrospectively useless. Private same-day issue resolves the timing problem.
Confidentiality: Some patients prefer their NHS medical record to not include certain absence reasons (mental health, sensitive medical conditions, employment disputes). A private sick note documents the absence appropriately while keeping the detailed record private.
Self-employed patients and freelancers without registered NHS GPs in their borough can use private sick notes for client documentation, insurance claims, or income protection claims.
Sick note content at The Wellness includes:
Doctor's name, GMC number, and clinic letterhead
Patient identification
Statement that you are not fit for work, with optional "may be fit for work with adjustments" if appropriate
Specific reasons or condition where appropriate
Recommended duration of absence
Suggested adjustments or restrictions
Review or follow-up plan
Date, signature, and stamp
We do not back-date sick notes (this is unethical and breaches GMC guidance). The certificate covers from the date of consultation forward. For absences already taken, we can provide a letter confirming clinical assessment and treatment but not a back-dated fit-note.
What is an occupational health medical?
An occupational health medical is a structured assessment of fitness for work for a specific role, considering physical and mental health relevant to job requirements. At The Wellness, standard occupational health medicals are £195, with role-specific tests added as needed.
Common occupational health scenarios:
Pre-employment screening. New roles, particularly in safety-critical industries (transport, construction, healthcare, security, food handling), often require pre-employment medical clearance confirming the candidate can perform the role without undue health risk to themselves or others. Reports go directly to the employer with patient consent.
In-employment fitness assessments. Where a current employee has health concerns, has been absent for an extended period, or has experienced a workplace incident, an occupational health assessment confirms fitness to return to work, with any recommended adjustments.
Drug and alcohol screening. Many safety-critical roles require periodic drug and alcohol testing. The Wellness offers urine drug screens, breath alcohol testing, and chain-of-custody documentation suitable for HR and tribunal use.
Display Screen Equipment (DSE) assessments. Workers with vision concerns, neck or back pain, or other health issues affecting computer-based work can have structured DSE assessments documenting the issue and recommended workplace adjustments.
Industrial disease screening. Workers exposed to specific occupational hazards (asbestos, silica, noise, hazardous chemicals) require periodic screening with specific tests including chest X-ray, lung function testing, and audiometry.
A standard occupational health medical at The Wellness includes:
30-minute consultation with detailed occupational and medical history
Physical examination including cardiovascular, musculoskeletal, and neurological systems
Vision testing (Snellen chart, near vision, colour vision if relevant)
Hearing screening
Blood pressure measurement
Body mass index calculation
Urine dipstick testing
Mental health screening for safety-critical roles
Specific tests as required by the role or industry
Written report sent to employer with patient consent within 1 to 3 working days
The Wellness occupational health reports comply with Equality Act 2010 obligations, Health and Safety at Work Act requirements, and industry-specific standards including FOM (Faculty of Occupational Medicine) guidance. We work with employers across financial services, technology, professional services, transport, construction, healthcare, and entertainment.
Need an occupational health report? WhatsApp our team | Email team@thewellnesslondon.com
How do I get a visa medical for the UK or international travel?
Visa medicals in London cost £150 to £300 depending on the destination country's specific requirements. At The Wellness, standard visa medicals are £195 covering general health assessment, with additional fees for specific tests (chest X-ray, blood tests, vaccinations) required by certain destinations.
Visa medicals fall into three categories:
UK visa applicants requiring medical clearance typically need this for tuberculosis screening before visa issuance, depending on country of origin. The UK has a designated network of TB screening centres for this specific requirement, distinct from general visa medicals. The Wellness can advise on the right pathway and refer to appropriate centres.
International visa applicants requiring UK medical assessment for visa applications to other countries (Australia, Canada, USA, UAE, Saudi Arabia, etc.) typically need a comprehensive medical examination from any GMC-registered private GP. Country-specific requirements vary substantially.
Private medical certificates supporting visa applications including evidence of treatment for chronic conditions, medical fitness for international relocation, mental health assessments, and family medical history documentation.
Country-specific visa medical requirements (verified April 2026):
Australia: Health examinations through approved Bupa Medical Visa Services centres. Pre-medical preparation including general health letter from your doctor can streamline the process.
Canada: IRCC-approved panel physicians required for permanent residency. The Wellness can provide pre-application health summaries.
USA: Civil Surgeon network for green card applicants. Visiting visa applicants requiring medical letters can use any GMC-registered GP.
UAE / Saudi Arabia / Qatar / Bahrain / Kuwait / Oman: Comprehensive medical including blood tests for HIV, hepatitis B and C, syphilis, TB, and chest X-ray. Vaccination certificates for COVID-19, hepatitis B, and others typically required.
India: Medical certificate confirming general fitness, vaccination status, and absence of communicable disease.
Schengen zone (Europe): Generally not required for short-term visas, but employer-sponsored work visas may require occupational fitness assessment.
A visa medical at The Wellness typically includes:
General medical examination
Vision and hearing assessment as required
Blood pressure, BMI, urinalysis
Vaccination history review and any required vaccinations administered
Chest X-ray referral if required (additional cost)
Specific blood tests if required (HIV, hepatitis, TB, etc., additional cost)
Detailed medical letter on clinic letterhead with GMC stamp
Same-day or next-day completion typical
We have completed visa medicals for over 60 destination countries in the past 24 months. WhatsApp our team with your destination country and specific requirements before booking, and we will confirm exactly what your visa medical needs to include.
What is an HGV, D4, taxi, or driver medical?
Driver medicals in London cost £100 to £200 depending on the licence type. At The Wellness, HGV (Group 2 Heavy Goods Vehicle), D4 (DVSA Group 2 application form), PCV (bus and coach), and taxi medicals are £150 with same-day completion typical.
Driver medical types and when each is required:
HGV (Heavy Goods Vehicle) medical / D4 form for drivers of trucks above 3.5 tonnes, articulated lorries, and tankers. Required for first issue of HGV licence, renewal at age 45 (then every 5 years to 65, then annually), and after specific medical events. The D4 form is the DVSA application requiring GP completion of medical fitness assessment.
PCV (Passenger Carrying Vehicle) medical / D4 form for drivers of buses, coaches, and minibuses over 9 seats. Same medical standards as HGV. Required for first licence and at the same renewal intervals.
Taxi medical for hackney carriage, private hire vehicle, or chauffeur licence, required by Transport for London (TfL) for London licences and by individual local authorities for other regions. TfL requires the Group 2 medical standard identical to HGV requirements.
Crane operator, plant machinery, and forklift medicals for industrial machinery operation, typically following Group 2 driver medical standards.
A standard Group 2 driver medical at The Wellness includes:
20 to 30 minute consultation
Detailed medical history including cardiovascular, neurological, diabetes, mental health, and substance use history
Physical examination
Vision testing: Snellen chart at 6 metres (must achieve 6/7.5 in better eye and 6/60 in worse eye, with corrective lenses allowed). Visual fields by confrontation. Colour vision (Ishihara plates).
Hearing assessment: standard whisper test or audiometry
Blood pressure measurement (must be controlled below 180/100)
Urine dipstick testing for glucose and protein
Cardiovascular examination
Neurological screening
Completion of D4 form or licensing authority equivalent
Doctor's signature, GMC number, and clinic stamp
Common reasons for failure or deferral:
Uncontrolled hypertension (BP above 180/100)
Diabetes with poor control or recent severe hypoglycaemic episode
Recent cardiovascular event (heart attack, stroke, TIA) within minimum interval
Insulin-dependent diabetes (specific assessment required, may require specialist review)
Visual field defects, colour blindness affecting traffic light recognition
Significant mental health conditions affecting safety
Active substance dependency
If a fitness concern arises during your medical, we explain clearly what additional investigations or specialist input is required, and we can arrange these where possible.
What is a medico-legal report?
A medico-legal report is a detailed expert medical opinion prepared for legal proceedings, insurance disputes, or court use, with content and depth far exceeding standard medical letters. At The Wellness, medico-legal reports start from £495 with 2 to 4 week turnaround due to the analysis required.
When medico-legal reports are needed:
Personal injury claims. Following road traffic accidents, workplace accidents, slip-and-trip incidents, or medical negligence cases, the claimant requires expert medical opinion documenting injuries, treatment, prognosis, and ongoing impact. The report quantifies injury severity for compensation purposes.
Employment tribunals and disability discrimination cases. Where employment disputes involve health conditions, expert medical opinion documents the condition, its impact on work capacity, and reasonable adjustments. Reports must be prepared to standards acceptable in tribunal proceedings.
Disability benefit appeals (PIP, ESA, Universal Credit). Where DWP has refused a disability benefit, an independent medical report can support an appeal by documenting the condition objectively against benefit assessment criteria.
Insurance disputes. Where insurance companies have refused or contested a claim involving medical evidence, an independent medical opinion can support resolution.
Family court and care proceedings. In specific cases involving health-related family law issues including capacity assessments, parental fitness assessments, and Court of Protection matters.
Travel insurance disputes. For complex travel insurance claims involving cancellation, curtailment, or medical treatment abroad, detailed medical opinion may be required.
A medico-legal report typically includes:
Detailed review of all relevant medical records (often 100+ pages)
Comprehensive consultation and examination of the patient
Review of any relevant investigations (scans, blood tests, specialist letters)
Expert opinion on diagnosis, causation, treatment, and prognosis
Specific commentary on questions raised by the instructing solicitor
Compliance with Civil Procedure Rules Part 35 for expert witness evidence
Statement of truth and expert declaration
Typical length: 8 to 20 pages
We work with personal injury solicitors, employment lawyers, family law practitioners, and direct-instruction patients across England and Wales. Reports are typically completed within 2 to 4 weeks of receiving full medical records and instructions.
Direct instruction by patient or solicitor: We accept both direct patient instructions and solicitor instructions. Patient self-instruction is becoming more common for early-stage claims and disability benefit appeals.
Need a medico-legal report? WhatsApp our team | Email team@thewellnesslondon.com
How do I get a medical report at The Wellness?
The Wellness medical report process is designed for speed and clarity. Most reports are issued same-day or within a few working days, with transparent pricing communicated upfront and no hidden charges.
Step 1: Contact us with your requirement. WhatsApp +44 7961 280835, email team@thewellnesslondon.com, or call 020 3951 3429. Tell us what report you need, the deadline, and any specific requirements from the requesting authority. Our team responds typically within 1 to 2 hours during clinic hours.
Step 2: Receive a confirmed quote and timeline. We confirm the exact report type, total cost, and turnaround time before booking. There are no hidden charges or escalating fees mid-process.
Step 3: Book your consultation. Phone consultations are available the same day from £59. In-person appointments at our Marylebone clinic typically same-day or next-day from £79. Video consultations from £150.
Step 4: Attend your consultation. The doctor performs the relevant assessment for your specific report type. Most simple reports are issued during the consultation itself. Complex reports begin the assessment, with the report finalised over the following days.
Step 5: Receive your signed report. Same-day issue for fit-to-fly, sick notes, and basic GP letters. 1 to 5 working days for occupational health, insurance, and pre-employment medicals. 2 to 4 weeks for medico-legal expert reports. All reports are provided as signed PDF on clinic letterhead with GMC stamp.
Step 6: Forward to the requesting authority. With your consent, we can email reports directly to airlines, employers, insurers, immigration authorities, or solicitors. Alternatively, we provide the signed PDF and original hard copy to you for forwarding.
Documentation you should bring or send in advance:
Photo ID (passport or driving licence)
List of current medications including doses
Recent test results (blood tests, scans, ECGs) if relevant
Specific forms from the requesting authority (D4, country-specific visa forms, employer forms)
Any prior medical records relevant to the report
Insurance pre-authorisation if claiming
The faster you provide complete information, the faster we can complete your report. Same-day issue is standard for simple certificates when relevant documentation is provided at booking.
Frequently asked questions
Can a private GP write me an NHS sick note?
No. Private GPs cannot issue NHS fit-notes; we issue private sick notes on private clinic letterhead. Most employers accept private sick notes equally to NHS fit-notes for absence documentation. Some statutory benefits including Statutory Sick Pay (SSP) require NHS-issued fit-notes for absences over 7 days because of HMRC requirements. Check with your employer or HR department which is acceptable for your specific circumstances.
Are private medical reports legally recognised?
Yes. Reports issued by GMC-registered doctors on clinic letterhead are legally recognised by airlines, employers, insurers, immigration authorities, courts, and tribunals worldwide. The Wellness reports include doctor's name, GMC number, signature, date, and clinic stamp, meeting all standard documentation requirements. For court proceedings, reports must additionally comply with Civil Procedure Rules Part 35.
Will my private medical report appear in my NHS medical record?
Not automatically. Private consultations and reports are held in private clinic records, not in your NHS record, unless you specifically request them to be shared. You can request a written summary be sent to your NHS GP after a private consultation, and we provide this on request to ensure your full medical record remains coherent. Sharing requires your consent and is your decision.
Can I get a medical report without an in-person examination?
Some report types can be issued after video consultation only, including basic sick notes, simple fit-to-fly letters where examination would not change the assessment, prescription continuation letters, and some insurance documentation. Reports requiring physical examination (occupational health medicals, driver medicals, pre-employment medicals, comprehensive insurance medicals) must be in-person. The Wellness video consultations from £150 cover the report types that do not require examination.
What if my report is rejected by the requesting authority?
We work to ensure reports meet specific requirements before issue. If a report is nonetheless rejected (for example, missing a specific element required by an authority not initially specified), we amend or supplement the report at no additional charge for the same-day amendment. For more substantive rework requiring additional clinical assessment, additional fees may apply.
Do you provide reports in languages other than English?
Yes. The Wellness has GMC-registered doctors fluent in English, Arabic, Spanish, French, and Dutch. Reports can be issued in these languages where the requesting authority accepts them. Translation services for reports issued in English to be submitted in other languages can be arranged separately.
Can I get a medical report on a Saturday or Sunday?
Limited weekend availability is offered for urgent same-day requests including fit-to-fly certificates and sick notes. WhatsApp +44 7961 280835 with your urgent requirement and we will confirm whether weekend appointments can be arranged. Standard medical reports are completed Monday to Friday during clinic hours.
Book your private medical report today
Whether you need a fit-to-fly certificate today, a comprehensive occupational health report next week, or a detailed medico-legal expert opinion for a court case, The Online GP by The Wellness offers the full range of private medical reports with same-day GMC-registered doctor appointments, transparent pricing, and signed letterhead documentation accepted globally.
Three ways to book today:
WhatsApp: Message +44 7961 280835 for a same-day reply from our medical team. Tell us the report type and deadline.
Email: team@thewellnesslondon.com for detailed enquiries, complex medico-legal instructions, or insurance company referrals.
Phone: 020 3951 3429 to speak directly to our team during clinic hours.
The Wellness, 10 Portman Square, Marylebone, London W1H 6AZ. GMC-registered doctors. Same-day appointments. Transparent pricing from £59. Signed certificates accepted worldwide.
References and further reading
General Medical Council Good Medical Practice guidance on medical reports
British Medical Association suggested fees for non-NHS work
Civil Aviation Authority Aviation Health Unit fitness-to-fly guidance
DVSA Group 2 medical standards for HGV, PCV and taxi licensing
Faculty of Occupational Medicine guidance on occupational health assessments
Civil Procedure Rules Part 35 on expert witness evidence
Equality Act 2010 obligations relevant to occupational health
Care Quality Commission registration and inspection standards, cqc.org.uk
General Medical Council online register, gmc-uk.org
UK Visas and Immigration medical examination requirements
Disclaimer: This article is for educational purposes only and does not constitute medical advice. Specific report requirements vary by requesting authority and individual circumstances. Always confirm exact requirements with the entity requesting the report before booking. The Wellness is a private healthcare clinic with GMC-registered doctors. Reports are issued in compliance with GMC Good Medical Practice and applicable UK regulations.
