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Management documents Absence documents

Medical report consent form template

Reviewed 1 June 2021

To be completed by the subject of the request and returned to the employer.

Medical report consent

A copy of this consent form will be enclosed to the GP along with a letter requesting a report.


GP Name:  

I consent to my employer, [Company], being given a full medical report by the above GP on the present state of my health. I have been informed of my rights under the Access to Medical Reports Act 1988.

Please tick the appropriate box:

[ ] I wish to s

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