Medical report consent form template

£ 15

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

Why this form is necessary

The purpose of this Medical report consent form template is to provide you with a flexible and customisable document to serve as a robust and effective starting point for you.

By using our Medical report consent form template, you can streamline your process, maintain consistency and accuracy, and save time, and it can be easily adapted to fit your specific scenario.

Specifications

Reading time icon
Time to read / prep / use
5 mins
Document specs icon
Word count / length
241 words, 1 page A4
Date last reviewed icon
Date last reviewed
1 June 2024
medical report consent form template

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

CONFIDENTIAL

GP Name:  
Address:  

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 see the report before it is sent to my employer.

[ ] I do not wish to see the report before it is sent to my employer.

[ ] I will contact the above GP in order to arrange for my access to the report. I reserve my right to request an amendment, to add my own statement or to withdraw my consent for the report to be sent to my employer at that time.

[ ] I require a copy of the report at the same time or immediately after it is sent to my employer.

[ ] I do not require a copy of the report at the same time or immediately after it is sent to my employer.

Signed (employee):  
Date:  
Signed (line manager):  
Date:  

🔒 To view this you will need to make a purchase.

🔒 To view this you will need to make a purchase.

Version: [1.0]

Issue date: [date]

Why choose our Medical report consent form template?

Our content:

Is easy to edit and execute, with comprehensive implementation guidance.
Is designed by accredited, experienced HR practitioners.
Maintains your compliance with ACAS guidelines, legislation, and industry best practices.
Includes 12 months access to your purchase, with email alerts if updated or expanded.

Stop doing this:

Wasting money buying documents that don't meet best practice or legislation.
Wasting effort searching for free documents that lack implementation support.
Wasting time creating documents from scratch.

Organisations that recently bought this:

R
+ more

I have just renewed our membership for another year for HRdocbox. It's an extremely useful resource with a wide variety of documents and knowledge...
★★★★★
- Rachel Masing, ETM Group

I have been using the service now for around 6 months and it has been really useful in developing and updating polices and processes.
★★★★★
- Jamie Allan, Armstrong Craven

Excellent library of resources and templates which have made my job in my small business so much easier to manage HR for my employees...
★★★★★
- Emma Hunt

Great value and the site contains an extensive library of essential HR documents. I access the site probably once a week...
★★★★★
- Laura Alliss-Etty

HRDocBox is a great resource. It is incredibly good value, providing a large selection of HR guidance materials as well as...
★★★★★
- Emma Beauchamp