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Medical report consent form template

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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The full Medical report consent form template will be displayed above once you purchase either this document individually, or as part of the following pack:

- Management documents

Last update

1 June 2021


If you have purchased the document, or if it is FREE, simply copy/email/download and replace any highlighted wording contained in "[ ]", with your details.

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