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Management documents Absence documents

Medical report request (to GP) letter template

Reviewed 8 March 2021

A model medical report request (to gp) letter template to assist you in managing this event with a best practice method.

Medical report request (to GP)

[Sender name]

[Sender address]


[Recipient name]

[Recipient address]

Dear [Recipient first name],

Request for medical information under the Access to Medical Reports Act 1988

To administer our sickness absence policies and to plan the work of this organisation, it would be helpful to have a report on [name], your patient, who works for our organisation.

[His | her] work as a [job title] has the following major features:

  • [list major features of role, e.g. regular keyboard use, heavy lifting, machinery etc.]

The absence record for the past year is summarised as:

Total days lost in last 12 months = [number]

Total days lost in last month = [number]

Attached is your patients permission to enquire. [He | She] [wishes | does not wish] to have access to your report under the Access to Medical Reports Act 1988.

[[He | She] will make an appointment with you to gain access to your report. [He | She] understands that you m

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