Medical report request to GP letter template
If you need a medical report from an employee's GP for guidance on their condition or capability, send this model request letter template.
If the employee is on long term sick, you can use this letter to help understand their expected return to work and what adjustments may be required when they return.
[Sender name]
[Sender address]
[date]
[Recipient name]
[Recipient address]
Dear [Recipient first name],
Request for medical information
I write with regard to one of your patients, [name], who has given [his | her | their] written permission to request a medical report on [his | her | their] current state of health, copy enclosed.
[[Name] has been absent from [date].]
As [his | her | their] employer, we are concerned as to [whether | when] [name] will be able to [perform | return to] [his | her | their] normal duties. Although we have discussed this with [him | her | them], it is necessary to seek a medical opinion as to when, and if, [he | she | they] will be well enough to [be able to return work and] undertake [his | her | their] normal duties.
In order to assist you in establishing [name]'s fitness for work I have outlined below [his | her | their] job requirements, working hours and general work:
Job Title:
Hours of Work:
Place of Work:
Duties include:
- [list key job duties here]
In addition to your medical assessment on the above matters, I should be grateful if you would respond to the following specific questions:
-
Please would you list all the conditions which [name] has and/or the reasons [he | she | they] [is | are] unfit for work at this time?
-
What treatment has [name] had to date for these conditions?
-
[Is | are] [he | she |
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What is this for?
There are various of situations in which you may consider obtaining a medical report on an employee. The most common situation occurs where the employee's capability to continue in their role is an issue for health reasons.
Usually, requesting a report from the employee's GP is the first step. To help ensure that the report contains only relevant and useful information, the employer should give careful consideration to the information that it provides to the practitioner and the questions that it asks.
Send a copy of this letter to the emlpoyee along with a letter requesting their consent, and the reasons for the report being sought, and a consent form.
