Medical report consent request to employee letter template

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If you need to contact an employee's GP to obtain a medical report, issue this model letter to request their consent.

The letter explains that the employer wishes to write to the employees GP for guidance on their expected return to work and what adjustments (if any) they need to make.

Issue with the model consent form.

5 minute read • 1 January 2025
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Medical report consent request to employee letter

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[Company name]

[Sender address]

 

[date]

[Recipient name]

[Recipient address]

 

Dear [Recipient first name],

 

Request for medical information

According to our records, you have been on sick leave since [date]. [As you discussed with [name] [today | on [date], I|i]n order to proceed with our absence management policy and so that we can address your absence fairly and reasonably we now need information form your GP.

We wish formally to ask your GP for a full medical report as to the present state of your health and for their assessment of your ability to return to your job. I enclose a copy of the letter we would like to send.

You have

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What is this for?

Where an employee has been on a long period of sick absence, the employer should explain what steps they are now taking to help the employee back to fitness to work.

Extended guidance

medical report consent request to employee letter template

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