To Whom It May Concern Letter

Thank you for requesting a To Whom It May Concern Letter from the GP.

In order to process this request, you will need to complete this form.

Please allow up to 28 days from payment receipt for your request to be actioned.

Please note we are unable to provide requests for any of the following:

  • Proof of address
  • Power of Attorney
  • Mental Capacity Assessments
  • Court of protection for deprivation of liberty
  • Fitness to participate in sporting activities
  • Suitability for private treatment


Please note: You will need to bring photo ID when collecting your report at Brookside Surgery off Gipsy Lane.

To Whom It May Concern Letter Request


Type of letter: *
The GP can only include conditions which are already on your medical record.
If applicable, please include a copy of any letter you have from the third party (DVLA, school, council etc.) so we can refer to it:
Maximum upload size: 20.97MB