Medical report request

Use this service to request a medical report.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Church Road Surgery 0121 741 1101 or Tile Cross Surgery 0121 788 2020.