Opening Times | Self Help | Contact Us | | CQC Rating Good OUR ROOMS HOW DO I...? NEWS EVENTS TRANSLATE Search HOME REQUESTING MEDICAL INFORMATION Requesting Medical Information If you require written information by a third party (such as an employer, solicitor, counsellor, etc.), we can provide a letter for report for this purpose. Please note that this service is not covered under our contract with the NHS and therefore command charges. If you are requesting medical information for university purposes, please go to the appropriate section below. Our standard charge for any medical report or letter is £20.00, however this may be dependent on what is required. As part of this process, you will be asked to provide photo ID (such as a passport or drivers licence) as well as written authorisation if you are requesting on behalf of a patient or proof of address if you are requesting on behalf of your child. We also provide copies of recent consultations, results or brief patient summaries that may be helpful and this service is free of charge. You will still need to go through the same process as stated above. Any request for information received will usually take between 10-14 working days to be completed. If the request is likely to take longer than this, our Admin Team will be in contact with you to discuss this further. Student Requests If you are a student and need to make an application for compelling personal reasons (CPR) or Disabled Students Allowance (DSA) / Student Finance, you will need to fill out a Student Medical Evidence Request Form by clicking on the link below. We will use this form to generate a medical report for which there will be a fee of £20.00 payable on completion of the request. Students in severe financial hardship can apply for financial support from the University Support Grant to cover these costs. If you are unsure of the process and would like to discuss this further, or you have any other queries, then please contact the Admin Team at the surgery on 023 8033 3778 Please Complete a Relevant Form below: LETTERS, REPORTS OR COMPLETION OF FORMS - CHARGEABLE £20 FEE PATIENT SUMMARIES OR COPIES OF RESULTS OR CONSULTATIONS - FREE OF CHARGE STUDENT MEDICAL EVIDENCE REQUEST FORM - CHARGEABLE £20 FEE Requesting a Sick Note We are unable to provide sick notes in the Admin department. Please click on the button below for information on how to request a sick note: HOW TO REQUEST A SICK NOTE MAIN INDEX The NHS App Who do I see? Opening Times Sick / Fit Note Practice News Change of Personal Details Join the practice Test Results ST. MARY'S SURGERY 1 Johnson Street Southampton SO14 1LT Out-Of-Hours: 111 TELEPHONE HOUSE SURGERY 70-75 High Street Southampton SO14 2NW Out-Of-Hours: 111 FRIENDS AND FAMILY TEST The NHS want you to have the best possible experience of care. Please give your feedback. FRIENDS AND FAMILY TEST WHAT IS eCONSULT Terms of UseCookiesMedical DisclaimerAccessibility Statement © Tree View Designs Ltd 2021 We use cookies to help provide you with the best possible online experience. By using this site, you agree that we may store and access cookies on your device. Find out about our cookies. ACCEPT ALL COOKIES SHOW OPTIONS