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Upload a Clinical Letter

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Clinical Letter Upload Form

Required fields are marked with an asterisk (*).

If you have a clinic letter from an out of area hospital or clinic that you would like us to add to your electronic medical record, or if you have seen a Teldoc Clinician recently, who has requested a copy of a letter to be added to your records, please complete the form below. *Please note, we DO NOT accept Blood pressure diaries or Images via this form*

Please provide your details below

First Name*

Surname*

Email address*

Date of Birth*

Patient NHS Number*

* Please tick on of the following options*

I would like to request that the following document/s are added to my electronic medical record

The following document/s has been requested by a Clinician following a recent consultation.

Please upload here (Maximum upload of two documents)

Please make sure you are uploading the original document only; we do not accept photocopies or poor photo quality of documents taken on mobile phones
Please save as a word document only, other formats will not be accepted.
Please make sure you upload the document in full, including any blank numbered pages within the document
The document must be written in English or have a full translation to English before upload
If you are uploading a “power of attorney”, please make sure you have both the Notification to register document and the 22-page document in full

Upload*

Disclaimer – Please read and tick before submitting *

I confirm that I have uploaded the document in full, written in English and included any blank numbered pages.

I understand that if one or all elements have not been completed, my document will be discarded.

I understand that if I upload a correct form, no action will be taken.

I understand that if I need any action taking by a GP then I should contact my practice directly.

I understand this website form is for document upload to my medical records only. We will not process Medication requests, BP Readings, Images or appointment requests, if this is what you require, please complete the online consultation form on our website instead.

*Please make sure all Mandatory fields have been completed

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data *

I consent to the practice collecting and storing my data from this form

Are you human?*

This field should be left blank

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Please note this form is not to be used for the following purposes:

Medical matters, Prescription requests, Patient Access requests, Appointment requests or Complaints. Medical matters cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.

Other forms available

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