Online verification

Requestor information (please select as appropriate)

Doctor’s information (for the purposes of verification)

E.g., 24 Jun 2018
E.g., 2018

Address to which verification letters should be sent

Valid extensions: doc docx pdf odt rtf png jpg. Max size 4Mb


Please note that in order to comply with UK law we cannot accept credit/debit card details sent in via this form, either in the body text or as attachments. If you do send card details in this manner it is entirely at your own risk. Card details received in emails or as attachments will be immediately deleted and payments will not be actioned. Card payment can only be made online via the application system or by telephone.

The information you have included above will be added to our database and processed for the purpose of the form as stated above.

For more on what personal information we collect, what we do with it, and individuals’ access, data retenation, please see our privacy policy. Our privacy policy includes contact details for any questions or requests concerning your personal information.

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