Online verification

Requestor information (please select as appropriate)

Doctor’s information (for the purposes of verification)

E.g., 20 Apr 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.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.