Medical Certificate for University of Oxford Students

 
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All questions marked with a * are mandatory

Student Details
Please double check you've entered the correct email address
Where the certificate/letter will be sent.
May be used to identify you
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Details of the medical condition or disability
or, for a previous episode of illness, how did it affect you
Is this health condition on-going?: *
Have you discussed this application with one of the doctors at the surgery already? : *

Once your certificate has been completed, the practice will send it directly to your College and/or University (as applicable).

The certificate is issued in confidence but may include information you have provided plus information from your health records that is relevant to your medical certification request.

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Providing NHS Services

Beaumont Street Surgery
19 Beaumont Street
Oxford
Oxfordshire
OX1 2NA

Elms Road Surgery
Elms Road
Oxford
OX2 9JS

Telephone: 01865 240501