Letter to a Worker Asking for Permission for a Doctor's Report (UK) (Acas)
Updated 13 October 2025
This template is a letter from an employer to a worker, requesting permission to obtain a medical report from their doctor. It outlines the worker's rights under the Access to Medical Records Act 1988, including the right to refuse permission or view the report. The letter also confirms secure storage of the report in line with GDPR.
Letter to a Worker Asking for Permission for a Doctor's Report
To: [worker name]
[worker address]
From: [employer name]
[organization name]
[organization address]
[date]
Dear [worker name]
We want to get a medical report from your doctor to manage sick pay / plan work / support you.
We would like information about:
their absence from work, including absence dates
their health condition, such as a broken wrist
Under the access to Medical Records Act 1988 you have the right to:
refuse us permission to get a medical report
ask to see the doctor's report before it is sent to us
ask the doctor to correct the report if it contains anything inaccurate or misleading
refuse to allow the report to be shared with us
change your mind about not seeing the report before it is sent to us – provided you tell your doctor within 21 days of us applying for the report
ask to see a copy of the report at any time within 6 months of it being completed
If you want to see the report before it is sent to us, you must contact your doctor within 21 days of us applying for the report to arrange to see it the report. If you do not contact the doctor within 21 days, they can send the report directly to us.
You may need to pay a fee to your doctor to see a copy of the report.
The report will only be shared with [shared with]. We confirm that we will store the report securely in line with the General Data Protection Regulation (GDPR).
Please sign and return the attached consent form.
Yours sincerely,
[employer name]
[telephone number]
[email address]
About this template
What is this template?
Letter to a Worker Asking for Permission for a Doctor's Report (UK) (Acas) is a free, ready-to-use Employment Contracts template you can open, customize, and download on GitLaw. It gives you a professionally structured starting point, so you never have to draft from a blank page. The wording is plain and modern, organized into clear sections that are easy to read, edit, and adapt to your own situation before you share or sign it.
When should you use it?
Reach for this Employment Contracts template whenever you need a reliable agreement quickly and want to be sure the essentials are covered. It suits individuals, freelancers, startups, and established businesses alike. Instead of paying for a document drafted from scratch, you can start here, tailor the details to your arrangement, and have a polished draft ready in minutes. This version is drafted with England & Wales in mind, though you should always review the final wording against the laws that apply to you.
What's typically included?
A well-drafted Employment Contracts usually sets out the parties involved, the scope of the agreement, and each side's rights and responsibilities. Expect sections covering key terms and definitions, how long the agreement lasts, how it can be ended, and what happens if something goes wrong. This template brings those building blocks together in a sensible order, so you can focus on the specifics rather than worrying about what to include. Open it to read the full document, then sign up to edit, negotiate, and e-sign it directly in GitLaw.