Medical condition and treatment
Reports describing a condition, the treatment it needs, and what that means for the case, including whether treatment is realistically available.
Immigration medical reports · Home Office and tribunal
I prepare independent medical reports for immigration and asylum cases, for instructing solicitors and for individuals. The report gives the Home Office or the tribunal a clear, accurate clinical picture: a medical condition and its treatment, the effect of removal on health, or the documentation of scarring and injuries.
What it is
Immigration and asylum decisions often turn on medical evidence: the nature of a condition, whether treatment is realistically available, the effect of removal on health, or the documentation of injuries.
I assess the person, read the evidence, and write a structured, objective report suitable for the Home Office or an immigration tribunal. I work with instructing solicitors and with individuals directly, and I stay independent and impartial throughout.
How the assessment works
Many assessments are done by secure video, with reports delivered electronically — which helps people anywhere in the UK. Online assessments are available now, and face-to-face appointments at our Palmers Green clinic are available from Wednesday 12 August 2026.
Where a physical examination is essential, for example to document scarring, I will say so, and an in-clinic or home visit examination can be arranged. Every case begins with a medical assessment, and reports and letters are provided where clinically appropriate after assessment.
Reports I prepare
Every report starts with an assessment of the person and the evidence. I write only what the clinical picture supports.
Reports describing a condition, the treatment it needs, and what that means for the case, including whether treatment is realistically available.
Medical evidence on health grounds relevant to removal and to private and family life.
Careful documentation of scarring or injuries in support of asylum and human rights claims.
Assessment of physical or mental health relevant to detention, removal or proceedings.
Supporting letters for exemption from the Knowledge of Language and Life in the UK requirement on health grounds.
An independent review and summary of medical records to inform a case or a further opinion.

Who writes your report
MBBS, MRCGP. 21 years in medicine, with a special interest in psychological medicine and a parallel medico-legal practice. Reports are written in plain, ordered English, structured for the Home Office and the tribunal, with a prompt turnaround.
Clinique Alpa is a private clinic in Palmers Green, North London, registered with the Care Quality Commission (CQC).
Dr Mitesh Parmar · GMC 6113670For instructing solicitors
Send the case details and any records, and I will confirm scope, a fixed fee and a realistic timescale. Assessments can be arranged quickly by secure video, and the finished report is delivered in a clear, ordered format. Where an examination is essential, it can be arranged in clinic or at a home visit — face-to-face appointments are available from Wednesday 12 August 2026.
To discuss an instruction, email enquiries@cliniquealpa.co.uk or call 020 8882 8088.
Direct instruction by email or phone, with scope agreed first.
A fixed fee, confirmed on instruction.
Home Office and tribunal deadlines respected. Tell me and I will prioritise.
An independent, objective opinion, presented clearly.
Fees
Every case needs a medical assessment. A fixed fee is confirmed once scope is agreed, and payment is taken securely.
| Service | Fee |
|---|---|
| Immigration medical letter | from £350 |
| Waiver of the Knowledge of Language and Life in the UK requirement | £500 |
| Visa medical certificate | from £250 |
| Further revision of a report or letter | from £100 |
Full pricing for every service is on our appointments and fees page. Reports and letters are provided where clinically appropriate after assessment.
Questions, answered plainly
Medical condition and treatment letters, reports on health grounds under Articles 3 and 8 of the ECHR, documentation of scarring or injuries in support of asylum and human rights claims, fitness and wellbeing letters, and supporting letters for exemption from the Knowledge of Language and Life in the UK requirement on health grounds.
An immigration medical letter starts from £350. A supporting letter for waiver of the Knowledge of Language and Life in the UK requirement is £500. Visa medical certificates start from £250. I confirm a fixed fee once I understand the scope.
Yes. Immigration solicitors and representatives can instruct me directly. Scope, fee and timescale are agreed in advance. Email enquiries@cliniquealpa.co.uk or call 020 8882 8088.
Many assessments can be done by secure video, which helps people across the UK. Where a physical examination is needed, for example to document scarring, I will say so — in-clinic and home visit examinations are available from Wednesday 12 August 2026.
Once the assessment is done and any records are received, a report is usually ready within a few working days. If you have a Home Office or tribunal deadline, tell me and I will prioritise it.
Yes. I give an honest, independent opinion based on the assessment and the evidence. That objectivity is what makes a report credible to the Home Office and the tribunal.
Online now · In clinic from 12 August
Immigration solicitors can send an instruction and I will confirm fee and timescale. Individuals can book a medical assessment directly.