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
Assessments take place at our Palmers Green clinic in North London, with reports delivered electronically.
Where a physical examination is essential, for example to document scarring, it is carried out during your appointment, and a home visit examination can also 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 at our Palmers Green clinic, and the finished report is delivered in a clear, ordered format. Where a home visit is more suitable, an examination at home can be arranged.
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.
Independent medical evidence for immigration and asylum cases.
| Service and what is included | Typical length | Fee |
|---|---|---|
| Short immigration medical letterAssessment and a signed letter. | 2 to 4 pages | £550 |
| Standard immigration medical reportAssessment, records review and a written report. | 5 to 8 pages | £1,000 |
| Comprehensive immigration medico-legal reportAssessment, records review and a full medico-legal report. | 8 to 15 pages | £1,250 |
| Complex asylum or immigration expert reportAssessment, records review and an expert report. | Up to about 20 pages | £1,500 |
| Convicted-person immigration case, no prison visitAssessment, records review and a written report. No prison visit included. | Written report | £1,500 |
| Legal aid workUndertaken at the authorised rate only, with prior authority. | By instruction | Authorised rate only, with prior authority |
This is an independent clinical opinion. It cannot be written to a required conclusion and does not guarantee the outcome of any claim, application, exemption or hearing.
Some services have a fixed price. Personal injury medico-legal work is charged at an hourly rate, and some expert work is individually scoped. Where a price is not fixed, a written estimate is agreed before work begins. Records beyond the stated allowance, addenda and further questions are charged at the professional time rate, and only with prior agreement. The Knowledge of Language and Life in the UK waiver is priced as form completion or, where a narrative report is genuinely required, as a full report. Full pricing 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.
Every figure is a fixed package. A short immigration medical letter is £550, a standard immigration medical report is £1,000, a comprehensive immigration medico-legal report is £1,250, and a complex asylum or immigration expert report is £1,500. Legal aid work is undertaken at the authorised rate only, with prior authority.
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.
Assessments take place at our Palmers Green clinic. Where a physical examination is needed, for example to document scarring, it is carried out during your appointment, and home visit examinations can also be arranged.
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.
In clinic · Palmers Green
Immigration solicitors can send an instruction and I will confirm fee and timescale. Individuals can book a medical assessment directly.