Application for Medical Certificate

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The fee for a Medical Certificate / Proforma application with ShootCert is £50. Details of how and when to pay will be sent to your email address once you have completed your application.
First-time or a Renewal?*
Is this a first-time application for a shotgun/firearm license or a renewal?
Your Name*
First Surname
Your Email*
Phone*

Enter your GP's name?*
If you're not sure of your GP's name or you've not been allocated a named GP, select No.
- Yes
- No
Your GP's Name*
Prefix First Name Surname
Your Doctor's Surgery Address*
Street Address Address Line 2 Town/City County Postcode

The Name of the Firearms Department*
The name of the firearms department that you are applying to.
Firearms Department Address*
The address of the firearms department that you are applying to.
Street Address Address Line 2 Town/City County Postcode

How did you hear about ShootCert?
How did you hear about ShootCert?
Add a message with your application?
- No
- Yes
Message*
Send My Medical Notes Directly to ShootCert?*
To expedite the process, you can opt to instruct your GP to send your medical notes directly to Dr Chris Garrett at ShootCert. Select Yes to give your permission to your GP. Select No if you would prefer to receive your medical notes to forward on to ShootCert.
Please note: Some GP's may prefer to send your medical notes directly to ShootCert.
Please confirm that the medical notes you send to ShootCert will be the COMPLETE notes received from your GP*
- Yes
Agree to our Privacy Policy?*
- Yes
Agree with our Privacy Policy
Name
This field is for validation purposes and should be left unchanged.