- London clinics: Harley Street & Holborn
- 02036 336341
- info@privategpsurgery.co.uk
- Enquiries daily 8am–9pm
Knowledge of Language and Life in the UK (KOLL) exemption
Medical Certificate English Language Test Exemption KOLL Waiver (UK Visa & Immigration)
At Private GP Surgery, we provide official medical certificates for individuals applying for an exemption from the UK Home Office’s English language requirement due to medical or psychological conditions.
- GMC-registered doctors
- CQC-regulated clinic
- In clinic or online
What the KOLL waiver covers
KOLL stands for Knowledge of Language and Life in the UK. It is the Home Office requirement that most people must meet when applying for settlement or citizenship.
If you have a long-term physical or mental condition that prevents you from meeting this requirement, a qualified doctor can complete the official Home Office exemption form on your behalf.
Our role is the medical part of that process: assessing the condition and completing the form. The immigration application itself is submitted by you or your representative.
Dr. M. Ali Mahmood
M.D - GMC Reg. 6106538
Assessment by Expert
Private GP Surgery clinic is led by Dr. M. Ali Mahmood (GMC reg. 6106538), a General Practitioner with over 20 years in healthcare, a Doctor of Medicine (M.D.), full GMC registration with a licence to practise.
Dr.Ali will assess the condition and complete the official Home Office exemption form on your behalf.
CQC Regulated
GMC Reg: 6106538
Section 12 approved
20+ years in healthcare
Which applications this supports
The KOLL requirement usually applies at two stages of the immigration journey. The waiver can be relevant to both, where a long-term condition applies.
Settlement (ILR)
Applications for Indefinite Leave to Remain that require knowledge of language and life in the UK.
Citizenship (Naturalisation)
Applications to naturalise as a British citizen with the same requirement.
Who may be eligible
You may qualify if a long-term physical or mental health condition prevents you from taking the tests. Our doctors carry out a full assessment to confirm whether your condition may meet the Home Office criteria. Examples include general categories such as:
Long-term neurological conditions
Long-term mental health conditions
Long-term developmental conditions
Long-term cognitive conditions
The condition should be long-term that is, expected to last, or to have lasted, at least 12 months and its effect on your ability to take the tests is what the doctor assesses. If you are unsure whether your situation qualifies, speak to our team before booking.
What's Included
- Covers both the English language requirement and the Life in the UK test
- Eligibility assessed by GMC-registered GPs
- Official Home Office KOLL waiver form completed where eligible
- For settlement (ILR) and citizenship applications
Transparent Pricing
Consultation & assessment
GP appointment and clinical review
KOLL waiver form completion
Completed where you are eligible
- Important information
An exemption is not guaranteed. We assess whether your condition may meet the Home Office’s criteria and, where you are eligible, complete the official KOLL waiver form based on our clinical assessment.
The final decision on any exemption rests solely with UK Visas and Immigration (UKVI). Where you already have medical reports setting out your diagnosis, we recommend submitting them alongside the form to support your application.
This service does not include immigration or legal advice. For guidance on your application, please refer to GOV.UK or a qualified immigration adviser.
Contact Us
Our team answers enquiries every day between 8AM and 9PM.
Call or WhatsApp
We’re here to help & answer any questions you may have.
- Quick response • Confidential • Professional
Visit the Clinic
Our modern clinic is open and ready to welcome you.
- Safe • Private • Compassionate care
Why families choose Private GP Surgery
The KOLL waiver often matters most for elderly relatives and family members with serious conditions. It is a step people want handled carefully and correctly.
Led by Dr Ali, our clinicians handle each assessment personally. (GMC reg. 6106538), a General Practitioner with over 20 years in healthcare.
- Every assessment is carried out by a doctor on the GMC register
- The clinic is regulated by the Care Quality Commission (CQC)
- Appointments at two central London clinics, or online from home
- We complete the correct official Home Office form, not a substitute letter
- An honest process: we explain clearly what we can and cannot do
How the process works
You may qualify if a long-term physical or mental condition prevents you from taking the tests. Our doctors carry out a full assessment to confirm whether your condition may meet the Home Office criteria. Examples include:
Book a consultation
Choose an online appointment or visit us at our Harley Street or Holborn clinics. Same-day appointments are often available, subject to availability.
Clinical assessment
Form completion
Where you are eligible, we complete the official Home Office KOLL waiver form based on our clinical assessment.
Submit
You include the completed form with your visa, settlement (ILR) or citizenship application, we recommend submitting medical reports alongside the form.
What Our Patients Say About Us
⭐⭐⭐⭐⭐ 4.9 / 5 rated highly by our patients
Frequently asked questions
What is the KOLL waiver?
KOLL stands for Knowledge of Language and Life in the UK. The waiver is a Home Office exemption for people with a long-term physical or mental condition. It covers both the English language requirement and the Life in the UK test.
Who is the exemption for?
It is for applicants for settlement (Indefinite Leave to Remain) or naturalisation as a British citizen who are unable to take the tests because of a long-term physical or mental condition.
Do you guarantee that the exemption will be granted?
No. We assess your eligibility and, where eligible, complete the official Home Office form based on our clinical assessment. The final decision is made by UK Visas and Immigration.
Can the consultation be done online?
Yes. We offer remote consultations as well as in-clinic appointments at Harley Street and Holborn.
How long does the process take?
In most cases the consultation and, where eligible, the completed form can be arranged quickly — often the same day for the consultation. Timescales depend on your circumstances and are confirmed at the time of booking.
Can the assessment be done for an elderly relative who cannot travel?
Yes. Remote consultations can be arranged where appropriate, and a family member or carer can help facilitate the appointment. Please mention this when you enquire so we can advise on the most suitable option.
A GMC-registered, CQC-regulated private GP service in central London. Enquiries daily 8am–9pm.
- Harley Street — 16 Devonshire St, W1G 7AF
- Holborn — 1 Portpool Lane, EC1N 7UU
- 02036 336341
- info@privategpsurgery.co.uk
A GMC-registered GP reviews your condition and confirms whether you may be eligible for the exemption based on your condition.