The Life in the UK test required for all settlement applications, provides an exemption to applicants who are unable to sit the test for medical reasons. In most circumstances the evidence that will be accepted would be from a professional such as the applicant’s GP.  As from 1 November 2018, this has been extended to include evidence from alternative practitioner. This will allow the applicant to obtain a second opinion if desired and submission of these findings for exemption purposes along with the copy of the form published on Gov.uk for this purpose.