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Hi thank you for your enquiry and patience. They may want clarification if the letter is not clear or doesnt cover everything they would deem necessary so they could ask further questions. However due to the data protection regulations it would not happen without your consent. The doctor may say in their letter for them not to hesitate to contact him/her if they need his/her further input. But if the letter doesnt say this the bank will need your authority to get any further detail from your doctor. All the best