Requesting an additional Sick Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. We will contact you to let you know when you can collect your Sick Note or we may contact you to arrange an appointment.

Please allow 2 working days for your sick note to be processed.

You may wish to contact the surgery first to check if the sick note has been processed.


Sick Note Request

Please use this date format: DD/MM/YYYY.
Please let us know your preferred contact number in case we need to contact you.
Please use this date format: DD/MM/YYYY.