Requesting an additional Sick / Fit 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 / Fit Note or we may contact you to arrange an appointment.

Sick / Fit Note Request

Sick / Fit Note Request

Please read the following:

  • Sick / Fit notes for the first 7 days of illness – please complete the Self Certification Sick / Fit note form that can be downloaded from the practice website.
  • Fit/Sick notes for illnesses after 7 days can only be provided if you have had contact with a health professional during that time.
  • We are unable to provide to provide certificates of return to work. You should go back to work as soon as you feel able to and with your employer's agreement - this may be before your fit note runs out. You do not need to go back to see your healthcare professional before going back to work. Your healthcare professional cannot give you a fit note stating that you are 'fit for work'.
  • For further information regarding above, please read the following: When do I need a fit note? - NHS

If you have been off work more than 7 days due to illness and had a consultation with a health professional during that time, please proceed with this form.

Please use this date format: DD/MM/YYYY.
Is this a request for: *
Please use this date format: DD/MM/YYYY.
GP will decide the time period

Please note that if you have been sick for less than 7 days, please complete the Self Certification Sick / Fit Note form that can be downloaded from the practice website.