Requesting an additional Sick / Fit Note

If you have already had a Sick / Fit Note for this illness your Doctor may not need to see you to issue an additional Sick / Fit 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 use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Include holidays and weekends, not just days off work.
Can we contact you by email?
Can we contact you by text message?

Please note that the details you give will be used to update your medical records.