Requesting an additional Sick / Fit Note

If you have already had a Sick Note for this illness, your doctor may not need to see you to issue an additional sick note. Additional sick notes can only be issued after expiry of your previous one. We cannot forward date a sick note so please bare that in mind when requesting for an additional sick note.

Please complete this form to request for a further sick note. If your sick note can be completed by the doctor, this will be ready to collect from the Surgery within 24 – 48 hours of request. If the doctor cannot do, then we will contact you.

If you currently do not have a fixed address, please enter in the address field no fixed abode.
Please use this date format: DD/MM/YYYY.