Additional sick (fit) note request

Use this service to get an extension for an existing sick (fit) note for work following an absence of more than 7 days.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01283 217 092.