Request On-Going Sick Note

If you have already had a Sick Note (Fit Note) for a current illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. We may contact you to arrange an appointment to discuss further or if you have not heard from us within 48 hours, your sick note will be ready for collection.

Last Updated: 15/10/2021

Personal Details

Failure to complete all form details will result in your request being rejected by the Practice. It is important that you provide as much detail as possible to enable the GP to assess your request for a fit note.






Additional Sick Note Request

If your current sick note has not expired yet, please do not complete this form.

Please complete once sick note has expired





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