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.

Can you please call into the surgery (the surgery that you stated on your form),  after 48 hours to collect your sick/fit note

Sick / Fit Note Request

Sick / Fit Note Request


Please use this date format: DD/MM/YYYY. Please be advised that this cannot be future dated.