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. 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.
Any responses we send will go to this email address.
Have you self-certified for your first 7 days of absence from work? *
Please use date format DD/MM/YYYY
Please use this date format: DD/MM/YYYY.
I give consent for my sick / fit note to be sent via SMS attachment using the number provided above *
I give consent for my sick / fit note to be sent to be via the email address provided above *