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 are now able to send your sick / Fit note electronically, please select how you would like to receive your note. We will contact you when your Sick / Fit Note has been issued 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.
How would you like to receive your sick / fit note? *