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.

Please note: Sick notes cannot be future dated. For example, if you need the sick note for next Monday, but ask for it today, the GP has to issue it next Monday.

Sick / Fit Note Request

Sick / Fit Note Request

Section

Please use this date format: DD/MM/YYYY.