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.

your note will usually be ready within 5 working days. We may contact you to discuss this request or arrange an appointment.

Sick / Fit Note Request

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM//YYYY