Requesting an additional Sick 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 Note or we may contact you to arrange an appointment.

Sick Note Request

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Include holidays and weekends, not just days off work.