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

Is this your first sick / fit note for this illness? *

Sick note requests can only be taken 48 hours prior to an existing sick note expiring. If your note expires more than 48 hours from now, please wait to submit your request.

Please use this date format: DD/MM/YYYY.
How would you like to receive your sick / fit note? *