Requesting an additional Sick / Fit Note

If you have already had a sick note for this illness, your doctor may not need to see you to issue another. Please complete this form to request an additional sick note.

Please note that we may need to contact you to 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.