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

Sick Note/Fit Note Request

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