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.

Current notes and back dated notes can be completed, but the GP is unable to forward date. I.e complete a note now for a date in the future.

Sick / Fit Note Request

Section

Please use this date format: DD/MM/YYYY.