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.

Please note that this form is only for requesting notes, we cannot accept any other request on this form. For other issues, please use the Get help for a health problem form.

Sick / Fit Note Request

Sick / Fit Note Request

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