Doctor’s Sick / Fit Note for more than 7 days

If you have been ill for more than 7 days you will need a doctor’s certificate.
These certificates are called ‘Fitness To Work’ Certificates.

The doctor may call you or arrange for an appointment.

If you have already been seen by your Doctor about this illness please contact the practice to find our when you can collect your certificate.

Sick / Fit Note Request

If you are human, leave this field blank.

Full Name: *

Phone Number:

Please tell us what job it is that you do:

From what date do you need the sick note?

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

To what date?

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

What sort do you need?

I cannot work

I could work if I had altered hours

I could work if I had altered duties

I could work if I had phased return

I could work if I had workplace adaptation

Please specify why you require this certificate *

Has a particular Doctor been dealing with your problem? If so, who?

I confirm that the information provided is accurate to the best of my knowledge, and that my enquiry is not urgent - it may take up to 2 working days before I receive a reply.

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Doctor’s Sick / Fit Note for more than 7 days

Sick / Fit Note Request

Hay Fever