Request a Sick/Fit Note

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Fit (Sick) Note

You do not need a sick note for the first 7 days of an illness - you can self-certify your illness.

If you have been ill for 7 days or less you don’t need a sick note from the doctor. You can complete a Self-certification form yourself. However some employers insist on a Doctor’s note regardless. A Doctor's note under these circumstances may involve a charge. Many employers have their own self-certification forms. If your employer doesn’t have its own form your can complete the Employee's Statement of Sickness (SC2) form online

When you’ve filled in the form, give it to your employer as it will help them decide if you can get SSP. Keep a copy for your own information.

If you have not been seen by the doctor for this issue, we may contact you to make an appointment before we can issue your sick note
E.g. could you work from home, do fewer hours, or do different tasks at work?
Personal Details

Please provide your details to help us find your record. If you are filling this in on behalf of someone else, please enter their details.

Please double check you've entered the correct email address

Please confirm your details are correct


Date of Birth:


Phone Number:

Please ensure your phone number is correct especially if you would like your fit note sent to you via text


Fit (Sick) Note Request Summary

Have you already had a note about this?

Tell us briefly about your illness or medical problem

When would you like the note to start? When do you think you can return to work?

If possible, is there anything your employer could do to help you return sooner?

 The doctor may call you or we may arrange an appointment for you to discuss this request.

Once we have received your request for a fit note, your certificate will be sent to you within 7 - 10 days.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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