Sick (fit) notes

If you’ve been off sick for more than 7 days

To request a sick note:

fill out a sick note request form
phone or visit the surgery from 10am to 6pm

If you’ve been off sick for 7 days or less

If you’re off work sick for 7 days or less, your employer should not ask for medical evidence that you’ve been ill. Instead, they can ask you to confirm that you’ve been ill. You can do this by filling in a form yourself when you return to work. We call this self-certification.

Find out more about sick notes on the NHS website.

Online Form

Sick Note

Online form

What is your first name?

What is your last name?

Date of birth

Your gender

Male

Female

Other

Your address:

Street Address Optional Address Line 2 Optional City Optional ZIP / Postal Code Optional

Email address

Start date of sick / fit note:

End date for sick / fit note: *

Describe your illness and why you need a sick / fit note:

Are you happy for us to send you your sick/fit note digitally? *

Yes