Requesting an Additional Sick 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 and submit the form below. We will contact your to let you know when you can collect your Sick Note or we may contact you to arrange an appointment.

Date of Birth
Date your illness started
Include holidays and weekends, not just days off work.
This field is for validation purposes and should be left unchanged.