Requesting an additional Fit Note

If you have already had a Fit Note for this illness your Doctor may not need to see you to issue an additional Fit Note. Please complete this form.

If you do not need to see your Doctor we will contact you to let you know when you can collect your Fit Note, this will be ready for collection after 5 working days.

We may contact you to arrange an appointment.

Sick / Fit Note Request

Sick / Fit Note Request

Section

Please use this date format: DD/MM/YYYY.
Include holidays and weekends, not just days off work.
Which practice do you want to collect the Sick / Fit Note from?

Please note that the details you give will be used to update your medical records.