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 this form. We will contact you to let you know when you can collect your Sick/Fit Note or we may contact you to arrange an appointment.

Failure to complete all form details will result in your request being rejected by the surgery. It is important that you provide as much detail as possible to enable the GP to assess your request for a fit note.