Request a Fit Note

If you have been ill for more than 7 days you may require a doctor’s certificate. These certificates are called ‘Fitness To Work’ Certificates. The doctor may call you or arrange for an appointment for more information. If you have already been seen by your Doctor about this illness your certificate will be sent to you within a week.

Last Updated: 09/07/2024

Your Details

Full Name *

Date of Birth *

Phone Number *

Address *

Email Address

Sick/Fit Note

Have you already self-certified for the first week of illness? *

Yes No

Have you been seen by a Clinician for this issue in the last 3 months? *

Yes No

If Yes, please provide details of the clinician and when you saw them

Please tell us the start date required for the fit note. *

Please tell us the end date required for this sick note *

Please provide detailed information of your illness and why you need a fit note. *

What is your occupation? *

How would you like your fit note sending? *

text message

post

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Request a Fit Note

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