Fit notes & Sick notes request

The online form below can be used to request a new fit or sick note, or an extension to an existing one.  Please read the guidance below on at what point a fit / sick note is needed before completing the form.

The DWP has issued strict guidelines for doctors to follow when issuing Fitness for Work notes (formerly known as ‘sick notes’).

If the illness is:

• Less than 3 days: your employer should not require a Fitness for Work note
• Between 3 and 7 days: you should hand your employer a "self certificate" (SC2). You do not need to see the doctor for this. More information on how to get an SC2 here.
• More than 7 days: You will need a Fitness for Work note and must see the doctor to get one. It is only at 7 days that you need a doctors’ note. If you require a note covering illness when you saw a different doctor (e.g. casualty) the doctor at the surgery must be in receipt of written evidence that you saw another doctor.
• If you wish to request an extension to your current Fitness for Work note, please speak to one of our receptionists who will be able to help. 

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.