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.

We will contact you to let you know when you can collect your fit note or we may contact you to arrange an appointment.

Fit Note Request

Section

Which note do you require? *

Not fit for work note

Specific reason for illness: *
This wording will appear on your note
Please use this date format: DD/MM/YYYY. Please note we cannot forward date a sick note so it will need to from today's date or backdated.
Please use this date format: DD/MM/YYYY.

May be fit for work note

Specific reason for illness: *
This wording will appear on your note
Workplace adaptations: *
Please use this date format: DD/MM/YYYY. Please note we cannot forward date a sick note so it will need to from today's date or backdated.
Please use this date format: DD/MM/YYYY.