Sick (fit) note request

Please be aware that requests for sick (fit) notes are not considered urgent. These can be backdated if needed, so it’s fine to let your employer know that the practice will provide the note. We’ll make sure your request is dealt with as soon as possible.

Use this service to get a sick (fit) note for work following an absence of more than 7 days.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of

Sick Note Request

Online form

MM slash DD slash YYYY
Your gender
Your address:
MM slash DD slash YYYY
MM slash DD slash YYYY
Are you happy for us to send you your sick/fit note digitally? *