Requesting an additional Sick Note

Please note: You must have been seen by a clinician regarding your illness before a sick note is issued and a sick note cannot be post dated but can be back dated.

If you have already had a Sick 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 Note or we may contact you to arrange an appointment.

Sick Note Request

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Please use this date format: DD/MM/YYYY.