Doctor’s Sick / Fit Note for more than 7 days

If you have been ill for more than 7 days you will need a doctor’s certificate. These certificates are called ‘Fitness To Work’ Certificates.

The doctor may call you or arrange for an appointment.

If you have already been seen by your doctor about this illness your certificate will be sent to you within a week.

Sick / Fit Note Request

If you are human, leave this field blank.

What date would you like the statement to start?

Please use this date format: DD/MM/YYYY.

What date would you like the statement to end?

Please use this date format: DD/MM/YYYY.

Total number of days you were ill or state ongoing:

Please select the appropriate option:

I am not able to work

I am able to work if I can temporarily adjust the type of work I do

Please describe the adjustments that you feel are needed:

What is the condition/reason that has led to you making this request?

We may need to contact you if we require further clarification with regards to your request.

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