Fitness for Work / Sick note request
Doctor’s Sick Note
If you have been ill for 7 days or less, you don’t need to see/speak to a doctor. You can complete a Self-Certification form yourself. Many employers have their own self-certification forms. If your employer doesn’t have its own form, you can complete the Self-Certification from online. Please print it, fill it in and hand it in to your employer. You do not need to see a doctor
Self-Certification Form
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, if necessary.
Failure to complete all the form details will result in your request being rejected by the surgery. It is important that you provide as much details as possible to enable the GP to assess your request for a fit note.
Fitness for Work / Sick note request
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.