Doctor’s Sick/Fit Note after 7 days

If you have been ill or absent from work for more than 7 days you should have already Self Certified (SC2). After this you will need a doctor’s certificate.

Please complete the form below to request your "Fitness for Work" certificate. This will not be processed until the due date. Allow 24 hours before collecting your certificate from the surgery.

Also be aware that this does not guarantee the GP will be able to fulfil your request as they may need further information regarding your absence.

Your Details

Full Name *

Date of Birth *

Phone Number *

Email Address *

Sick/Fit Note

DATE YOU REQUIRE YOUR FIT NOTE FROM *

Which GP issued your Fit Note *

LENGTH OF TIME REQUIRED *

DESCRIBE YOUR ILLNESS AND WHY YOU NEED A SICK / FIT NOTE *

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. *

I consent to the practice collecting and storing my data from this form.

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Page last reviewed: 09 March 2026
Page created: 18 June 2024

Doctor’s Sick/Fit Note after 7 days

Doctor’s Sick/Fit Note after 7 days

Further Information