Sick Note Request
Have you self-certified for the first 7 days? If not please go the GOV.uk website and complete an SC2 form.
For 'new' sicknotes you must make an appointment with the GP.
To request an additional sicknote to follow-on from a current note. Please complete the form below.
Additional Sick/Fit 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.