Sick Note Request

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)
Personal Details
Please double check you've entered the correct email address
May be used to identify you
Fit Note & Return to Work

Doctors issue fit notes to people to provide evidence of the advice they have given about their fitness for work. They record details of the functional effects of their patient’s condition so the patient and their employer can consider ways to help them return to work.

Please select below if you require a fit note or a return to work with amended duties

Fit Notes(Med3) for benefits require a wet signature as existing legislation was not changed during the Covid-19 pandemic. This is due to release of public money requiring a defined level of proof. The British Medical Association are trying to address this but it requires a change in law which has not happened as yet. Employers have an obligation to seek evidence but not the same legal level of proof and fit notes for employers do not need a signature.

For this reason you will need to collect a copy of the Fit Note(Med3) from the surgery once it has been signed by the Doctor.

Please be specific

Fit notes can NOT be collected from any of our sites

Please note our primary method for sending is by text message.  If you don't supply a mobile number, we'll use your email address as an alternative.  Please tick the boxes below to consent to this communication.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
Processing

Page you are trying to access does not exist.