Sick (fit) note request

Start date of sick note:

Please use this date format: DD/MM/YYYY

End date of sick note:

Please use this date format: DD/MM/YYYY

Why do you need a sick note?

Terms and conditions

I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.

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