Requesting an additional Sick / Fit Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. We will contact you to let you know when you can collect your Sick / Fit Note or we may contact you to arrange an appointment.

Sick / Fit Note Request

*Please note that all MED3 requests are subject to GP review and approval and where clinically appropriate the duration of your MED3 may be amended. If necessary, the GP processing your request may be in contact with you to discuss it further. Requests for MED3s cannot be made in advance.*
Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.