Sick (fit) note request

Use this service to get a sick (fit) note for work following an absence of more than 7 days.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Albion House 01384 465422 or Withymoor Surgery 01384 465422 or visit the surgery in person.