Doctor’s Sick / Fit Note for less than 7 days

The Doctor’s note is referred to as a Fit Note. Your GP is entitled to charge you for a Fit Note when the illness has been for 7 days or less.

It is not always necessary to visit your Doctor in order to receive a Fit Note.

Please complete this form. Someone will be in touch from the practice to explain when you will receive the Fit Note and to arrange payment.

Please be aware that any replies from the surgery may appear in your junk or spam inbox.

Sick / Fit Note Request

Sick / Fit Note Request

If you are human, leave this field blank.

Section

First date you would like your sick/fit note dated from: *

The date you need this sick / fit note to commence. Please use this date format: DD/MM/YYYY.

Finish date of sick/fit note or state ongoing: *

Include holidays and weekends, not just days off work. Please use this date format: DD/MM/YYYY.

Describe your illness and why you need a Sick / Fit Note: *