Continuation Of Sick Note (Fit Note)

If you would like to request a continuation of an existing sick note please complete the form below filling in all of the boxes.

This form is not to be used to request advice or treatment for a medical problem. If you need to speak with a clinician you MUST contact the practice and make an appointment. If you have a medical emergency you should contact the appropriate emergency service.

 

Continuation Of Sick Note (Fit Note)

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away!
Your Neighbourhood Professionals. Just a Click Away!