Locate Us:
2nd Floor, Akerman Health Centre
60 Patmos Road, London, SW9 6AF
Tel. 020 3049 6500
Fax. 020 3049 6515
Navigation Menu
Close Menu
Home
Services
Compliments & Suggestions
GDPR & PRIVACY NOTICE
GDPR Patient Leaflet PRIVACY NOTICE
Close Menu
Request A Sick Note
To get started, we will need to ask you a few questions...

How long have you been ill for?

Go Back

As you have been ill for 7 days or less, you don't need to see a doctor. You can complete a Self Certification form yourself. However, some employers insist on a doctor's note regardless.

Do you want to self certify or will you require a doctor's note?

Go Back

Is this your first sick note for this period of illness?

Go Back

Download the self certification form here:

Go Back

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.

Our fee for this service is £30. It is not always necessary to visit your Doctor in order to receive a Fit Note. Please complete the form below:

Go Back

As you have already had sick note for this illness, you may not need to see your Doctor to receive a subsequent Sick Note.

Please fill in the form below:

Go Back

Since you have been ill for more than 7 days, you will need to book a telephone consultation with the doctor.

Go Back

Your sick note request has been submitted.

You will hear from us within 1 working day.

Name:
Date Of Birth:
Address:
Postcode:
Contact Number:
E-Mail Address:
First Date Of Sickness:
Number Of Days Sick Note Is Required For:
Reason You Cannot Work:
Name:
Date Of Birth:
Address:
Postcode:
Contact Number:
E-Mail Address:
Existing Sick Note Start Date:
Existing Sick Note Finish Date:
Number Of Extra Days Sick Note Is Required For:
Reason You Cannot Work: