Sickness Certificates - Rushall Medical Centre

You do not require a Doctor’s sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.

Requesting a Medical Certificate

If you have been off work for more than seven days you can request a medical certificate from your GP.

To request a sick note for a new illness

If you have been off work for more than seven days, you can request a sick note. To do this, please complete the form below to book an appointment to speak to a clinician who will then send your sick note to you by text.

Click here to fill out an online request

If you aren’t able to complete the online request form, you can call the surgery Monday to Friday 8:00am to 6:30pm to request an appointment.

To request an sick note extension

If you already have a sick note and require more time of work for the same illness, you can request another sick note without self-certifying again. If you would like your sick note extended, please complete the form below on the day your current sick note expires and a new sick note will be sent to you by text.

Sick note extension request form

Please complete this form to request a sick note extension.

Disclaimer

I agree that my request is for an extension to an existing sick note only.

I confirm my current sick note has already expired or expires today.

You must agree to the above disclaimer to access the medical certificate request form.

Title

First Names

Surname

Date of Birth

Address

Street Address Address Line 2 City Postcode

Contact Number

Email Address

Enter Email Confirm Email

Your Doctor:

Details of your request

Please note we cannot extend sick notes before they expire. If you need an extension this needs to be requested on or after the day your current sick note expires.

Details of your request

Reason for sick note

Start date of the new sick note

End date of the new sick note

Are there any adjustments your employer can put in place to enable you to return to work?

E.g. No heavy Lifting, regular breaks, transition to another role, Please note any workplace adjustments are to be agreed with your employer. The GP is unable to dictate the specific adjustments.

Is there any support we can offer that would help you in returning to work?

E.g. Counselling, Physiotherapy, Lifestyle support

Additional Notes Optional

If you aren’t able to complete the sick note extension request form, you can also send an online request here or call the surgery Monday to Friday 8:00am to 6:30pm.
Repeat Fit notes cannot be requested until the date they have expired, however they can be backdated to run simultaneously from your previous fit note.
You could also provide evidence from someone who is not a Medical Practitioner, e.g. a Dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

Statement of Fitness for Work – ‘Fit Note’

The ‘fit note’ was introduced on 6 April 2010. With your employer’s support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)