Requesting an additional Sick / Fit Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. We will contact you to let you know when you can collect your Sick / Fit Note or we may contact you to arrange an appointment.

If you are feeling suicidal or having thoughts of self harm

You can get advice from the following resources:

Crisis Service

Call 0800 014 9995 or visit www.penninecare.nhs.uk/help

In an emergency, please call 999.

National Suicide Helpline UK

The National Suicide Helpline offer a supportive listening service to anyone in the UK with thoughts of suicide or self-harm. They are open 24/7.

Call: 0800 689 5652

Counselling Service

Oldham Healthy Minds,
111 Union Street,
Oldham,
OI1 1RU

Call: 0161 716 2777

Sick / Fit Note Request

Sick / Fit Note Request

What are you requesting? *

Requesting a first Sick / Fit Note

Please use this date format: DD/MM/YYYY

Requesting an Additional Sick / Fit Note

If your condition is worsening, we will not be able to issue you an additional sick note. Please contact us directly for a consultation with a GP.

Please use this date format: DD/MM/YYYY
Please use this date format: DD/MM/YYYY