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.

This form will be sent to Heathcote Medical Practice, Tadworth, KT20 5TH. Please ensure you have accessed the correct website before sending your request.

Sick / Fit Note Request

Sick / Fit Note Request

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