Request a Medical Certificate (Sickline)

Please read the following information carefully before submitting this form.  A GP can only complete a medical certificate if they have consulted with you about the problem, or they are in receipt of your hospital attendance. The Medical Certificate can only be completed ON THE DAY IT IS DUE, or backdated accordingly.  It cannot be completed in advance.  Please submit you request for a medical certificate in advance to allow the Practice time to process your request.  

Your completed medical certificate will be emailed to you within 48 hours of its due date. 

Please use this submission form for the following requests:

* Continuation sickline

* A new sickline following a hospital admission/fracture (and you have completed a self certification covering your first 7 days of sickness)

If you require a first sickline, and have not spoken to the GP regarding the problem, please contact the Practice by telephone. 

Last Updated: 23/02/2024

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