Fit Note Requests at Dr Jefferies and Partners
Online Form
If you have been off work poorly for less than seven days, you can self certify your absence and therefore do not require a sick note from the clinician.
If you will be off work for more than seven days, a Sick note can be requested using the form below. Please select Sick/Fit Note and then choose Sick Note and complete all relevant fields.
If you are feeling a bit better and would like to return to work but are not sure if you are ready, a Fit note can be requested using the same form. A fit note can help you get back to work by requesting additional support from your employer such as a phased return or amended hours.
A clinician will review your request and issue your note if appropriate within 10 working days. PLEASE COMPLETE ALL FIELDS TO AVOID DELAY.
