Fit/Sick Notes

At Private Pharmacy Care, we can provide sick notes for people who need time off work due to an ongoing illness.

£35

What is a Fit/Sick Note?

A fit (sick) note is a letter confirming you are unfit to work for a specified period due to illness. Employers may request this if you need to take more than 7 days off work.

Sick Note Request Form

Please provide accurate details. False or misleading information may result in the request being declined.

Fee: £35 (charged after your request is clinically approved).

When you click submit, your default email app will open with all the details pre-filled.

Patient’s Details

Patient First Name

Patient Last Name

Patient Date of Birth

Patient Contact Number

Patient Email Address

Country

Patient Address Line 1

Patient Address Line 2

Patient City / Town

Patient Postcode

GP Surgery

GP Contact Number

GP Address Line 1

GP Address Line 2

GP Country

GP City / Town

GP Postcode

Medical History

Current Medication

Additional Information

Please describe why you are requesting a fit/sick note; a clinician will be in touch to discuss.

Please keep this reasonably concise so your email app can open the request successfully.

Disclaimer I confirm that the information provided is accurate. False or misleading details may result in the request being declined.

By submitting, you agree to our Privacy Policy.