Sick/Fit note request | Launceston Medical Centre

How long have you been ill (including bank holidays and weekends)?

Is this your first sick / fit note for this illness?

Full name*

Date of Birth*

Email*

No NHS number available

Duration requested*

First date of absence*

Current certificate expiry date*

Message

If you have been ill for 7 days or less you don’t need to see a Doctor. You can complete a Self Certification form yourself.

To prevent spam please record the Practice Postcode (PL159HH) below:*

To prevent spam please record the Practice Postcode (PL159HH) below: *

Sick/Fit note request.