Woodbank Surgery

0161 705 1630

Sickness Certificates

You do not require a doctor’s sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.

YOU DO NOT NEED TO ATTEND FOR A GP APPOINTMENT FOR ALL SICK/FIT NOTE REQUESTS: 

If you have been seen by a Doctor or Nurse Clinician and have received your first sick note, you may apply for an extension by completing the form below.

 

Sick Note Request Form

Please note that this form must be completed in full, submitting an incomplete form may result in a delay in your sick note extension request being processed. Sick note extension requests will only be processed when they are due; under no circumstances are we able to provide a post-dated sick note. Sick note extension requests will only be processed if the patient has been seen by a GP, Advanced Practitioner or hospital consultant in the proceeding 8 weeks.
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DATES REQUIRED FOR SICK NOTE

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OFFICE USE ONLY

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CLINICAL ASSESSMENT OF SICK NOTE EXTENSION REQUEST

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NOTES CHECKED (please tick)
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REQUEST APPROVED: (please tick)
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GP AUTHORISATION FOR SICK NOTE EXTENSION TO BE PROCESSED

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APPROVED: (please tick)
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IF SICK NOTE REQUEST IS NOT APPROVED PLEASE GIVE FURTHER GUIDANCE BELOW