Get Your Sick Note
Simply select the sick note you need, complete the form, and choose a payment option that works for you. Once submitted, our doctor will review your details and issue your sick note, which will be sent directly to your email. It’s that simple!
Medical Letter
Questionnaire
What Type of Note Do You Require?
*
Sick Leave from Work
Adjustments to Work Duties
Sick Leave from Studies
Travel & Holiday Cancellation
Pregnancy - Fit to Fly
Other
Patient Name
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
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2015
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2012
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1920
Year
Email
*
Confirmation Email
example@example.com
Contact Number
-
Area Code
Phone Number
Additional details
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Your Workplace
Confirm the name of your Employer
*
Medical Questions
Do you have any pre-existing health conditions our doctor should be aware of?*
Yes
No
Please mention the pre-existing health conditions
*
Are you taking any regular medications?
Yes
No
Please mention the medication
*
Main reason for Medical Letter
*
Common Cold, Flu, Covid or viral symptoms
Headache / Migraine
Back or Joint Pain
Injury, Trauma or Accident
Abdominal or Period Pain
Anxiety, Stress or Depression
Other
Please describe your symptoms (minimum 5 words)
*
0/
When did your symptoms start
*
-
Month
-
Day
Year
Date
Have you sought Medical Care for these symptoms
*
Yes, from my GP
Yes, from A&E
No
What treatment was administered in A&E or by your GP
*
Certificate Period
Please be aware, we can only issue you a note to cover a maximum period of 6 weeks after which you have to see your GP
What period of time do you want this note to cover?
*
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Submit
*
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Medical Note – Same Day Service
Reviewed and signed by a UK doctor. Delivered the same day by email and SMS.
£
39.99
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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