• Request Your Medical Letter

    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!

  • Please note: Maximum sick note duration is 28 days. We cannot future date sick notes.

  • Medical Letter

    Questionnaire
  • What Type of Note Do You Require?*

  •  -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Your Workplace

  • Medical Questions

  • Do you have any pre-existing health conditions our doctor should be aware of?*
  • Are you taking any regular medications?
  • Main reason for Medical Letter *
  • 0/
  • When did your symptoms start*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you sought Medical Care for these symptoms*

  • Certificate Period

    Please be aware, we can only issue you a note to cover up to 6 weeks, after which you will need to see your GP
  • What period of time do you want this note to cover?*
  • Patient Declaration & Informed Consent*
  • Telephone / video consultation required?
  • Consultation Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Consultation Time
  • Estimated Due Date (EDD)*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Outbound Travel Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Return Travel Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Will any single flight (not including stops) be longer than 4 hours?*

  • Health Confirmation

  • Is this a singleton (single baby, not twins or multiple) pregnancy?*
  • Have you experienced any complications in this pregnancy? (e.g. bleeding, high blood pressure, gestational diabetes, placenta praevia)*
  • Are you currently experiencing any abdominal pain, tightenings, contractions, or vaginal bleeding/discharge?*
  • Do you have any other medical conditions? (e.g. anaemia, previous blood clot, heart or lung problems)*
  • Is your pregnancy otherwise healthy and progressing normally?*
  • Have you had an antenatal check in line with your expected schedule confirming your baby's growth and heartbeat are normal?*
  • Have you had any complications in a previous pregnancy, or a previous preterm birth?*
  • Do you have travel insurance that covers pregnancy-related complications abroad?*

  • Please ensure you have travel insurance that covers pregnancy-related complications before travelling abroad. Your fit-to-fly letter does not replace the need for appropriate travel insurance.

  • Have you confirmed with your airline that they accept passengers at your stage of pregnancy?*

  • Please check with your airline before travelling. Many airlines restrict travel after 28 weeks and may require a fit-to-fly letter dated within 7 days of departure.

  • Should be Empty: