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Form: Fit (Sick) Note

Fit (Sick) Note

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Fit (Sick) Note

You do not need a sick note for the first 7 days of an illness - you can still self-certify your illness.

For isolating due to COVID-19 you can get an isolation note for up to 14 days via NHS 111 Online

Have you been off sick for more than 7 days?: *

Yes

Have you already had a note about this?: *

Yes

Tell us briefly about your illness or medical problem: * This field is required

When would you like the note to start? When do you think you can return to work?: * This field is required

If possible, is there anything your employer could do to help you return sooner?: * This field is required

E.g. could you work from home, do fewer hours, or do different tasks at work?

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CONTACT DETAILS

Mulberry Surgery
7 St Denys Road
Southampton
Hampshire
SO17 2GN

Telephone: 023 8055 4161
Out-Of-Hours: 111

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Find out more about the policies and procedures we adhere to at Mulberry Surgery

PRACTICE POLICIES

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FRIENDS AND FAMILY TEST

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