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Whitnash Medical Centre Providing NHS services
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Home > Self Certification

Self Certification

Self certification form (PDF, 54KB)
Private Sick Note Request

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. However some employers insist on a Doctor’s note regardless. A Doctor’s note under these circumstances may involve a charge.

Many employers have their own self-certification forms. If your employer doesn’t have its own form you can download the Self Certification Form. Please print it, fill it in and hand it in to your employer. You do not need to see a Doctor.

In cases where your employer still requires a sick note we will be able to complete a private sick note. This will cost £25.

Last Updated 30 Jan 2025

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Whitnash Medical Centre

110 Coppice Road , Whitnash, Warwickshire, CV31 2LT

  • 01926 316711
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