Request for a sickness certificate

Examples, to extend an existing sickline or after speaking to a medical professional e.g A&E, Minor Injuries etc. By sending in this form you are agreeing to receive email and/or sms communications from us. We will only use this information to communicate with you about Penicuik Medical Practice and the service we provide.

Last Updated: 03/08/2023

Patient Details

Information on the patient

Please note

The doctor may not necessarily issue you with a sickness certificate following this request. You may need an appointment/telephone call before a certificate can be issued. Please leave 3 working days for GP assessment and completion of certificate.
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