If you are unfortunate enough to need more than seven days, then in the first instance, an appointment must be made with the Doctor to issue a sick note. If you are currently already under a sick note and need further time off, then you may be able to get another sick note without being seen again. Please go to reception and ask for a Continuation of Sick Note Request Form or or download pdf. Then you must hand this into reception at the surgery. This will be put to the Doctor who last signed you off and they will assess if you will be issued with a further note or need to be reviewed again. This decision will be within two days. If the Doctor has signed a further sick note, then this will be available from reception to collect. If you need to be reviewed, you will need to make an appointment to be seen.