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Please allow 24 hours before collecting your certificate from the surgery.
The doctor will review your request and you may need to be seen before issuing the certificate
Please note that this facility is not for first time certificates
Name
Date of Birth
Address
Address Line 1
Address Line 2
Email Address
Reason for certificate
From what date?
Duration (nr of weeks)
I agree with being contacted by phone, email or SMS text
Submit
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