Cofton Medical Centre

2 Robinsfield Drive, West Heath, Birmingham, B31 4TU

Current time is 15:11 - Sorry, we're closed

NHS

Telephone: 0121 693 5777

email: coftonmedical.centre@nhs.net

Sick Note – Continuation

This page contains information on getting a sick note extended for an problem you have already had a sick note for. If you have a new problem and would like to request a new sick note, please click here.

If you need a continuation of an existing sick note, please complete the form below.

MED3 Continuation

For patients requesting a sick note for a new problem
  • Date Format: DD slash MM slash YYYY
  • Please use this field to describe your problem or diagnosis in a few words.
  • Please provide: • A history of the problem • What treatment you are having • Your job title and description of duties • If there are any special considerations (e.g. driving, operating machinery or working at heights etc.)
  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
    If you require a phased return and/or amended duties, please complete the next question.
  • If yes, please explain exactly what you need and for how long. If no, please enter 'not needed' in the box above.
  • This field is for validation purposes and should be left unchanged.

 

Update your Details

Patient Participation Group

  • This field is for validation purposes and should be left unchanged.

Patient Survey

Friends and Family Test

  • We would like you to think about your recent experiences of our service.

  • This field is for validation purposes and should be left unchanged.

Opening Times

  • Monday
    08:00 until 18:30
  • Tuesday
    08:00 until 18:30
  • Wednesday
    08:00 until 18:30
  • Thursday
    08:00 until 18:30
  • Friday
    08:00 until 18:30
  • Saturday
    CLOSED
  • Sunday
    CLOSED