Sicklines

1. Self-certification

You don’t need anything from the GP unless you’re off work for more than 7 days. If your employer wants you to self-certify your first 7 days off work, you need to complete an SC2 form. You can get this form from your employer or by visiting the HMRC website.

2. First sicklines for a new issue

If you need a sickline for a new issue you’ll need an appointment to discuss it first with a GP or specialist nurse at the Practice, or with the CWIC team. Please call us or go online to arrange an appointment. If your appointment is with one of the Practice team they’ll give you a sickline at the appointment or (if you have a phone appointment) leave it for you to collect at Reception. If your appointment is with the CWIC team please fill in the online form below, after your appointment.

3. Sickline extensions & sicklines for planned time off work

For sickline extensions and sicklines for planned time off work that we’re aware of (for example you’ve had an operation and we’ve been sent confirmation of this) then please fill in the sickline request form below. You can also fill in the form if you’ve had an appointment with the CWIC team, and need a sickline for the issue they saw you about.

If you’re not able to complete the online request form then please call at a quiet time (such as mid-afternoon) and speak to our Reception team to arrange a sickline extension, or ask at the front desk.

We can only complete sicklines from the day you’re due to be off work. Please only fill in the form 1-2 days beforehand, or we won’t be able to process your request.

Sickline requests made online or over the phone can take up to 10 days to complete. If there’s a gap between the end of your self-certification period or previous sickline and your new sickline being available, we’ll backdate the sickline for your employer.

Sickline request form

Sickline form

Have you self-certified your first 7 days off work already?

Yes

You don’t need anything from the GP to cover the first 7 days you’ve been off work. Please don’t continue filling out this form.

You need to ‘self-certify’ for the first seven days you’ve been off work with your current issue, using this SC2 form on the HMRC website. Your employer should also be able to provide a copy for you.

If you’re off work for more than 7 days, please call us to arrange an appointment with a GP or one of our nurse practitioners, to arrange your first sickline.

Have you already had an appointment with a Riverside GP or specialist nurse, or the CWIC team, about the issue you need the sickline for? Or – have we been sent notification about something you need a sick line for, for example from your hospital?

Yes

If you want to request a sickline for a new issue, you need to have had an appointment with a Riverside GP or specialist nurse, or the CWIC team, before the Practice can issue a sickline.

Please call the Practice on 0300 790 6266 to book an appointment, from 8am Monday-Friday.

First name

Last name

Date of birth

Please use format day/month/year e.g. 12/05/1979

Reason you need the sickline

0 of 100 max characters

Date you need the sickline to be dated FROM

Please use format day/month/year e.g. 12/05/1979

Date you need the sickline dated TO

Please use format day/month/year e.g. 12/05/1979

Privacy policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

I consent to the practice collecting and storing my data from this form.

If you are human, leave this field blank.

Local Support with aliss

Housing, health & much more

Local Support

Self-help

Assess your own symptoms

Self-help Guides

Services directory

Find a local health service

Services directory