Our patient system Klinik is available Monday to Friday from 7am to 6pm.

It is not available during weekends and Bank Holidays. Your request will be triaged based on the symptoms you enter. We aim to confirm an appointment date and time for urgent symptoms within 48 hours. We aim to confirm a date for routine appointments within two weeks, which may be further in the future, depending

Make, change or cancel an appointment with our online Klinik services.

Request a Sick/Fit Note

Sick notes can only be issued when they are due and cannot be future dated.

To request a sick/fit note please use our Klinik services and select the ‘Cancel appointment/Request fit (sick) note/Submit information’ box. Please ensure that when you submit your request for a fit/sick note that you include the following information:

  • Are you seeking a new sick note or an extension to an existing sick note?
  • What is the nature of your illness?
  • If you require an extension, who issued your last sick note and what was the end date of your last sick note?
  • What are the ‘to and from’ dates you are requesting for this fit note?
  • Please provide a brief explanation of why you are currently unable to work.

Please allow up to 5 working days for a fit/sick note to be completed, please note we will back-date your fit/sick note according to your request.

If you are not able to use our Klinik services please call the surgery instead on the below numbers:

Marlow Doctors House01628 484666
Lane End Surgery01494 881209
Hambleden Surgery01491 571305

If you are off work due to a Hospital admission, a Sick Note can be issued by the Hospital to cover the period of time you were in the Hospital. Once discharged, your GP can issue a Sick Note, based on your Hospital discharge letter. If you think this is your situation, our Reception Team will assist you.

Please note a Sick or Fit Note can be backdated; please discuss this when you see your GP. Emergency or urgent appointments should not be used to request Sick / Fit notes.


If you have been sick for more than four days in a row, but less than seven, you can self–certify your illness using a SC2 form. You can obtain this form from your employer or the HMRC website. If you are unwell for more than four days you are advised to contact the surgery to assess your fitness to work.

More than seven days off sick

If you’re off work sick for more than seven days your employer will normally ask for a Fit Note (or Statement of Fitness for Work) from your GP or Hospital Doctor.

How to count sick days

When you work out the number of days that you’ve been sick, you need to count all the days in a row you’ve been sick, including days you don’t normally work such as weekends and bank holidays.

When do I need a Fit Note?

The NHS Information website provides further details about Sick or Fit Notes.

Private Certificates

If you or your employer require further information concerning your period(s) of illness , then your Doctor may require to issue you with a letter. Please note that a charge may apply for this service. Please check with our Reception Desk.