Somerville Medical Centre

69 Gorsey Lane, Wallasey, Merseyside, CH44 4AA

Telephone: 0151 638 9333

cmicb-wi.gatekeeperN85024@nhs.net

Sorry, we're closed

Sick Notes (eMED3)

Self-certification notes are available in reception or you can download them here. These cover you for your first week of absence from work.

If your period of absence exceeds one week, please contact reception or fill in the form below to request a doctor’s note. You may be asked to come in and see the doctor before your note is issued.

Sick Note request form

YOUR DETAILS

Name(Required)
Date of birth(Required)

Is this request:(Required)

Date the sick note is required from:(Required)
Date you would like you sick note to end:(Required)

Please list any medications you are taking related to your condition

FURTHER INFORMATION

Please tell us any information which may be relevant to your sick note. For example, if you have consulted any health care professionals (such as A&E departments, walk in centres etc)
This field is for validation purposes and should be left unchanged.

Opening Times

  • Monday
    08:00am to 06:30pm
  • Tuesday
    08:00am to 06:30pm
  • Wednesday
    08:00am to 06:30pm
  • Thursday
    08:00am to 06:30pm
  • Friday
    08:00am to 06:30pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED
NHS A-Z Conditions
Find Local Services
Live Well