Somerville Medical Centre

69 Gorsey Lane, Wallasey, Merseyside, CH44 4AA

Telephone: 0151 638 9333

cmicb-wi.gatekeeperN85024@nhs.net

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Sick note request form

Name(Required)
Date of birth(Required)

What kind of sick note do you require?(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
Please tell us any information which may be relevant to your sick note. For example, if you have consulted any healthcare 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
    Early Appointments are available on a Wednesday Morning with our Practice Nurse and HCA - please book these with Reception.
  • Thursday
    08:00am to 06:30pm
  • Friday
    08:00am to 06:30pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED

Useful Links

NHS Health A-Z

NHS Medicines A-Z

NHS Live Well

NHS Find Local Services

NHS Mental Health

NHS Screening

NHS 111
SurgeryWeb

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