Request for medical certificate

(02) 4943 6511 reception@whitebridgemedical.com.au

Medical certificate request portal

This service does not replace a medical consultation.

If you think you need to be seen by a doctor or need medical advice regarding your condition please either call the practice in hours or an appropriate out of hours service such as GP access on (1300 130 147) or emergency services (000).

Medical certificates will only be issued for existing patients of Whitebridge Medical Centre.

Requests through this portal can only be generated for one days sick leave. Certificates longer than this will require a consultation with one of our GPs.

This service does not provide workcover certificates or carers certificates

All certificate requests are reviewed and signed off by one of the practice GPs. If the GP does to think the request is appropriate your fee will be refunded.

First Name *

Last Name *

Date of birth *

Address

Address (start typing until your address is able to be chosen) *

Contact details

Email address *

Confirm email address *

Mobile number *

Certificate details

What was the first day missed due to illness (this will be listed on the certificate) *

What day will you be returning to work/school? *

What symptoms were you suffering from that led to you missing work/school? *Please ensure you provide as much detail as possible as this information helps determine if the doctor can issue you a medical certificate.

I confirm that I am not concerned that I might be seriously unwell. I confirm I do not think I need to see a GP. I confirm that this is not a replacement for a doctor's visit. I confirm that in the abscence of this service I would not have sought a GP or health professionals opinion regarding the management of my condition. *