Please note that you must see a Doctor to receive an illness benefit certificate or medical certificate. If you need to extend either cert, you may submit the below form and we will contact you if you need to be reviewed by a GP.
This form can also be used to submit the request if you are under the care of a Hospital Team following illness/injury/surgery. It is important to ask your Treating Doctor for a note advising how long you are to remain off work.
You may get Illness Benefit from the Department of Employment Affairs and Social Protection (DEASP) if you cannot work because you are sick or ill. You must get a medical certificate called a ‘Certificate of Incapacity for Work’ from your GP. Your GP completes the certificate and can submit it electronically through a secure online system. Sometimes the GP can provide one certificate to cover the duration of your illness, otherwise you will need to return for further review.
To open your claim you can apply online here.
There is no fee to the patient for the above, & the copy of the online Illness Certificate can also be used for your employer.
If your employer requires you to provide a separate medical certificate ('sick note/work cert' from your GP), or if your illness is not covered by DEASP Illness Benefit, this may incur a fee.
By submitting this form you will be sending personal/sensitive information about yourself across the Internet. Please read our privacy statement to discover how we protect and manage your submitted data. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of contacting the practice.
