Illness Benefit Certification

Please allow 48-72hrs for prescription refill to be ready. Note this form is for re-orders only. 

We will contact you at this number
We will send you a copy of this form for your records
Note: Certificate duration is a function of the claimant’s illness, the Departments guidelines for expected length of absence and the GP’s clinical judgement. Above dates are indicative. They are not the definitive dates.