Sick Note Request Form

Sick Note Request Form

Personal Information


Employment Information

Medical Information

Reason for Sick Note


Symptoms (if applicable):


please provide details


Declaration


I hereby request a sick note for the stated absence. I understand that providing false information may have consequences.

JUST  WALK-IN | MEDICAL CLINIC

Business Hours

Open 7-Days a week, 10:00 am to 6:00 pm

Phone Number & Our Locations

Scarborough Clinic

501 Pharmacy Ave, Scarborough, ON, Canada

📞+1 647-847-6262

📞+1 416-646-0830

📠Fax: 647-748-0830

St. Clair West (Toronto)

942 St Clair Ave West, Toronto, ON, Canada

📞+1 437-2954-280

📞+1 437-2954-033

📠Fax: 437-295-4521

Ruth Ave (Brampton)

27 Ruth Ave, Brampton, ON, Canada

📞+1 905-5022-180

📠Fax: 289-406-1700

Gateway (Brampton)

25 Gateway, Brampton, ON, Canada

📞+1 905-5022-180

📠Fax: 289-406-1700

East York (The Market Place)

5 the Mkt PI, East York, ON

📞+1 437-8261-174

📠Fax: 647-748-0830

 

 

 

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