Sick and carer’s leave self-declaration certificate

Request your Medical Certificate Doctor in just 2 minutes
Signed by a registered Australian doctor
Telehealth trusted by 120,000+ Australians
No appointment or travel time needed
Please provide the following information about your circumstances
I am seeking*

Sick Leave
The leave is from*

WorkStudiesEventCarer's leave
Full name of the person who requires leave*

First nameLast name
Date of birth*

DayMonthYear
Example: 22/03/1990
Address*
Email*

Confirmation Email
Mobile number to receive certificate via SMS in addition to email*
e.g. 0405330221
The main reason for the certificate*

Common cold or fluMigrainePeriod painBack painHeadacheAnxiety, depression or stressOther
You have chosen carer's leave, please provide symptom details of the person you are caring for
Please describe the timeline of your symptoms, the details of your symptoms, and if you would like anything specifically mentioned on the certificate. Please note that Partner Doctors cannot approve leave for past dates and cannot assess fitness for work.*
Are you currently taking any medication and for what condition?
If it's important for the doctor to know, what type of work do you do?
Optional file upload (discharge papers, doctor's letter, photo of your COVID test)

If your conditions are related to a recent treatment or hospital presentation you must attach this documentation
Cancelof
Proof of Identification (Passport, Driver's Licence, Medicare card, etc)

Cancelof
Dates for the certificate
From*

DayMonthYear
You cannot request a date in the past or in the future
To*

DayMonthYear
You can request up to a week in the future
Complete the checkout below. If the doctor determines that telehealth is not appropriate for your case, you will be refunded.

My Products

RECOMMENDED: Priority express requestThis will be reviewed and signed by an Australian doctor. It will be sent to you via email and your request will be prioritised at the top of the request queue. Powered by Updoc.

$39.95AUD

Regular requestThis will be reviewed and signed by an Australian doctor. It will be sent to you via email, usually delivered within the day. Powered by Updoc.

$29.95AUD

Enter coupon

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

You have chosen carer's leave, please ensure the name that will appear on the certificate is correct name: {fullnameofthepersonwhorequiresleave}
amount_value
Please double check your details below. This will appear on the certificate and cannot be edited after submission.

Name: {fullnameofthepersonwhorequiresleave}
Date of birth: {dateofbirth}
Email: {confirmEmail}
Mobile: {mobileNumber}
Date from: {from1}
Date to: {to1}
Leave from: {theleaveisfrom}
Type of leave: {iamseeking}
I confirm that I am not seriously unwell and I do NOT have any of the following symptoms: chest pain, shortness of breath, unable to swallow fluids or saliva, weakness or numbness down one side, slurred speech. I confirm I do not think I need to see a GP. If symptoms are related to a COVID vaccine, I will consult my GP or the medical professional who provided the immunisation. I confirm that this is not a replacement for a doctor's visit. I have read, understood and agree with the information in the terms of service and consent to the use of information in accordance with the privacy policy.*

Yes
Powered by Updoc
Should be Empty:

Request your Medical Certificate Doctor in just 2 minutes

Please provide the following information about your circumstances

Dates for the certificate

Complete the checkout below. If the doctor determines that telehealth is not appropriate for your case, you will be refunded.