Use this form to request an Illness/Injury Social Welfare or Private Work Cert. Please fill out all fields.

To qualify for Illness/Injury social welfare certification you must be seen by a GP. To extend a period of cover after previously been seen, you must complete this form.

To qualify for statutory sick pay from your employer you must be certified by a GP as unable to work. Our preference is that you are seen but sometimes this is not possible and we will arrange for a nurse to complete a triage call with you for the purposes of getting certified.

Social welfare certs are free but private work certs must be pre-paid. Once you have paid for the service, one of our clinicians will call you to carry out a phone triage. Keep your phone available to take our call.

Social Welfare Certs – no fee.
Private Work Cert – €40 fee applies if you have not been seen by a clinician previously. In this case we will schedule a triage nurse to contact you. This service must be prepaid at time of ordering.
Private Work Cert – €20 fee applies if you were seen previously and just need to extend the certified period. This service must be prepaid at time of ordering.

Private Work Cert (€20 fee must be paid in advance)
Final Cert (tick if this is your final cert)