Tell us what you need
Share your contact details, leave dates, and a short overview of your situation.
MEDICAL LEAVE, MADE SIMPLE
Submit a confidential medical leave request online. Our care team will review your details and guide you through the next step.
CARE THAT FITS
YOUR LIFE
Complete the form in minutes.
Your request is reviewed with care.
Your information stays confidential.
We're here when you need us.
A CLEARER PATH TO RECOVERY
Share your contact details, leave dates, and a short overview of your situation.
A member of our medical team reviews your request and gets in touch if needed.
We'll email you with the next steps and any documents you may need.
START YOUR REQUEST
All fields marked with an asterisk are required. Please do not include highly sensitive diagnostic information in this form.
Questions first?
Call our friendly support team
+234 800 123 4567
WHY CARELEAVE
When health calls for a pause, the paperwork shouldn't make life harder. Our team makes the process feel calm, clear, and considered from your first request onward.
COMMON QUESTIONS
Most requests receive an initial response within 24–48 business hours.
Yes. We treat your details as confidential medical information and only use them to manage your request.
A request is not a certificate. Our team will assess the request and explain the available next steps.