Sick/Fit Note

Fit notes can be certified and issued by nurses, occupational therapists, pharmacists and physiotherapists, as well as doctors, and are not required to be signed.
Sick notes can only be issued when they are due, although they can be back dated they cannot be future dated. Please do not request emergency appointments for a Sick/Fit Note.

Sick/Fit Note request form

Please complete this form to tell us about your illness and we will direct you to the most appropriate form or service.

Sick / Fit Note Request with Intelligence

Is this your first sick / fit note for this illness?

Yes

No, I have already had a sick / fit note for this illness

First Sick / Fit Note

How long have you been ill (including holidays and weekends)?

7 days or less

More than 7 days

If you have been sick for more than four days in a row, but less than seven, you can self–certify your illness using a SC2 form available online from HMRC.

Many employers have their own self-certification forms. You do not need to see a Doctor.

Requesting an additional Sick / Fit Note

If you have already had a Note for this illness your Doctor may not need to see you to issue an additional Note. Please complete this form. We will contact you to let you know when your Note is ready or we may contact you for more information.

Doctor’s Sick / Fit Note for more than 7 days

If you have been ill for more than 7 days you will need a doctor’s certificate. These certificates are called ‘Fitness To Work’ Certificates.

Please call the surgery to arrange a consultation.

Your details

First Name *

Last Name *

Email *

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Phone Number *

Your Illness

Start date for note *

End date for note *

What is the reason you cannot work? *

Describe your illness and why you need a Sick / Fit Note.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records. Please read our Privacy Policy to discover how we protect and manage your submitted data.

Your consent *

I consent to the practice collecting and storing my data from this form.

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If you are off work due to a Hospital admission, a Sick Note can be issued by the Hospital to cover the period of time you were in the Hospital. Once discharged, your GP can issue a Sick Note, based on your Hospital discharge letter. If you think this is your situation, our Reception Team will assist you.

Please note a Sick or Fit Note can be backdated; please discuss this when you see your GP. Emergency or urgent appointments should not be used to request Sick / Fit notes.

Self-Certificate

If you have been sick for more than four days in a row, but less than seven, you can self–certify your illness using a SC2 form. You can obtain this form from your employer or the HMRC website. If you are unwell for more than four days you are advised to contact the surgery to assess your fitness to work.

More than seven days off sick

If you’re off work sick for more than seven days your employer will normally ask for a Fit Note (or Statement of Fitness for Work) from your GP or Hospital Doctor.

How to count sick days

When you work out the number of days that you’ve been sick, you need to count all the days in a row you’ve been sick, including days you don’t normally work such as weekends and bank holidays.

Statement of Fitness for Work

The Doctor will provide you with a Statement of Fitness for Work (‘Fit Note’) if you are still not well enough to work. Your employer will most likely request this statement as evidence to support payment of Statutory Sick Pay (SSP).

Further information is available at the Direct.Gov website.

When do I need a Fit Note?

The NHS Information website provides further details about Sick or Fit Notes.

Fit Notes – What I need to know

Private Certificates

If you or your employer require further information concerning your period(s) of illness , then your Doctor may require to issue you with a letter. Please note that a charge may apply for this service. Please check with our Reception Desk.

Child Off School

When your child is off school or nursery with a sickness it can be extremely confusing knowing how long to keep your child off for.

The Health Protection Agency has produced guidelines to help you know when it is safe for you to let your child go back to school or nursery.

Guidance notes on infection control in schools and other childcare settings

Examinations and sickness certificates

It should be noted that GPs do not provide sick notes for school children.
When children are absent from school owing to illness, schools may request a letter from a parent or guardian, and this is no different during an exam period.
However, children who have missed exams due to illness are frequently told by schools that a note from a doctor is required; but this cannot be provided by a GP.
Aside from the fact that parents/guardians are responsible for excusing their children from school, GPs cannot provide retrospective sickness certification.
When a child suffers from a long-term condition, any certification will be provided by the responsible specialist.

General Practitioners Committee (GPC) has sought and received confirmation from the Office of the Qualifications and Examinations Regulator that Awarding Organisations make no requirement for pupils to obtain a medical certificate in support of their application for special consideration. Students are asked for information in support of their application, but this may take the form of a statement by the school. The Joint Council for Qualifications has confirmed that as far as they are concerned, if a student was absent from an examination as a result of illness and has the support of the school or centre to be absent, special consideration will be granted on that basis. Awarding organisations do not insist that medical proof is provided.