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.
Non-urgent advice: Who can Sign a Sick/Fit Note?
Fit notes can be certified and issued by nurses, occupational therapists, pharmacists and physiotherapists, as well as doctors, and no longer require 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.
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?
7 days off sick or less
If you’re off work sick for 7 days or less, your employer should not ask for medical evidence that you’ve been ill. Instead they can ask you to confirm that you’ve been ill. You can do this by filling in a form yourself when you return to work. This is called self-certification.
More than 7 days off sick
If you’re off work sick for more than 7 days, your employer will usually ask for a fit note.
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.