Doctor’s Sick / Fit Note for more than 7 days
You must always self-certify for the first 7 days that you are absent from work. If you have been absent from work for more than 7 days, your employer will likely ask you to provide them with a fit note. We can only issue a fit note if:
- You were seen by one of our clinicians at the time of your illness
- You are being treated by one of our clinicians for an ongoing illness
- We possess relevant hospital/clinic letters which correspond to the timing of your illness
If your illness directly follows a hospital encounter, please request a fit note from the hospital.
If you have been absent from work for less than 7 days, we are unable to issue an NHS fit note. If your employer insists that you need a fit note before you have self-certified – we may be able to issue a private fit note.
This is non-NHS work so you would incur a fee – please discuss this with your employer as they may agree to pay. If you have already been signed off from work, please indicate this. Please also note that a request for an extension must be sent at a maximum of 3 days before the date your current fit note expires.
You may have been asked to provide a fit note to access universal credit, employment support allowance or another type of benefit – if this is the case, please let us know below.
Return to work notes (i.e. amended duties, altered hours, workplace adaptations) must always be discussed with your line manager and agreed upon before requested. You must provide all details of the return to work within your request. If the request is complex, you may need to discuss this with a GP.