Alba Medical Group - Coatbank > Services > Forms > Sick/Fit Note

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?

First Sick / Fit Note

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

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 practice 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.

Medical Sick / Fit Note for more than 7 days

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

Please call the surgery to arrange a consultation.

Your details

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

Your Illness

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.

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.

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.

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.

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.

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.