Fit (Sick) Note

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Fit (Sick) Note

You do not need a sick note for the first 7 days of an illness - you can still self-certify your illness.

If you have been ill for 7 days or less you don't need to see a Doctor.

You can complete a Self Certification form yourself. However some employers insist on a Doctor’s note regardless. A Doctors note under these circumstances may involve a charge. Many employers have their own self-certification forms. If your employer doesn’t have its own form your can complete the Employee's Statement of Sickness (SC2) form online.

When you've filled in the form give it to your employer, it will help them decide if you can get SSP. Keep a copy for your own information.

The clinician will decide if this is appropriate.
 
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Personal Details

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Confirmation

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Date of Birth:

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Query: Fit (Sick) Note

What is the nature of the illness, injury or other concern leading you to request a sick note?

Have you seen a clinician at the practice about this problem?

What was the first date of absence following the self-certification period?

When would you like the sick note to end?

What is your preferred contact method?

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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