Fit Notes

Rules of the fit note


You can request a fit note (Formally Med3) from the healthcare professional who is treating you. This could be a doctor, nurse, occupational therapist, pharmacist or physiotherapist delivering NHS services. Your healthcare professional can also issue a fit note based on a written report from another healthcare professional. A Fit Note can only be considered after a clinical consultation with a Healthcare Professional.

Fit notes are computer-generated and printed out, can be collected or sent digitally to you. Duplicate fit notes can only be issued if the original has been lost.

The fit note is classed as advice from your healthcare professional Your employer can decide whether or not to accept it, and your healthcare professional cannot get involved in any disputes between you and your employer.


Your healthcare professional will only give you a fit note if your health affects your fitness for work. The fit note is your property and you should keep it.

If you are fit for work, you do not need a fit note. You also do not need one if you are off sick for 7 calendar days or less, because you can self-certify your leave for this time – see guidance on 

https://www.tax.service.gov.uk/fill-online/statutory-sick-pay-employer-notification

Your healthcare professional cannot give you a fit note for non medical problems (such as problems at home or relationship trouble at work). They may, however, be able to suggest other sources of help – some are listed in further support.


In person – Repeat Fit Notes you can drop your request at Reception

Online via PATCHS – Repeat Fit  Notes can also be requested via PATCHs, fill in the details, your surgery will then deal with the request.


For further information please use this link: https://www.gov.uk/government/publications/the-fit-note-a-guide-for-patients-and-employees/the-fit-note-guidance-for-patients-and-employees