Requesting a fit note (sick note)

From July 2022, fit notes can be certified and issued by nurses, occupational therapists, pharmacists and physiotherapists, as well as doctors, and no longer required to be signed.

If you are off work due to a hospital admission, a sick note can be issued by the hospital to cover the period of time you were in the hospital and expected recovery. Once discharged, your GP can issue a sick note, based on your hospital discharge letter (although it is preferable to obtain a note from the hospital team prior to discharge).

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 an 'on the day' appointment for a Sick/Fit Note.

Please note fit notes must be collected from the surgery.

First name

Surname

Date of Birth

Contact phone numberTo contact you if we need to discuss this request.

Please confirm that you have self certified for the first 7 days

Have you seen one of our clinical team regarding this problem? If so, who?Ie which doctor or nurse?

First date note is required

End date of note

What is the reason that you cannot work?Please note that we need to give a reason for the period of absence, this will be visible to your employer etc.

A "maybe fit for work" note can be issued. This can be useful as we can suggest options/recommendations that allow an employer to make adjustments to facilitate return to work. If this would be useful, please give us further details.For example we can suggest a phased return, amended duties, work place adaptations, altered hours etc. It is up to the employer to decide if this can be accommodated.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to The Blue Practice • The Medical Centre, King Street, Crieff, Perthshire, PH7 3SA.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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