A fit note must be issued by a healthcare professional, which could be a doctor, nurse, pharmacist, physiotherapist or occupational therapist. You do not always need to see them in person to get one.
It depends on:
- why you're off work sick
- whether a healthcare professional needs to assess you face to face
- if you have been in hospital
"Fit note" is the informal name for a Statement of Fitness for Work, also known as medical statements (MED3).
Medical appointments and telephone consultations
If you need a fit note, contact the healthcare professional treating you. They will tell you whether you should make an appointment to see them or book a phone consultation.
A healthcare professional can give you a fit note on the day they assess you or at any time after the assessment.
If you have been in hospital, a hospital doctor can give you a fit note, as well as a certificate to confirm that you have been an inpatient.
What if I've already seen another healthcare professional?
You can get a fit note from a doctor, nurse, occupational therapist, pharmacist or physiotherapist.
The healthcare professional treating you can also issue a fit note based on a written report from another healthcare professional. For example:
- a hospital discharge summary or hospital letter
- notes from a previous consultation with a healthcare professional
Page last reviewed: 20 January 2023
Next review due: 20 January 2026