How to Get a Fit Note from Your GP Practice

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If you’ve been unwell and need time off work, you might be asked by your employer to provide a fit note (previously called a sick note). This is an official statement from a healthcare professional confirming that you’re too unwell to work, or that you may be fit for work with some adjustments.

Here’s everything you need to know about getting a fit note from your GP practice.

What is a Fit Note?

A fit note is a medical certificate that outlines:

  • Whether you are not fit for work, or
  • Whether you may be fit for work with support, such as altered hours or amended duties.

It helps your employer understand your condition and what support you might need when returning to work.

When Do You Need a Fit Note?

  • If you’re off work for 7 calendar days or fewer, you can usually self-certify your illness. This means you don’t need a fit note, you just inform your employer and follow their internal process.
  • If you’re off work for more than 7 calendar days, you’ll usually need to provide a fit note to your employer.

How to Get a Fit Note from Your GP Practice

1. Contact Your GP Practice

You don’t always need to book a face-to-face appointment. Many GP practices allow you to request a fit note:

  • Online via their website (e.g. by filling out an online triage form)
  • By phone with the reception team

You’ll be asked to provide details about your illness, how long you’ve been unwell, and how it’s affecting your ability to work.

2. Speak to a Healthcare Professional

Depending on your condition, the GP or healthcare professional may:

  • Call you for a telephone consultation
  • Request more information or arrange an in-person appointment
  • Issue a fit note based on your existing records (especially for ongoing conditions)

They will assess whether you’re fit to work and whether any adjustments might help you return safely.

3. Receive Your Fit Note

If you’re eligible, the GP will issue a fit note. This may be:

  • A digital copy sent via email or accessible through the NHS App
  • A paper copy, which you can collect or have posted

You should share this with your employer as soon as possible.

Can you Backdate a Fit Note?

Yes, if you’ve already been unwell for several days, the GP can backdate the note to cover the period you’ve been off. Just let them know when your symptoms started and when you stopped working.

Do You Have to Pay for a Fit Note?

  • No, if it’s for your employer due to illness.
  • Yes, if you need a certificate  for other reasons (e.g. for a fitness competition, travel insurance, or school attendance), in this case, your practice may charge a fee to provide a sickness certificate.

Final Tips

  • Don’t wait until you’re feeling better to request a fit note if you need one, contact your GP practice as soon as possible.
  • Keep a copy for your records before sending it to your employer.
  • If your condition continues, you may need a follow-up fit note,  most practices can renew these without another full appointment.

Remember, your health and comfort matter most, so choose wisely, and make the change that benefits you.

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