Repeat Fit Note

* If you are in need of a Repeat Fit Note, please complete the form below and we will email your Fit Note to you when it has been processed. Please do not come to the Practice to collect it. *

How Do I Get a Fit Note?

From the 6th April 2010 a new Fit note was introduced which replaced the old doctors sick note. The new fit note is called the 'Statement of Fitness for Work' and is used in England, Scotland and Wales. It has more information than the previous doctor's sick note.

The main changes are: You DO NOT need to see the doctor for an illness lasting less than 7 days.

Your GP is able to say if they think you are 'not fit for work' or 'may be fit for work'
Your GP can add advice to the note for your employer, on how simple changes to the job you do may allow you to return to work earlier.
There will be fewer kinds of medical statement forms issued by GPs.
You only need a doctor's certificate during the first seven days of illness if you wish to claim benefits other than Statutory fit Pay: For example, benefits under the private insurance scheme, or to take your pre-booked holiday as fit leave instead.
Hospital doctors provide certificates for patients who are currently in hospital.
If your employer insists, then the doctor can issue you with a private certificate for a small fee.

Self-Certificates

You do not normally need a doctor's certificate for the first seven days of illness.
The Statutory fit Pay Regulations state that employers are required to accept self-certification notes (filled in by you) for the first seven days of illness.
These are available from the practice and your employer may also hold some.
Alternatively you can complete the Self Certificate form for your employer online here

All employers must comply with these regulations

You do not require any form of certification during the first FOUR days off work.
If you take up to SEVEN days because you not well enough to attend work, then you must fill in a self-certificate.
Anything OVER seven days means you will need a doctor's certificate and will need to visit a doctor to acquire this.

Private Fit Notes

Some employers or insurance schemes may ask you to provide a private fit note.
There will be a fee if you require a private note for the first seven days of your illness.
The practice will be able to advise of the current fee, and it would normally be expected that your employer would cover this cost for you as doctor's notes are not normally required for the first week of any illness.

Doctor’s Notes for On-going Illness

If you are suffering from a long-term problem that the doctor is aware of and will not need to see you in order to issue a further fit note, please complete the e-form below.
We cannot issue a new fit note until the previous one has expired. Please allow 2 working days from the date your previous certificate expired for your request to be processed before collecting from the practice.
All fields must be completed for the form to be processed.
We recommend that when using this e-form you print off and keep a copy of the acceptance page (which pops up after the submit button is pressed).

Disclaimer

To use this system, you will have to enter information about yourself that will be sent to us across the internet.
This e-form information is not encrypted, but will be no less secure than a normal email.
We can not guarantee that this information will not be seen by others.

Repeat Fit Note

First Names:

Last Name:

Date of Birth:

Your Email Address:

Phone Number:

Start Date of NEW fit Note:

Duration of Time Required:

Reasons for Being Off Work:

Additional Information

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 Shotfield Medical Practice • Shotfield, Wallington, Surrey, SM6 0HY.

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.