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COVID-19 Fit Note Advice

Requests for certification of absence from the workplace relating to Covid-19 may fall into five categories:

    1.     Symptomatic so isolating for seven days

Patients can and should self-certify for the first seven days as normal if they are unfit to work. They do not need to contact their GP.

    1.     Symptomatic and remaining unwell for over seven days

If they remain unwell and unfit to work after seven days, the current advice is to visit where there is an online self-assessment tool. They do not need to contact their GP for a certificate but you can advise patients to use the template form below.

    1.     Household contact symptoms - isolating for fourteen days as per government advice

GPs cannot and are not the gatekeeper of the statutory sick pay system and can only provide certificates for the purpose of illness, not in relation to government advice regarding self-isolation. Employers are responsible for putting in place arrangements for home/remote working where this is possible. Where it is not, the employee may self-certify and return to work following the relevant absence which their employer may authorise as per government advice. If an isolation note is required this can be found at

    1.     At risk group so following government advice

Where they do become unwell during or after this time, points 1 and 2 apply. They do not need to contact their GP. If patients are self isolating as they have an underlying health condition, as per Government advice employers should take up any queries with the appropriate government department. There is no expectation for GP's to provide a Med3 for this purpose.

    1.     Those in full time education who are symptomatic or requiring self-isolation

There is no NHS requirement to issue certification to schools or colleges to confirm absence. These organisations must work with parents and students to ensure that any absence is appropriately recorded, obviating the need for a ‘doctor’s note’. They do not need to contact their GP.

The current Government Guidance for employers and businesses on coronavirus (COVID-19) states;

“By law, medical evidence is not required for the first 7 days of sickness. After 7 days, employers may use their discretion around the need for medical evidence if an employee is staying at home.

We strongly suggest that employers use their discretion around the need for medical evidence for a period of absence where an employee is advised to stay at home either as they are unwell themselves, or live with someone who is, in accordance with the public health advices issued by the government.”

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