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Sick Note for Work

If your employer needs formal absence documentation, our registered UK GPs can review your case online and issue a signed sick note or fit note without the wait.

Every sick note for work is issued following individual clinical review by a licensed UK doctor, making it a legitimate medical document suitable for employer and HR submission.

✔ Signed by a registered UK GP following clinical assessment
✔ Accepted by employers and HR departments across the UK
✔ Most requests reviewed same day, from £39

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UK GMC Doctors


Receive a full refund if we can’t provide a certificate

GMC Registered Doctors
Information Commissioner's Office
In partnership with NHS Doctors


How It Works

01

Complete a short online questionnaire

No appointment required. Complete a short medical questionnaire and upload any supporting evidence.

02

Doctor reviews your evidence

A GMC-registered doctor reviews your submission individually. No automated approvals.
✔ Full refund if the GP cannot issue.

03

Receive your certificate

Certificates arrive most same day, all by 9AM next morning, delivered as a signed PDF direct to your inbox.

Employment Sick Notes

Sick Note for Work

If your employer is asking for a sick note, get one today from a GMC-registered UK doctor. Accepted by UK employers for absence records and Statutory Sick Pay. No appointment, same day delivery.


When do you need a sick note for work in the UK?

Whether you need a formal sick note depends entirely on how long you have been off work. UK employment law uses a simple 7-day rule, confirmed by GOV.UK and ACAS, that every UK employer must follow.

The 7-day self-certification rule

Absences of 7 calendar days or fewer: you can self-certify. No sick note is required by law. You simply notify your employer that you are unwell, usually via a self-certification form or written statement. All calendar days count toward the seven days, including weekends and bank holidays.

Absences of 8 days or more: your employer can legally require a sick note from a registered healthcare professional before they will accept the absence as certified or pay Statutory Sick Pay.

Some employers also require a sick note for shorter absences, particularly if there is a pattern of frequent short-term sickness. In those situations, including when applying for a sick note for bereavement, a private sick note from MedicalCert is appropriate even before the 7-day threshold has been reached.


How to get a sick note for work online

You do not need a face-to-face GP appointment, a prior medical history with us, or to leave home. You can get a sick note online in around 10 minutes.

Complete the online questionnaire

Describe your symptoms, how long you have been unwell, and how your condition is affecting your ability to work, whether it is a sick note for back pain or any other physical condition. Be as specific as you can about impact on attendance and duties.

Upload photo ID and supporting evidence

A driving licence or passport, plus any existing prescriptions, GP letters, or medical records that strengthen your case. Supporting evidence is not always required but helps the doctor reach a faster decision.

A GMC-registered doctor reviews your case

Every case is individually assessed by a UK GP. No automated approvals. If the doctor cannot issue a certificate based on the clinical evidence, you receive a full refund.

Receive your signed sick note by email

Most certificates are issued the same day. All are delivered by 9AM next morning at the latest, as a signed PDF you can forward straight to HR or your line manager.


What a sick note for work includes

Every certificate is a legally valid private medical document that your employer is required to accept. Each sick note contains:

Personal details

Your full name, date of birth, and address, matching the ID you submitted.

Medical reason for absence

A description of your condition at the clinical level of detail appropriate for your employer, whether a sick note for anxiety or another health condition. You are not required to share a full diagnosis beyond this.

Dates and duration

The start date, end date, and recommended total duration of absence, up to 14 days per certificate. Follow-up notes can extend this.

Fitness for work assessment

Either “not fit for work” or “may be fit for work” with recommended adjustments such as a phased return to work, reduced duties, or remote working.

Doctor’s credentials

The issuing doctor’s full name, GMC registration number, and digital signature. Your employer can verify these on the GMC register at no charge.

Unique reference number

Every certificate carries a unique reference your employer can use for direct verification with MedicalCert.


Sick pay and your rights when you are signed off work

If you are signed off work with a valid sick note, including a sick note for depression, you are entitled to Statutory Sick Pay (SSP) provided you meet the eligibility criteria. The UK SSP system changed significantly in April 2026, and most employees now qualify more easily than before.

April 2026 SSP changes you should know

Day one payment. SSP is now payable from day one of absence. The previous three waiting days have been abolished. You are paid for every certified day off, including the first three.

Lower earnings limit removed. The previous minimum weekly earnings threshold has been scrapped. Part-time workers, zero-hours contract workers, and lower earners who previously did not qualify now do.

Current rate. £123.25 per week, or 80% of your average weekly earnings, whichever is lower. Many employers also offer contractual sick pay above the statutory minimum, set out in your contract or employee handbook.

Your employer cannot refuse to accept a valid sick note from a GMC-registered doctor. They can request a second medical opinion through occupational health, and they can ask for verification of the certificate via the GMC register, but they cannot simply dismiss the certificate or discipline you for taking certified sick leave.


Can my employer reject a sick note?

Under UK employment law, employers are required to accept a valid sick note from a GMC-registered doctor. This applies regardless of whether the note comes from an NHS GP, a private practice, or an online service like MedicalCert. Every certificate is equally valid as medical evidence for workplace absence and SSP purposes.

What your employer CAN do

  • Ask to see the certificate.
  • Verify the doctor’s GMC registration number.
  • Contact MedicalCert to confirm the unique reference.
  • Refer you to occupational health for a second opinion.
  • Conduct a return-to-work interview after your absence.
  • Follow their normal absence management process.

What your employer CANNOT do

  • Refuse to record the absence as certified sick leave.
  • Withhold SSP without a legitimate legal reason.
  • Dismiss or discipline you for certified absence.
  • Demand a detailed diagnosis beyond what is on the note.
  • Override the doctor’s clinical judgement.
  • Insist you attend work despite the certificate.

If an employer attempts to reject a valid sick note, refer them to GOV.UK guidance on fit notes, which confirms that certificates from any GMC-registered doctor must be accepted. Persistent refusal to accept valid medical evidence may amount to unfair treatment under the Employment Rights Act 1996.


Private sick note vs NHS Med3 Fit Note

MedicalCert issues private medical certificates, not NHS Med3 Fit Notes, including a stress leave certificate for stress-related absences. For the overwhelming majority of workplace purposes the two are functionally equivalent, but there are important differences worth understanding.

Factor Private sick note NHS Med3 Fit Note
Accepted by employers Yes Yes
Valid for Statutory Sick Pay Yes Yes
Accepted for ESA and government benefits No Yes (required)
Cost From £47 Free
Appointment required No Yes (via your NHS GP)
Typical delivery time Same day, all by 9AM next morning Days to weeks depending on GP availability
GMC-registered doctor Yes Yes
Please note: If you are applying for Employment and Support Allowance (ESA), Universal Credit, or any other government benefit that requires medical evidence, you will need a free NHS Med3 Fit Note from your registered GP. Private certificates are not accepted for benefit applications. For every other workplace purpose including employer absence records, HR, and SSP, a private sick note is fully valid.

Frequently asked questions about sick notes for work

How long can a doctor give a sick note for?
A doctor can issue a sick note for any duration the clinical evidence supports, up to 14 days per individual certificate. Follow-up notes can be issued for longer absences. There is no legal maximum on the total duration of certified sick leave, and many people are signed off for weeks or months where the condition requires it.
Can I get a sick note for 1 day at work?
Yes. For absences of 7 days or fewer you can usually self-certify without a formal sick note, but if your employer requires medical documentation for a shorter absence, a private sick note from MedicalCert covers any duration from 1 day upward.
Can I get a sick note without seeing a GP?
Yes. MedicalCert operates an online consultation model. You complete a questionnaire and upload supporting evidence, and a GMC-registered doctor reviews your case individually and issues a sick note where clinically appropriate. No face-to-face appointment is required at any stage.
Will my employer accept an online sick note?
Yes. UK employers are legally required to accept a valid sick note from any GMC-registered doctor, regardless of whether the certificate was issued online or in person. Each MedicalCert note includes the issuing doctor’s GMC registration number and a unique reference for verification.
Can a sick note be backdated?
Yes, provided there is supporting evidence for when you became unwell. Backdated sick notes are common when an illness prevented you from seeking medical advice immediately, or where you have already been absent for several days before obtaining certification.
Do I still get paid if I have a sick note?
If you meet the Statutory Sick Pay eligibility criteria, yes. From April 2026 SSP is payable from day one at £123.25 per week or 80% of your average weekly earnings, whichever is lower. The previous three waiting days and the lower earnings limit have both been removed. Contractual sick pay above the statutory minimum depends on your employment contract.
Do I need a sick note to claim SSP?
For absences of 7 days or fewer you can self-certify for SSP purposes. For absences of 8 days or more, your employer is entitled to require a sick note from a registered healthcare professional before paying SSP. Without one, they can legally withhold payment.
Can my employer contact the doctor who issued my sick note?
Your employer can verify that the certificate is genuine by checking the doctor’s GMC registration number on the public GMC register, and by using the unique reference number on the certificate to confirm authenticity with MedicalCert. They cannot access your medical records or obtain clinical information beyond what is stated on the certificate itself.
What is the difference between a sick note and a fit note?
They are the same document. The UK formally renamed the sick note to the “fit note” in 2010 to emphasise what employees can still do rather than what they cannot. In practice, employers, HR teams, and the general public still use the term “sick note”, and the two terms are fully interchangeable.
How quickly can I get a sick note for work?
Most MedicalCert sick notes are issued the same day, often within a few hours of submission. All applications received by 11PM are reviewed and delivered by 9AM the following morning at the latest. If the doctor cannot issue a certificate based on the information provided, you receive a full refund.

Please note: MedicalCert issues private medical certificates, not NHS Med3 Fit Notes. Our certificates are accepted by UK employers for absence documentation, HR records, and Statutory Sick Pay purposes. If you are applying for Employment and Support Allowance (ESA) or other government benefits, you will need a free NHS Med3 Fit Note from your registered GP.

Most same day. All by 9AM next morning. Full refund if we cannot issue your certificate.

Clinically Reviewed By

Dr Maria Knobel

Medical Director, Nobel Medical LLC

Registered with the General Medical Council
Certificates issued following clinical review

GMC Registration

7495073 – View on GMC register