Topic Guide
Sick Note Cost, Rules & Process
The practical mechanics of getting a sick note — cost, who can issue one, how long it lasts, backdating, and what happens if a doctor declines.
Start here
Before paying, check whether self-certification or evidence from your treating healthcare professional is sufficient. Ask the intended recipient what it accepts, then compare the assessment process, fee and limitations of any private service.

How to Get a Sick Note From a GP: UK Sickness Rules and Online Alternatives
A complete guide on obtaining a GP sick note in the UK, including appointment rules, backdating, self-certification, and GMC-compliant online private alternatives.
11 min read
Read Article →
What to Do If Your GP Refused a Sick Note: A UK Guide
Has your NHS GP refused to issue a fit note or sick note? Understand your legal rights, why doctors refuse, and the secure private alternatives available.
10 min read
Read Article →
Can You Get a Sick Note Without Seeing a Doctor in the UK?
Discover how to get a sick note without seeing a doctor in the UK. Learn about self-certification, NHS telephone reviews, and online private certificates.
11 min read
Read Article →
Who Can Issue a Fit Note in the UK?
Learn who can legally issue a fit note in the UK, including doctors, nurses, occupational therapists, pharmacists, and physiotherapists.
10 min read
Read Article →
How Long Can a Doctor Give a Sick Note in the UK?
Learn how long a doctor can issue a sick note for in the UK, when it can be extended, and how fit note length works in practice.
11 min read
Read Article →
How Much Does a Sick Note Cost in the UK?
Learn when a sick note is free in the UK, when employers may need to cover the cost, and how private medical evidence fits into the picture.
11 min read
Read Article →
Can a Sick Note Be Backdated in the UK?
Can a sick note be backdated in the UK? Learn when earlier dates can be included, what doctors consider, and what employers can ask for.
10 min read
Read Article →
Can a Doctor Refuse a Sick Note in the UK?
Can a doctor refuse a sick note in the UK? Learn when a fit note can be declined, what counts as a medical reason, and what to do next.
12 min read
Read Article →Explore other topics
Benefits & DWP Medical Evidence
How medical certificates and fit notes support UK benefit claims — Universal Credit, PIP, ESA, and evidence for the self-employed.
Mental Health & Stress at Work
Guides on mental health conditions, workplace stress, anxiety, clinical depression, burnout, and obtaining a sick note for mental wellbeing.
Sick Notes for Specific Conditions
Information on getting a sick note for specific physical symptoms and illnesses, including back pain, sciatica, chest infections, flu, food poisoning, and migraines.
Surgery, Dental & Post-Op Recovery
Your guide to medical evidence after surgeries, operations, hospital discharges, dental appointments, and dental surgery recovery.
Statutory Sick Pay (SSP) & Sick Pay Rights
How UK statutory sick pay (SSP) is calculated, qualifying conditions, entitlement rules, and employer sick pay obligations.
Workplace & Employment Rights
Your rights when you're off sick — dismissal, probation, annual leave, part-time and zero-hour contracts, occupational health, phased returns, and what employers can and cannot do.
Sick Note & Fit Note Basics
The fundamentals of UK sick notes and fit notes — what they are, when you need one, what they look like, self-certification, and how private certificates compare.
Need a Medical Certificate?
Our GMC-registered doctors can review your request and issue a verifiable certificate today. No appointment needed.
Start Consultation →