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What is the longest sick note a GP can give?

A GP can issue a sick note (fit note) for up to three months at a time within the first six months of a condition, but after that, the duration is based on clinical judgment, potentially covering longer periods as needed for recovery, with frequent reviews for ongoing issues, as there's no absolute upper limit if clinically appropriate for long-term health problems like psychiatric conditions.
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Can I ask my GP to extend my sick note?

You can ask (not really request...) for a longer fit note, but it's entirely up to a GP what they decide.
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How long is a doctor's note good for?

A note for a cold may last just a few days. A note for recovery after surgery may last several weeks or even months. Make sure you ask your work or school about how long your doctor's note will be accepted.
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How long is it acceptable to be off sick?

For sickness lasting longer than the self-certification period (more than seven days), you will need a fit note. Specified health care professionals can indicate in a fit note whether you are fit for work, or whether you are fit for work if certain changes are made.
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How to get a long term doctor's note?

Comments Section
  • Try calling or checking out local community health clinics - many help people without insurance, and they can issue a Doctor's Note For Work once they examine you.
  • Use telemedicine; it's much easier now.
  • Consider Real Doctors Note - they offer authenticated notes via remote doctor reviews.
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When and how you get a (sick) med3 fit note

Can you get a long term sick note?

When you need a fit note. You might need a fit note if you're unwell and cannot work for more than 7 days, including weekends and bank holidays. You do not need a fit note if you cannot work for 7 days or less. A fit note can support you to return to work or stay in work.
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What if my doctor refuses a sick note?

Yes, a doctor can refuse to issue a sick certificate if they determine there is no valid clinical reason warranting absence from work or school. Doctors must adhere to ethical standards and will only issue documentation if a legitimate health condition impacts your ability to work or attend school.
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What happens after 6 months off sick?

If you've had a lot of time off work because of sickness, it might be reasonable for your employer to dismiss you because you're no longer able to do your job. If you've been working for your employer for 2 years or more, they have to follow the correct disciplinary process before they dismiss you.
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What is an excessive number of sick days?

If an employee has used 90% or more of the sick leave he/she has accrued since being hired, there may be a problem of excessive absenteeism. In reviewing this factor, you will want to consider any major illness, injury, or maternity/paternity (parental) leave that may have caused the high usage.
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What is the maximum sick leave in the UK?

There is no fixed legal limit on sick days in the UK. Employers can monitor absence levels and may investigate frequent or long-term sickness, but they must follow fair procedures and consider reasonable adjustments where appropriate.
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What is the longest fit note from GP?

A fit note from a healthcare professional can last up to 3 months. For longer periods, you may need an assessment from occupational health or a specialist.
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What is the longest you can take a leave of absence?

You can generally take up to 12 weeks of leave per year under the federal Family and Medical Leave Act (FMLA), with an exception for military caregiver leave, which allows up to 26 weeks in a single 12-month period; however, your employer's specific policies, state laws (like California's CFRA), and the reason for leave (e.g., medical, family, or personal) determine the exact number and types of leaves you can take, sometimes allowing for intermittent or additional leaves beyond FMLA. 
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Can HR refuse a doctor's note?

Yes, HR can deny a doctor's note, but usually only for legitimate reasons like suspected fraud, vague information, late submission, or if it doesn't meet company policy/legal requirements (like FMLA or ADA), not just to deny leave; they must provide clear reasons and can require more specific documentation, though they can't demand your private medical records without consent. 
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Can my GP refuse to give me a sick note?

An employer should only ask their employee for a fit note from the 7th day of absence. A healthcare professional might refuse to provide a fit note before the 7th day.
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Can you be terminated while on sick leave?

Yes, you can be sacked for being off sick, especially if it violates attendance policies, but it's complex and depends heavily on legal protections like the Family and Medical Leave Act (FMLA) or Americans with Disabilities Act (ADA), which protect those with serious health conditions, or if you don't follow proper procedures like providing medical documentation, leading to dismissal for poor performance or job abandonment rather than the illness itself. 
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Can an employer override a doctor's sick note?

Yes, an employer can sometimes challenge or "override" a doctor's note, especially if it's vague, seems fraudulent, or conflicts with company policy, but this is limited by laws like the FMLA and ADA; they can't arbitrarily dismiss a legitimate note for a serious condition but can question documentation or require more info if they have good reason, and employees in at-will states still face termination for excessive absences despite notes unless protected leave applies. 
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Is 3 absences in 6 months bad?

A common value is more than three occasions and/or 10 working days in any rolling six-month period, but employers can use their discretion to set the levels or patterns of sickness absence that will prompt action under the organisation's absence management procedure.
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What is considered an abuse of sick leave?

Sick Leave Abuse is a regular or repeated use of sick leave for purposes other than sickness, injury, doctor/dentist visits; exposure to contagious disease communicable to other employees; pregnancy, child bearing or a serious illness, injury or death of an employee's immediate family.
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Is taking 4 sick days a year too much?

In general terms, starting on January 1, 2024, the law requires employers to provide and allow employees to use at least 40 hours or five days of paid sick leave per year. Before January 1, 2024, an employer could limit an employee's use to 24 hours or three days during a year.
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What counts as long-term sickness?

Long-term sickness

Employees who are off work sick for more than 4 weeks may be considered long-term sick.
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What are 5 signs of work-related stress?

Five common signs of work-related stress include fatigue/sleep issues, irritability/mood swings, difficulty concentrating/making decisions, reduced work performance/motivation, and physical symptoms like headaches or stomach problems, often accompanied by social withdrawal or increased absence from work. These signs show stress affecting your mind, body, and behavior, making work feel overwhelming and diminishing enjoyment or effectiveness. 
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Can I terminate an employee for excessive absenteeism due to illness?

Yes, you can generally terminate an employee for excessive absenteeism due to illness, but it's risky and requires careful adherence to laws like the ADA and FMLA, proper documentation, and a consistent process; you must first ensure the absences aren't protected, explore reasonable accommodations, and apply progressive discipline to avoid discrimination claims, especially if the illness is a disability. 
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How long can you be off work with stress?

If you're signed off due to stress, you might be eligible for: Statutory Sick Pay (SSP): £116.75 per week (as of 2025) for up to 28 weeks. Company Sick Pay: Some employers offer enhanced sick pay based on your contract.
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Can I get fired for calling out if I have a doctor's note?

Generally, an employer cannot fire you just for calling in sick. There are legal protections and company policies that usually protect employees from being fired for legitimate illness-related absences.
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Can a doctor write you a sick note without seeing you?

Telemedicine services offer the capability for patients to consult with licensed healthcare professionals via video calls, phone calls, or online messaging. During these consultations, doctors can assess the patient's symptoms, provide medical advice, and if necessary, issue a sick note or medical certificate.
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