For employees, doctors do not have to issue sick notes for the first week of sickness. For the first seven days of sickness please ask your employer for an SC2 form. If you require a “fit” note for less than seven days for insurance purposes or at the insistence of your employer etc, please ask the doctor for a private “fit” note for which a fee is payable; a receipt can be issued. If you are still sick after seven days ask your doctor for a free NHS “fit note”. “Fit” notes required by students will be provided for a documented medical illness. There is a charge for this service, which depends on the complexity of the problem. An urgent request for a “fit note” does not warrant an emergency appointment unless the medical condition dictates.