Fit notes

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Pharmacy guide

This guide includes information on who can issue fit notes or Med3, when to issue them and where to obtain them. You’ll also find practical tips to support your consultation and assessment to complete and issue fit notes safely.

^{Published: 1 July 2022

Updated: 5 December 2024}

Sections on this page

What's a fit note?
When to issue fit notes
Who can issue fit notes?
How to obtain fit notes
Issuing fit notes safely
- Competence and scope of practice
- Training
- Workplace discussions
Consultation skills
- Opening the discussion
- Assessing the person and gathering information
- Making recommendations and providing advice
Completing a fit note and next steps
Before you sign, remember
Further information

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