A Medical Sick Certificate (commonly known as a 'Fit Note' in the UK) is required when an employee needs to provide formal evidence of their medical condition to their employer. Operating under the jurisdiction of England and Wales, this document is essential for statutory sick pay claims after seven days of illness. The certificate must include specific information about the patient's condition, working capacity, and recommended duration of absence, while adhering to data protection requirements and medical confidentiality standards.
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1. Patient Details: Full name, date of birth, NHS number, address and other identifying information of the patient
2. Medical Practitioner Details: Name, GMC number, practice details and contact information of the certifying medical professional
3. Condition Assessment: Nature of illness/condition (within confidentiality limits) and its impact on work capability
4. Duration of Incapacity: Specific period for which the patient is certified as unfit for work or requires workplace adjustments
5. Certification: Date of assessment, doctor's signature, and official practice stamp
1. Work Recommendations: Specific suggestions for workplace adjustments or modified duties, used when patient may return to work with modifications
2. Referral Information: Details of any specialist referrals or ongoing treatment plans, included when relevant to work capacity
3. Follow-up Requirements: Information about necessary follow-up appointments or reassessment schedule
1. Additional Medical Evidence: Supporting documentation from specialists or test results that substantiate the certification
2. Workplace Assessment Report: Detailed evaluation and recommendations for workplace modifications or accommodations
3. Treatment Plan: Detailed schedule of planned treatments or interventions that may affect work capacity
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