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A sick note, also referred to as a fit note, is a certificate from a doctor to inform an employer or educator about a health-related absence. Sick notes are discretionary and may include recommendations for adjusting work schedules. If absent for over seven days due to illness, individuals can obtain a free sick note; however, a fee may apply for those sick for seven days or less. Employers typically request sick notes for absences exceeding seven days, while self-certification may suffice for shorter durations. Sick notes can be obtained from local NHS GPs, hospital doctors, or some walk-in centers.