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can a doctor refuse to give you a footnote well the simple answer here is yes if that doctor believes that you are able to return to work they dont have to give you another one even if youre asking for one but normally what would happen there will be a good conversation between the two of you and you would have the opportunity to express your reasons as to why you thought you werent able to return to work if theres any discrepancy there the GP may give you a fit note but suggests that it has amended duties on it or actually ask for you to be refer to occupational health in relation to that job role