FitNote Start your letter

A private adjusted duties letter for your employer.

Answer a short online questionnaire and a UK GMC-registered doctor reviews it the same day. It is a private doctor's letter, not an NHS fit note.

Start your adjusted duties letter See prices

From £32.99 · Full refund if no letter is issued

What the letter covers

Before you order

Your employer decides how, or whether, to make adjustments. Check your policy or talk to HR first.

Three steps, all online.

  1. Answer the questionnaire

    Choose Sick Leave from Work or Adjustments to Work Duties, then answer a short online medical questionnaire.

  2. Reviewed the same day

    A UK GMC-registered doctor reviews your answers and decides whether a letter can be issued.

  3. Signed and sent, if approved

    The letter is sent to you by email and SMS.

Choose how quickly you need your letter.

72 hours
£32.99
48 hours
£39.99
24 hours
£44.99
Same day
£54.99
Submit by 6pm, delivered before midnight.
4-hour urgent
£64.99
2-hour urgent
£79.99
Urgent orders: 6am to 10pm.

Prices are per letter, by delivery time. Times are estimates.

Express Subscription £29.99/month

Up to 2 letters a month on the same-day service. 3-month minimum term, and our terms apply. Details are sent by email after payment. Questions about cancelling? Contact us.

The doctor decides and may decline. If no letter can be issued, you get a full refund to your original payment method within 3 to 5 working days.

Start your adjusted duties letter

Questions about this letter

More answers in the FAQ, or contact us.

Can the letter cover adjusted duties or a phased return?

Yes, if the doctor considers it appropriate. Choose Adjustments to Work Duties in the questionnaire. The letter gives a doctor's view on a phased return, reduced hours, altered duties or workplace adjustments. Your employer decides how to act on it.

Will my employer accept a private doctor's letter?

Employers set their own evidence rules. Some accept a signed letter from a registered doctor; others ask for an NHS fit note. Check your sickness absence policy or ask HR before you order. HR can also check a letter is genuine online.

Is this the same as an NHS fit note?

No. This is a private doctor's letter, sometimes searched for as a private fit note. It is not issued by the NHS or a GP surgery, and it is not a GP appointment. Your employer decides which evidence it accepts.

The questionnaire takes a few minutes.

Start your adjusted duties letter

Questions? Message us on WhatsApp.