Adjustments to Work Duties: a private doctor's letter for your employer

For a phased return, reduced hours or altered duties, when your employer asks for a doctor's letter. A UK GMC-registered doctor reviews your online questionnaire the same day.

From £32.99 per letter. Full refund if no letter is issued.

Example: a phased return to work, with Monday's "back at work" circled and an Adjustments to Work Duties note clipped on.

March

Week 10 · example

  1. Mon 3Back at work
  2. Tue 4Half day
  3. Wed 5Half day
  4. Thu 6Desk work only
  5. Fri 7Half day
  6. Sat 8
  7. Sun 9

Your employer decides how to act on it

Doctor's note

  • Adjustments to Work Duties
  • Signed by the reviewing doctor
  • Reviewed by a UK GMC-registered doctor

Who it's for

  • Employees aged 18 and over, in any job
  • Full-time and part-time staff
  • A phased return or reduced hours
  • Altered duties or workplace adjustments
  • Employers who ask for medical evidence

What the letter states

What it can't do

Your employer decides whether to accept it and how to act on it. It isn't an NHS fit note, and a faster speed doesn't change the doctor's decision.

Rules and limits

Your employer decides
Your employer decides whether to accept the letter and how to act on it.
Up to 6 weeks
One letter covers at most 6 weeks. For longer, see your GP.
The doctor decides
The doctor decides whether a letter can be issued and may decline. If not, you get a full refund.
Sick leave instead
Need sick leave covered? Choose Sick Leave from Work in the form. About the work letter.

Prices, by how soon you need the letter

Per letter. Delivery times are estimates.

Price per letter, by delivery speed
SpeedDelivered withinOrder windowPrice
72 hoursDelivery: 72 hours—£32.99
48 hoursDelivery: 48 hours—£39.99
24 hoursDelivery: 24 hours—deadline tomorrow?£44.99
Same dayDelivery: Before midnightOrder window: Submit by 6pm£54.99
4-hour urgentDelivery: 4 hoursOrder window: 6am to 10pm£64.99
2-hour urgentDelivery: 2 hoursOrder window: 6am to 10pm£79.99

Express Subscription, £29.99 a month: up to 2 same-day letters a month, with a 3-month minimum term. Subject to our terms; details are sent by email after payment. Questions about cancelling: contact us.

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

Start your note

Questions about this letter

All questions →
Will my employer accept this letter?
Employers set their own evidence rules. Some accept a signed letter from a GMC-registered doctor; others ask for other evidence. Check your policy or ask your manager before you order.
Who decides what happens at work?
Your employer. The doctor decides whether a letter can be issued; your employer decides whether to accept it and how to act on it.
Is this the same as an NHS fit note?
No. It is a private doctor's letter, not an NHS fit note, and it is not a GP appointment. Your employer decides which evidence it accepts.
How long can the letter cover?
One letter covers at most 6 weeks. For longer, see your GP. The doctor decides what the letter says, based on your answers.
Can my employer check the letter is genuine?
Yes. Your manager or HR can check it on Dr Sick's website at drsick.co.uk/verify (opens Dr Sick's website). Dr Sick operates DoctorNote.
What if the doctor can't issue a letter?
The doctor may decline. If no letter is issued, you get a full refund to your original payment method within 3 to 5 working days.

Check your employer's policy, then start the questionnaire.

Start your note

From £32.99

Start your note