If you're under the care of a hospital, your fit note may be issued by the hospital rather than your GP. If a hospital issues your fit note, it will always be a double-sided A5 handwritten fit note. There is never a charge from an NHS doctor for providing a fit note if you're off sick from work for more than seven days.it notes may also be called medical statements or a doctor's note. The seven days includes days that you don't normally work. When you work out how long you've been off sick, you should include weekends and bank holidays.
The preferred format for notes at the Clinic uses the acronym DAP (Description, Assessment and Plan). Baird (2002) suggests a similar format and his thoughts on clinical documentation are useful. In a typical therapy session, a client may bring up two or three therapy-significant events or issues or describe the activity of carrying out a homework assignement.
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