Sick Note – Uwchaled Medical Practice

A Doctor’s Note or Sick Note is now called a ‘Fit Note‘

Illness for less than 7 days

If you are unwell and absent from work for 7 days or less, you do not need a doctor’s note. In these instances, you can ‘self certify’ your illness.

Your employer might have a procedure or form for you to complete or you can use the SC2 Self-certificate Form.

Illness longer than 7 days

If you are unwell and away from work for 7 days or more, you will need a Fit Note.

You do not need to make an appointment with the doctor for this. Please tell receptionist the reason and dates of absence and a request will be made to the Doctor for your Fit Note. You can also email us your request.

Please allow two working days for your request to be processed.

Fit Notes can be collected from reception or sent electronically via email or SMS.

You do not need a Fit Note to return to work.

Online fit note request

Is this your first sick/fit note for this illness? [Ai hwn yw eich nodyn salwch/ffitrwydd cyntaf ar gyfer y salwch hwn?](Required)

YES this is my first Sick/Fit Note for this illness [IE, hwn yw fy nodyn salwch/ffitrwydd cyntaf ar gyfer y salwch hwn.]

NO this is not my first Sick/Fit Note for this illness [NA, nid hwn yw fy nodyn salwch/ffitrwydd cyntaf ar gyfer y salwch hwn.]

How long have you been ill? [Pa mor hir yr ydych wedi bod yn sâl?](Required)

I have been ill for 7 days or less [Rwyf wedi bod yn sâl am 7 niwrnod neu lai]

I have been ill for more than 7 days [Rwyf wedi bod yn sâl am 7 diwrnod neu fwy]

Self-Certification sick/fit note for less than 7 days [Nodyn salwch/ffitrwydd hunan-ardystio am lai na 7 diwrnod]

If you have been ill for 7 days or less you don’t need to see a doctor. You can complete a Self-Certification form yourself. However some employers insist on a doctor’s note regardless. A doctor’s note under these circumstances may involve a charge.

Many employers have their own self-certification forms. If your employer doesn’t have its own form you can download the Self Certification Form. Please print it, fill it in and hand it in to your employer. You do not need to see a doctor.

Download a self-certification form to give to your employer

Os ydych wedi bod yn sal am 7 diwrnod neu lai, nid oes angen i chi weld meddyg. Gallwch gwblhau ffurflen hunan-ardystio. Fodd bynnag, mae rhai cyflogwyr yn mynnu nodyn gan feddyg beth bynnag. Gellir codi tal am nodyn meddyg o dan yr amgylchiadau hyn.

Mae llawer o gyflogwyr yn cael eu ffurflenni hunanlywodraethol eu hunain. Os nad oes gan eich cyflogwr ffurflen ei hun, gallwch lawr-lwytho’r Ffurflen hunan-ardystio. Printiwch y ffurflen, ei llenwi a’i chyflwyno i’ch cyflogwr. Nid oes angen i chi weld meddyg.

lawr lwythwch ffurflen hunan-ardystio i’w rhoi i’ch cyflogwr

Doctor’s sick/fit note for more than 7 days [Nodyn salwch/ffitrwydd meddyg am fwy na 7 diwrnod]

If you have been ill for more than 7 days you will need a doctor’s certificate. These certificates are called ‘Fitness To Work’ Certificates. The doctor may call you or arrange for an appointment. If you have already been seen by your doctor about this illness your certificate will be e-mailed to you within 5 days.

[Os ydych wedi bod yn sâl am fwy na 7 diwrnod, bydd angen tystysgrif gan feddyg. Galwyd y tystysgrifau hyn yn "Tystysgrifau Ffitrwydd i Weithio". Efallai y bydd y meddyg yn eich ffonio neu'n trefnu apwyntiad. Os ydych eisoes wedi cael eich gweld gan eich meddyg am y salwch hwn, bydd eich tystysgrif yn cael ei e-bostio i chi.]

Full name [Enw llawn](Required)

Date of birth [Dyddiad geni](Required)

Dyddiad

Mis

Blwyddyn

Phone number [Rhif ffôn](Required)

Email address [Cyfeiriad e-bost](Required)

Enter Email [Nodwch eich e-bost] Confirm Email [Cadarnhewch eich e-bost]

Date you would like your sick/fit note to start [Dyddiad yr hoffech i’r nodyn salwch/ffitrwydd ddechrau](Required)

Date you would like your sick/fit note to finish [Dyddiad yr hoffech i’r nodyn ffitrwydd orffen?](Required)

Describe your illness and why you need a sick/fit note [Disgrifiwch eich salwch a pham eich bod angen nodyn ffitrwydd](Required)

Requesting an additional sick/fit note [Cais am nodyn salwch/ffitrwydd ychwanegol]

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. The Fit Note will be sent to you via email or we may contact you to arrange an appointment.

[Os ydych eisoes wedi cael Nodyn Salwch/Ffitrwydd ar gyfer y salwch hwn, efallai nad oes angen i'ch meddyg eich gweld i ryddhau Nodyn Ffitrwydd ychwanegol. Cwblhewch y ffurflen hon. Bydd y nodyn yn cael ei ebostio i chi neu efallai y byddwn yn cysylltu â chi i drefnu apwyntiad.]

Your full name [Enw llawn](Required)

Date of birth [Dyddiad geni](Required)

Dyddiad

Mis

Blwyddyn

Phone number [Rhif ffôn]

Email address [Cyfeiriad e-bost](Required)

Enter Email [Nodwch eich e-bost] Confirm Email [Cadarnhewch eich e-bost]

Date you would like your additional sick/fit note to start [Dyddiad yr hoffech i’ch nodyn salwch/ffitrwydd ddechrau](Required)

Date you would like your additional sick/fit note to finish [Dyddiad yr hoffech i’ch nodyn salwch/ffitrwydd orffen](Required)

Describe your illness and why you need a sick/fit note [Disgrifiwch eich salwch a pham eich bod angen nodyn ffitrwydd](Required)

Are there any reasonable adjustments your employer could make to help you return to work sooner? [A oes unrhyw addasiadau rhesymol y gallai’ch cyflogwr eu gwneud i’ch helpu i ddychwelyd i’r gwaith yn gynt?]

For example altered hours, working from home, amended duties, making workplace adaptations. [Er enghraifft: oriau wedi'u haddasu, gweithio o gartref, dyletswyddau wedi'u haddasu, gwneud addasiadau i'r gweithle.]

Consent and terms [Caniatâd a thelerau]

This form is for non-urgent enquiries and will take up to 3 working days for a response. [Mae’r ffurflen hon ar gyfer ymholiadau nad ydynt yn frys a gall gymryd hyd at 3 diwrnod gwaith i gael ymateb.]

Not for urgent medical help [Nid ar gyfer cymorth meddygol brys](Required)

Yes, I understand this form is NOT for urgent medical help [Ie, rwy’n deall NAD yw’r ffurflen hon ar gyfer cymorth meddygol brys.]

Phone

This field is for validation purposes and should be left unchanged.