sick note: meaning, definition, pronunciation and examples

B1
UK/ˈsɪk nəʊt/US/ˈsɪk noʊt/

informal

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Quick answer

What does “sick note” mean?

An official document, typically from a doctor or medical professional, confirming that a person is too ill to work or attend school.

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Pronunciation

Definition

Meaning and Definition

An official document, typically from a doctor or medical professional, confirming that a person is too ill to work or attend school.

Informally, can refer to any excuse or justification for missing an obligation, or be used as a metaphor for a person or thing that is habitually unreliable or weak.

Dialectal Variation

British vs American Usage

Differences

Common in UK English; US English overwhelmingly prefers "doctor's note" or "medical excuse." "Sick note" is understood but marked as British in the US.

Connotations

In the UK, it's a standard, neutral term for the bureaucratic requirement. In the US, using "sick note" might sound informal or specifically British.

Frequency

Very high frequency in UK workplace/school discourse. Low frequency in US, where "doctor's note" is the standard collocation.

Grammar

How to Use “sick note” in a Sentence

[Person] needs/gets/hands in a sick note.[Institution] requires a sick note for absences over [number] days.The doctor wrote/gave me a sick note.

Vocabulary

Collocations

strong
get a sick noteneed a sick noteprovide a sick notehand in a sick notefrom the doctor
medium
written sick noteofficial sick notesick note for worksick note for schoolsick note from your GP
weak
fake sick notevalid sick notesick note requirementabsence without a sick note

Examples

Examples of “sick note” in a Sentence

verb

British English

  • My boss sick-noted me for a week. (Informal/jargon: to authorize leave with a note)
  • He's always trying to sick-note out of team meetings. (Informal: to excuse oneself)

American English

  • The doctor will note your sickness. (Not a direct equivalent; 'sick-note' as a verb is rare in AmE.)

adverb

British English

  • (No standard adverbial use.)

American English

  • (No standard adverbial use.)

adjective

British English

  • It's a sick-note culture in that department. (Adj: characterized by frequent absences)
  • He has a sick-note mentality. (Adj: prone to finding excuses)

American English

  • He has a doctor's-note excuse. (Similar concept but different phrasing.)

Usage

Meaning in Context

Business

HR policy states you must submit a sick note if you are absent for more than seven consecutive days.

Academic

The university requires a sick note from the student health service for any exam absence.

Everyday

I've got a terrible cold, so I'll need to pop to the GP for a sick note for work.

Technical

The employer requested a Statement of Fitness for Work (the official 'fit note') rather than a traditional sick note.

Vocabulary

Synonyms of “sick note”

Strong

fit note (UK specific, for fitness/ability to work)medical excuse

Neutral

doctor's notemedical certificatemedical notenote from the doctor

Weak

excuse noteabsence justification

Vocabulary

Antonyms of “sick note”

attendance recordproof of fitnessclearance to work

Watch out

Common Mistakes When Using “sick note”

  • Using 'sick note' in formal US contexts (use 'doctor's note').
  • Spelling as one word: 'sicknote' (should be two words).
  • Confusing with 'sick leave', which is the time off, not the document.

FAQ

Frequently Asked Questions

In the UK, they are related but not identical. A 'sick note' (an older, informal term) simply stated you were unfit. A 'fit note' (the official term since 2010) is more detailed, stating what you *can* do and suggesting adjustments to help you return to work.

No. A valid sick note must be issued by a qualified medical professional (e.g., a doctor, nurse practitioner). Writing your own would be forgery and could have serious professional or legal consequences.

It depends on the doctor's assessment and local policy. It can be for a specific number of days (e.g., "3 days") or can cover a period until your next assessment. Always check your employer's or school's specific rules.

A 'sick note' is the *document* proving illness. 'Sick leave' (or 'sick pay') is the *time* you are allowed to be absent from work while ill, often governed by policy and the note itself.

An official document, typically from a doctor or medical professional, confirming that a person is too ill to work or attend school.

Sick note is usually informal in register.

Sick note: in British English it is pronounced /ˈsɪk nəʊt/, and in American English it is pronounced /ˈsɪk noʊt/. Tap the audio buttons above to hear it.

Phrases

Idioms & Phrases

  • [informal, derogatory] He's a walking sick note. (Someone often ill)
  • That old car is a sick note. (Something unreliable)

Learning

Memory Aids

Mnemonic

Think: When you're SICK, you need a NOTE to prove it.

Conceptual Metaphor

ILLNESS IS A LEGITIMATE EXCUSE (The note transforms a subjective state into an officially sanctioned, written justification.)

Practice

Quiz

Fill in the gap
After being off with flu for five days, Sarah had to visit her GP to get a before returning to the office.
Multiple Choice

In which variety of English is 'sick note' the MOST common and standard term?