# The Statutory Sick Pay (Medical Evidence) Regulations 1985, Paragraph 5


A healthcare professional’s statement ...shall contain the following particulars—
(a) the patient’s name;
(b) the date of the assessment (whether by consultation or consideration of a report as the case may be) on which the healthcare professional’s statement is based;
(c) the condition in respect of which the healthcare professional advises the patient they are not fit for work;
(d) a statement, where the healthcare professional considers it appropriate, that the patient may be fit for work;
(e) a statement that the healthcare professional will or, as the case may be will not, need to assess the patient’s fitness for work again;
(f) the date on which the healthcare professional’s statement is given;
(g) the address of the doctor; and
(h) the name of the healthcare professional (whether in the form of a signature or otherwise); and
(i) the profession of the healthcare professional.
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Source: https://www.legislation.gov.uk/uksi/1985/1604/schedule/1/paragraph/5 (the official version)
Page: https://openlegislation.uk/statutory-sick-pay-medical-evidence-regulations-1985/schedule-1/paragraph-5
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.