Isolation note
Start date:
Reference number:
20 February 2021
2569 9650 8247 5393
End date:
2 March 2021
Name:
Amy
Bose
Date of birth:
28 August 2019
What this note is for
The person named above has been told to self-isolate by an NHS service or a
healthcare professional. This is because:
they live with someone who has symptoms of coronavirus
What you need to do next
Send this note to your employer if they ask to see it.
Find information on coronavirus and claiming benefits at:
https://www.understandinguniversalcredit.gov.uk/coronavirus/
Health advice
Get the latest NHS information on coronavirus:
https://nhs.uk/coronavirus
If you need medical advice about your symptoms:
• England: https://111.nhs.uk/covid-19
• Scotland: https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/
coronavirus-covid-19
• Wales: https://111.wales.nhs.uk/SelfAssessments/symptomcheckers/COVID19.aspx
• Northern Ireland: get advice from a GP or GP out-of-hours service
Information for employers
Get guidance on working safely during coronavirus:
https://www.gov.uk/guidance/working-safely-during-coronavirus-covid-19
If you want to check the information on this form, go to https://111.nhs.uk/isolation-note/check
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