A woman pointing at three different certificate documents

Sick note vs medical certificate vs carer’s certificate: what’s the difference?

By Click Clinic editorial team · Updated

The short answer

In Australia, "sick note" is an informal name for a medical certificate: a document from a registered health practitioner confirming you were unfit for work or study for a period. A carer’s certificate is similar, but confirms you needed to care for an immediate family or household member who was sick, injured or affected by an emergency. Employers can ask for either as evidence for sick or carer’s leave.

Three names, two documents

Medical certificate (“sick note”) Carer’s certificate
What it confirms You were unfit for work or study You needed to care for or support someone
Who it’s about You An immediate family or household member
Leave it supports Sick leave, study absences Carer’s leave
Shows a diagnosis? No, a general reason only No
Issued by A registered health practitioner A registered health practitioner

Sick notes

“Sick note” isn’t an official term in Australia. People use it, along with “doctor’s note” and “doctor’s certificate”, to mean a medical certificate. If your manager or school asks for a sick note, a medical certificate is what they almost always mean.

Medical certificates

A medical certificate is written by a registered health practitioner after assessing you. It usually includes:

  • your name and the date it was issued
  • the dates you were, or will be, unfit for work or study
  • a general reason, without private medical details
  • the practitioner’s name and registration details

Some practitioners title the document differently. At Click Clinic, for example, a certificate issued by a nurse practitioner is titled an absence certificate. If your employer or education provider requires a certificate from a doctor specifically, check with them first.

You can check a practitioner’s registration on the public Ahpra register.

Carer’s certificates

A carer’s certificate supports carer’s leave. That’s leave to care for or support a member of your immediate family or household who is sick, injured or has an unexpected emergency.

Immediate family includes your spouse or de facto partner (current or former), child, parent, grandparent, grandchild or sibling, and those relatives of your spouse or partner, including step and adoptive relations. A household member is anyone who lives with you.

Which one do you need?

  • You were sick: a medical certificate.
  • You were looking after someone who was sick: a carer’s certificate.
  • You missed an exam or deadline: a medical certificate, but check whether your institution needs its own form.

Your employer can ask for evidence for as little as one day off work. It must convince a reasonable person that you genuinely needed the leave. A statutory declaration can also count, unless your award or registered agreement requires a particular type of evidence.

Getting one online

Click Clinic practitioners can assess requests for medical certificates for work, study and carer’s leave. A certificate is issued only when it’s clinically appropriate, and it isn’t backdated.

Frequently asked questions

Is a sick note the same as a medical certificate?

Usually, yes. In Australia people use "sick note", "doctor’s note" and "doctor’s certificate" to mean a medical certificate. If your employer asks for a sick note, a medical certificate will normally meet that request.

Who can issue a carer’s certificate?

A registered health practitioner can issue a certificate confirming you needed to provide care. Your employer can also accept other evidence, such as a statutory declaration, if it would satisfy a reasonable person.

Can I use a carer’s certificate for a household member who isn’t family?

Yes. Under the National Employment Standards, carer’s leave covers immediate family members and anyone who lives with you.

Sources

  1. Notice and medical certificates (opens in a new tab), Fair Work Ombudsman. Accessed 3 October 2026.
  2. Sick and carer’s leave (opens in a new tab), Fair Work Ombudsman. Accessed 3 October 2026.
  3. Register of practitioners (opens in a new tab), Ahpra. Accessed 3 October 2026.

This guide is general information, not medical or legal advice. Your award, agreement or workplace policy may set different requirements. See our editorial policy.