Schools, colleges and universities should note that GPs will not provide sick notes in support of special consideration applications. A medical certificate is not necessary when making an application for special consideration where a candidate misses an exam or their performance in an exam is affected as a result of a temporary illness/injury. As long as the school/college supports the application for special consideration this is considered sufficient evidence. If the education service insists on a letter then there will be a charge and we suggest that you get agreement from them first for who will cover the cost. Please also visit the following link on how to view your medical records: