As of January 25, 2026, patients in Munich can receive a doctor’s note via telephone, a practice that has sparked debate among political leaders. While Federal Chancellor Friedrich Merz (CDU) has expressed a desire to end the practice, the SPD and Green parties support its continuation.
The Current Landscape
Dr. Wolfgang Ritter, a general practitioner at the Dr. Grassl practice in Munich and a board member of the Bavarian Association of General Practitioners, spoke to tz about the reality of telephone sick notes in practice. According to Dr. Ritter, approximately one percent of the 400 patients seen on a busy Monday during peak cold and flu season receive a diagnosis and sick note via telephone – roughly four cases. He does not believe this represents the core of the problem.
Dr. Ritter identifies a more significant issue: the rise of anonymous digital platforms offering sick notes for a fee. These platforms, some based abroad, utilize contracted doctors to issue certificates to patients they have never met, bypassing necessary medical consultation and treatment. These companies then bill the health insurance funds.
The Broader Context
Dr. Ritter emphasizes that a doctor-patient relationship built on trust is key to responsible sick note issuance. However, he acknowledges that patients can and sometimes do misrepresent their condition. He notes that a growing number of sick notes are being issued for conditions stemming from psychological distress, such as depression and anxiety.
Despite the concerns raised by Chancellor Merz, Dr. Ritter believes telephone sick notes should be maintained, as they alleviate pressure on practices and protect patients from potential infection. He suggests that efforts should be directed towards regulating and scrutinizing the digital platforms facilitating fraudulent sick note issuance.
Frequently Asked Questions
What percentage of patients at Dr. Ritter’s practice receive a sick note via telephone?
Approximately one percent of patients seen on a busy Monday during peak season receive a sick note via telephone, equating to around four cases.
What is the primary concern regarding the current system?
The primary concern is the abuse of the system through anonymous digital platforms that issue sick notes without proper medical consultation.
How long is a telephone sick note valid for?
A telephone sick note is valid for a maximum of five calendar days. A follow-up certificate typically requires an in-person visit with a doctor.
As healthcare systems continue to evolve, how might the balance between accessibility and accountability in sick note procedures be best achieved?
