A medical certificate in Escaldes-Engordany can be requested online for €34.99, with most cases decided the same day and delivered as a PDF. A registered doctor assesses what you report and issues a dated record of that assessment for an employer, a club, a school, an insurer or a carrier. It is supporting documentation only — it is not the CASS medical certificate, which in Andorra is the document that constitutes the temporary-incapacity benefit request.
Last updated: 1 October 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
Medical Certificates in Escaldes-Engordany: Who Needs Them?
Escaldes-Engordany is the parish of hot water. Its thermal springs — sulphurous and nitrogenous, emerging at temperatures ranging from about 22 to 66 °C — gave the parish its name long before they gave it an industry, and since 1994 they have supported Caldea, the largest thermal spa complex in the Pyrenees, set in an urban valley with mountains on every side. Alongside it, Avinguda Carlemany is one of Andorra's principal commercial streets, with the Illa Carlemany centre and its shops, cinemas and gym. The parish runs immediately into Andorra la Vella, forming a single continuous urban area with the capital.
It is also where Andorra's healthcare sits. Hospital Nostra Senyora de Meritxell, opened in 1993, is the country's only hospital and it stands in this parish, with primary care centres distributed across the seven parishes for everything else. That is worth saying plainly on a page like this: in-person care is genuinely close here, closer than almost anywhere else in the Principality. Nobody in Escaldes-Engordany needs an online assessment because there is no doctor within reach.
What people do need is documentation inside a deadline, and that is a different problem. Spa, wellness, retail and hospitality work runs on shifts including weekends and evenings, and cover has to be arranged for a specific service. Wellness and treatment roles are physical — standing, lifting, working in heat and humidity — so returning after an absence is a real question rather than a formality, which is what the Return to Work type addresses. Retail along Avinguda Carlemany has the same shift-based pattern, and the gym and leisure facilities in the parish generate their own steady requirement for General Fitness declarations.
The statutory position is the same across Andorra and it bears repeating precisely, because it is where people go wrong. Social security is administered by the CASS, and for temporary incapacity from ordinary illness the benefit is 66% of the contribution base from the fourth day of the initial medical certificate, subject to contribution conditions, with work accidents treated separately from day one. The procedural point is the important one: presenting the prescribed initial certificate and its extensions to the CASS is itself the benefit request, and that certificate must come from a doctor or dentist inside the system attesting the days and the reason. We do not issue it, cannot issue it, and send nothing to the CASS.
So our part is narrow. A registered doctor reviews what you report and issues a dated PDF recording that assessment — any of the six types at €34.99 — for employers, schools, clubs, gyms, insurers and carriers. Given how many people working in this parish commute from the Spanish or French side, a good share of that documentation is destined for a recipient in another country's system, which makes it all the more important to ask that recipient what they need before you pay.
Thermal springs and a spa economy
Sulphurous, nitrogenous springs emerging between roughly 22 and 66 °C gave the parish its name, and since 1994 have supported Caldea, the largest thermal spa complex in the Pyrenees.
Andorra's only hospital is here
Hospital Nostra Senyora de Meritxell, opened in 1993, stands in this parish, with primary care centres spread across the seven parishes. Access to in-person care is genuinely good.
Avinguda Carlemany
One of Andorra's main commercial streets, with the Illa Carlemany centre and its shops, cinemas and gym — shift-based retail and leisure work with weekend and evening cover.
Wellness work is physical work
Standing, lifting and working in heat and humidity make fitness to return after an absence a real question, which is what a Return to Work assessment is for.
Not a CASS baixa certificate
In Andorra the prescribed certificate presented to the CASS is itself the benefit request. Ours is not that document, and we transmit nothing to the CASS.
All Certificate Types Available in Andorra
Every certificate is reviewed by a doctor registered to assess cases in Andorra. Choose the type that matches your situation. If you're not sure which applies, our assessment asks enough questions to route you correctly before you pay anything.
Sick Leave Certificate
For work absence, documented as a baixa mèdica and generally coordinated with CASS where a sickness-benefit claim applies.
From €34.99Sports Fitness Certificate
For clubs, gradings, and competitions requiring medical clearance, including Andorra's skiing, hiking, and other mountain-sports clubs ahead of a season or grading.
From €34.99General Fitness Certificate
For gym membership sign-up where a health declaration is requested, a routine step at gyms across Andorra la Vella, Escaldes-Engordany, and beyond.
From €34.99General Medical Certificate
For insurance, visa, or general documentation needs, including cross-border paperwork common given Andorra's location between Spain and France.
From €34.99How It Works in Escaldes-Engordany
Complete assessment
3-5 minutes. Select your certificate type, confirm Andorra as your country, and answer relevant health questions covering your condition and the dates or purpose you need covered. No payment yet: you're only charged if a certificate is issued.
Doctor reviews your case
Reviewed by a doctor registered to assess cases in Andorra, generally during Central European Time business hours, Monday-Friday. The doctor may ask for more information through the same portal, or in rare cases advise that your situation needs an in-person examination rather than an online certificate.
Receive your PDF
Emailed same day, usually within a few hours on business days, with the reviewing doctor's details and a verification reference that your employer, school, club, or institution can scan to help confirm authenticity.
Who Accepts a Medical Certificate in Escaldes-Engordany
The recipient decides in every case. These are the settings where a dated registered-doctor assessment is normally what is being asked for.
Spa, wellness and hospitality employers
Written documentation for an absence from a shift, and a Return to Work assessment for resuming physical treatment-room duties, are both routine. Notification deadlines come from your own policy.
Retail employers on Avinguda Carlemany
A dated certificate from a registered doctor is the usual documentation for a missed shift. Larger centres may route it through an HR system rather than a store manager.
Gyms and leisure facilities
A General Fitness certificate is often what a gym or programme means by medical clearance. Some operators use their own screening form and will not accept an external document.
Clubs and organised activity
Sports Fitness certificates support registration and participation where a doctor's declaration is requested. A governing body can prescribe its own medical instead.
Insurers, including across the border
A dated assessment from a named registered doctor is commonly accepted into a claim file by Andorran, Spanish and French insurers alike. Each applies its own policy terms.
Not the CASS, and not hospital care
The CASS route requires the prescribed certificate from a doctor inside the Andorran system. And for anything urgent, Hospital Nostra Senyora de Meritxell is in this parish — use it.
Andorra Pricing: All Certificate Types
| Certificate Type | Our Price | Typical Private Consultation |
|---|---|---|
| Sick Leave Certificate | €34.99 | €50-€120 |
| Sports Fitness Certificate | €34.99 | €50-€120 |
| General Fitness Certificate | €34.99 | €50-€120 |
| Fit to Fly Certificate | €34.99 | €50-€120 |
| Return to Work Certificate | €34.99 | €50-€120 |
| General Medical Certificate | €34.99 | €50-€120 |
Private consultation costs are a general range and vary by clinic and by the reason for the visit.
The gap between our pricing and a typical private consultation in Andorra generally reflects the difference between an online assessment and an in-person clinic visit. You're paying for the doctor's review and the certificate itself, not a waiting room or receptionist time. Given Andorra's small population and limited concentration of private clinics, a same-day online route is often the more practical option for many people needing documentation quickly, regardless of price. This gap tends to be smaller for specialised certificate types, like sports fitness or fit-to-fly, where finding a private clinic willing to issue same-day paperwork can take longer than the assessment itself.
Andorra Legal Snapshot: What Applies in Escaldes-Engordany
Sick-leave and certificate rules are set nationally, so what follows applies in Escaldes-Engordany exactly as it does anywhere else in Andorra.
Yes — you can get a medical certificate (doctor's note) in Andorra online, reviewed by a registered doctor and usually issued the same day, from €34.99. In Andorra, work absence is generally documented through a baixa mèdica (medical leave certificate), typically issued by a doctor and processed through CASS, Andorra's Social Security fund. For sport, gym, travel, or general purposes, a separate certificate type usually applies. Exact requirements can vary by employer, so confirm specifics for your situation before relying on any one document. In everyday English this is often just called a doctor's note for Andorra, even where the official local term differs.
| Local document name | Baixa mèdica: Catalan for "medical leave," the general term for a certificate documenting sickness absence |
|---|---|
| Who can issue it | Generally a licensed doctor; CASS's own rules also recognise a dentist as able to prescribe a baixa mèdica for dental-related leave |
| General timing | Per CASS's published rules, the baixa mèdica generally needs to reach both CASS and the employer within 48 hours of the doctor issuing it, though the informal step of telling your employer you're unwell can vary by workplace |
| Processed through | Typically routed through CASS (Caixa Andorrana de Seguretat Social), Andorra's Social Security fund, for sickness-benefit purposes |
| Sickness-benefit coordination | Where a CASS sickness-benefit claim applies, the baixa mèdica is generally the supporting document. CASS publishes a general rate structure for common illness (around 53% of the daily wage base for days 1-30, rising to about 66% from day 31), though your exact entitlement depends on your specific contribution and salary history, so confirm it with CASS directly |
| Employer notice practice | Because Andorra's private sector is small, the exact internal notification step (who to tell, and how quickly) commonly varies by employer and by whether a collective agreement applies to your role, rather than following one standardized national form |
| Data protection | Andorra is not an EU member state, so EU GDPR does not apply directly; Andorra maintains its own data protection framework |
Note on how firmly these details are sourced: Andorra publishes less standardized, English-language guidance on sick-leave procedure than larger EU states, and we have not been able to confirm a single authoritative source covering every employer type. Treat the rows above as general orientation rather than a legal reference, and confirm your specific notice period, required documentation, and CASS process directly with your employer or with CASS before relying on them for a specific case.
Our Andorra Medical Team
Every Andorra certificate is reviewed by a doctor registered to assess cases in Andorra. We are not aware of a single centralised, English-language public register for doctors in Andorra in the way the UK's GMC provides, so rather than point you to a lookup we can't fully verify works the same way, we're direct about how the review works: a licensed doctor genuinely assesses your case, based on the information you provide and, where useful, follow-up questions, before deciding whether a certificate is appropriate.
A certificate is only issued after that genuine assessment. If a doctor decides a certificate is not clinically appropriate for your situation, for example because your case needs an in-person examination the online format cannot replace, we do not issue one, and you receive a full, automatic refund rather than being charged regardless. We do not operate on a pay-first, certificate-guaranteed basis for Andorra or anywhere else we operate.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including for patients in Escaldes-Engordany.
Dr. Ignacio Sergio M.
Reg. #1028615Frequently Asked Questions
Access is not the problem here, and we should not pretend it is. What an online assessment solves is timing and purpose: getting written documentation of an assessment on the day someone needs it, for a recipient — an employer, a club, an insurer, an airline — who is not part of the healthcare system. If what you need is examination, diagnosis or treatment, or a CASS baixa, the hospital and the primary care centres are the right route and a doctor here will say so.
Yes, where what you report supports it. A doctor can record specific limitations rather than a blanket statement — for instance that prolonged work in a hot, humid environment is not advisable for a defined period. Describe the working conditions as they actually are, including hours on your feet and any lifting, because the assessment can only address what you set out.
A General Fitness certificate is often what a spa or hydrotherapy provider means when it asks for medical clearance, particularly for heat-based treatments. Describe any relevant condition honestly — cardiovascular issues, pregnancy, skin conditions — because that is exactly what such a clearance is meant to catch. Some providers use their own screening questionnaire and will not accept an external certificate.
A Sick Leave certificate states a defined period based on what you report, which is the doctor's assessment rather than a recommendation you can extend at will. It is deliberately short where remote assessment cannot support more. If you are still unwell when it ends, the answer is in-person care — and if CASS benefit is involved, the prescribed certificate and its extensions from a doctor inside the Andorran system.
A General Fitness certificate is usually the better fit for gym access — Sports Fitness is aimed at participation in a sport or event. Either way, the operator decides: many gyms run their own health questionnaire and require nothing further, while some want a doctor's clearance for specific conditions. One question to reception saves you the fee if none is needed.
There is no residency requirement, and visitors are a genuine use case in a parish with this much tourism — typically a Fit to Fly assessment before travelling home, or a General Medical certificate for an insurer in their own country. Remember the certificate records a remote assessment, and that for anything urgent Hospital Nostra Senyora de Meritxell is close by.
Each is €34.99, and they all cost the same. There is no premium type, no bundle discount and no subscription. If you genuinely need two different certificates — say a Sick Leave now and a Return to Work later — those are two assessments and two fees, because each requires a separate clinical judgement.
Many accept a dated certificate from a registered doctor as supporting documentation, but French employers and the French system have their own expectations, and some require documentation that fits those. If you live in France and work in Andorra, or the reverse, ask the employer's HR specifically what they accept and whether anything must come through the French system. Confirm it before you need it.
A remote assessment can document your current state and what you report about a long-standing condition, which sometimes is what a recipient wants. What it cannot do is substitute for the assessment of a clinician who knows your history and has examined you — and for a chronic condition, that clinician's letter carries far more weight with an employer, an insurer or the CASS. Use us for the short and specific, not the long-term.
Tell us and a factual correction — a misspelled name, a wrong date of birth — is handled as part of the original assessment without a further charge. What is not a correction is changing the clinical content or the period covered; that is a new judgement and a new assessment at €34.99. Check the details you enter carefully, because a certificate that does not match your employment records is worse than useless.
A certificate anyone can check - in seconds.
Every certificate is issued by a doctor registered with their national medical council, after a real assessment, and carries a reference code that resolves instantly - whether your employer is in Dublin, Berlin or Warsaw.
- ✓Issued only after a genuine clinical review
- ✓Unique reference code, checkable by anyone
- ✓Covers sick leave, fitness-to-work & carer's leave
- ✓Delivered as a signed PDF within the hour
