Yes. You can get a medical certificate in Antwerp online today. A licensed doctor reviews your case and issues a same-day PDF from €34.99, valid for employers, universities and health insurance funds across Belgium.
Last updated: 1 October 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
Medical Certificates in Antwerp: Who Needs Them?
Antwerp is home to the Port of Antwerp-Bruges, Europe's largest integrated petrochemical and chemical cluster, anchored by BASF Antwerp — Belgium's largest chemical production site with around 3,000 direct employees — alongside major operators like ExxonMobil, Borealis, Air Liquide and INEOS Phenol. Under Belgian labour law, anyone unable to work due to illness must notify their employer immediately and generally submit a medisch attest within two working days, though the exact deadline can be set by a sector collective agreement (CAO) or company work rules, and since January 2026 a single sick day can only be certificate-free twice a year.
Antwerp's port and chemical sector runs around the clock in rotating shifts, and a GP appointment that fits a night or early-morning shift isn't always easy to find, especially with the added demand from the city's dense historic center and diamond district. Our online service lets shift workers submit their case whenever it suits them, with most assessments completed within 24 hours regardless of the hour.
Common situations we see from Antwerp: port and petrochemical shift workers at plants around BASF, ExxonMobil and Borealis who need a certificate outside normal clinic hours, diamond-district and logistics staff working irregular schedules, and international maritime and freight workers passing through the port who need compliant Belgian paperwork quickly.
Since ZNA and GZA merged in July 2024, Antwerp's hospital care runs through one organisation: Ziekenhuis aan de Stroom (ZAS), with roughly 9,000 staff and around 1,000 doctors spread over 14 campuses and some 3,300 beds — the largest hospital group in Belgium and one of the largest in Europe. Its Cadix campus serves as the city's level-1 trauma centre. Just south of the city, Universitair Ziekenhuis Antwerpen in Edegem employs around 2,800 to 3,000 people. Healthcare has quietly become one of Antwerp's largest rotating-shift employers alongside the port and petrochemical cluster, which means a significant share of the people who need documentation outside office hours work in care themselves.
The diamond quarter beside Antwerpen-Centraal is a working district, not a showcase. It supports a workforce of roughly 30,000 across four trading exchanges — the Diamond Club of Antwerp, the Beurs voor Diamanthandel, the Antwerpsche Diamantkring and the Vrije Diamanthandel — along with some 380 workshops serving around 1,500 companies and about 3,500 brokers, merchants and cutters. Layered on top is a student city: roughly 25,000 at the University of Antwerp, where 18% of students come from 131 nationalities, about 16,000 at AP Hogeschool and close to 14,900 at Karel de Grote across nine Antwerp campuses. Between trade freelancers, international students and port staff commuting in from across Antwerp province, a large part of the city's daytime population is not on the patient list of any practice near where they actually work.
Chemical & Port Cluster
Europe's largest integrated chemical cluster runs on shift work — our service is built for round-the-clock schedules.
24/7 Online Access
Submit any time of day or night; no need to match your shift to GP office hours.
Diamond District
Serving Antwerp's historic diamond trade and its dense, high-demand central districts.
Maritime & Logistics
Valid for the port's logistics, shipping and freight workforce.
All Certificate Types Available in Belgium
Every certificate type is reviewed by a doctor registered to assess cases in Belgium, based on your reported symptoms and circumstances. Doctors do not issue a certificate automatically. Each request is read individually, and the doctor may ask follow-up questions before deciding whether issuing a certificate is clinically appropriate. Choose the type below that matches your situation.
Sick Leave Certificate
For work absence in Belgium. Drafted to reflect a genuine medical assessment consistent with general Belgian incapacity-for-work practice, for submission to your employer within your sector's usual notification window.
From €34.99Sports Fitness Certificate
For Belgian sports clubs, competitions, and youth club registrations that request medical clearance before a member can train or compete, covering common club and federation paperwork requirements.
From €34.99General Fitness Certificate
For Belgian gym membership sign-up and personal training programmes where the gym or trainer requests a basic health declaration before you begin a new exercise regime.
From €34.99General Medical Certificate
For Belgian education-related documentation and other situations where general written medical confirmation is requested and a dedicated form is not required.
From €34.99How It Works in Antwerp
Complete assessment
3-5 minutes. Select your certificate type, confirm Belgium as your country, and answer relevant health questions in detail. No payment is taken yet.
Licensed doctor reviews
A doctor registered to assess cases in Belgium reviews your answers during business hours (9am-6pm CET, Monday-Friday) and may request more information before deciding.
Receive your PDF
Emailed same day, usually within 30 minutes of approval, with the doctor's credentials and a verification reference an employer or institution can check.
Who Accepts a Medical Certificate in Antwerp?
Belgium's largest hospital group, the diamond quarter's four exchanges, the city's university and hogescholen, and the port's contracting firms.
ZAS Hospital Group
Belgium's largest hospital organisation since the 2024 ZNA–GZA merger: around 9,000 staff, 1,000 doctors, 14 campuses and some 3,300 beds.
UZ Antwerpen, Edegem
Antwerp's university hospital employs roughly 2,800 to 3,000 people, almost all of them on rotating clinical rosters.
The Diamond Quarter
Four trading exchanges, around 380 workshops serving some 1,500 companies and about 3,500 brokers, merchants and cutters, all beside Antwerpen-Centraal.
Antwerp University Association
The University of Antwerp (around 25,000 students, 18% international from 131 nationalities), AP Hogeschool (around 16,000) and Karel de Grote (close to 14,900 across nine campuses).
Flemish Secondary Schools
A parent may self-certify four times a school year for up to three consecutive days; beyond that — and always during exams — a doctor's certificate is required.
Port & Plant Contractors
The contracting, maintenance and inspection firms that staff plant turnarounds in the port zone work to campaign schedules that rarely overlap with clinic hours.
Belgium 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 |
The €55-85 figure is a typical range reported for a standard private in-person consultation in Belgium, and can vary by location, provider, and whether part of the cost is reimbursed through your mutuelle/ziekenfonds.
Belgium Legal Snapshot: What Applies in Antwerp
Sick-leave and certificate rules are set nationally, so what follows applies in Antwerp exactly as it does anywhere else in Belgium.
In Belgium, employees are generally expected to notify their employer as soon as possible when they are unable to work, and a medical certificate (certificat médical in French, medisch attest in Dutch) is generally required within a short window afterward. This deadline is commonly cited as within 2 business days of the start of your absence, but the exact rule can be shorter or longer depending on your sector's collective bargaining agreement or your company's own policy. This is a common default, not a fixed universal figure, so check your employment contract before relying on it. For sport, gym, travel, or general purposes, a separate certificate type applies: see the full list below. In everyday English this is often just called a doctor's note for Belgium, even where the official local term differs.
| Local document name | certificat médical (French) / medisch attest (Dutch): in English, simply a "medical certificate." |
|---|---|
| Employer notification | Employees are generally required to notify their employer as soon as possible, typically on the first day of absence, per common Belgian workplace practice. |
| When a certificate is generally required | Commonly cited as within 2 business days of the start of absence, a common default, and the exact deadline can be shorter or longer depending on your specific sector's collective bargaining agreement or company policy. |
| Who can issue it | A licensed physician practising in Belgium. |
| Governing framework | General Belgian labour law provisions on incapacité de travail / arbeidsongeschiktheid (incapacity for work), which interact with sector-level collective bargaining agreements, known as CCT in French and CAO in Dutch, that can set more specific deadlines or conditions. |
| Data protection law | GDPR as implemented in Belgium, referred to locally as RGPD (French) or AVG (Dutch). |
Note on collective bargaining agreements (CCT/CAO): Because Belgian certificate deadlines and requirements are frequently set or adjusted at sector level, the "2 business days" figure above should be treated as a common default only. Your specific sector, employer policy, or employment contract may set a shorter or longer deadline, or add extra conditions such as how the certificate must be delivered (post, email, internal HR portal) or what it must state. When in doubt, check your contract or ask your employer's HR team before relying on any single figure for a specific case.
Our Belgium Medical Team
Every Belgium certificate is reviewed by a doctor registered to assess cases in Belgium. Doctor credentials are shown on your certificate. A clinician will only issue a certificate after assessing your specific case and if it is clinically appropriate to do so: if it is not, you receive a full refund rather than a certificate that may not hold up if questioned. We do not offer instant, no-consultation certificates: every request goes through an individual medical review before any document is produced, and the doctor may ask you follow-up questions if your initial answers do not give them enough information to reach a decision. This matters because a certificate that was never genuinely reviewed carries real risk for you if it is ever challenged by an employer, club, or institution. Our process is built so that never happens.
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 Antwerp.
Dr. Antoine R.
Reg. #FPS - 1003228Dr. Benedicte M.
Reg. #FPS - 1003253Dr. Ramin B.
Reg. #FPS - 1014668Prof. Jutta B.
Reg. #FPS - 1014673Frequently Asked Questions
Yes. Belgian labour law requires employers — including Antwerp's major chemical and logistics firms — to accept a medisch attest issued by a registered doctor.
Yes. Our service is available any time, which is why it's used by shift workers in Antwerp's 24/7 port and chemical operations — you don't have to wait for a weekday clinic slot.
As a general rule, you must notify your employer immediately and submit your certificate within two working days, though your company's work rules or sector collective agreement (CAO) may set a different deadline — check your contract for specifics.
Only if your symptoms continue beyond your certificate period. Our doctors handle the initial assessment; for ongoing care, see your regular GP in Antwerp.
Clinics in Antwerp's busy central and diamond districts can be booked up days in advance, and shift schedules make daytime appointments difficult. Our online service lets you submit any time and get assessed within 24 hours.
Most Antwerp cases are assessed within 24 hours. Once approved, you receive your certificate as a PDF by email immediately — well within the two-working-day window Belgian employers generally expect.
The base price is €34.99 for every certificate type, and it is the same figure at 3am on a Sunday as at 10am on a Tuesday. For Antwerp shift workers that is usually the practical difference worth knowing about, since the conventional alternative for a night or weekend assessment is a private out-of-hours consultation.
No. Belgian employers are entitled to appoint and pay for a controlling doctor (controlearts) whenever they want an incapacity verified, and doing so is an exercise of that right rather than a verdict on your certificate. You may not refuse the examination, and if the controlling doctor asks you to attend their surgery you must do so unless a doctor has said you are unable to travel. If the controlling doctor reaches a different conclusion from the doctor who issued your certificate, that disagreement is settled between the doctors — not by your employer, and not by you.
A supervisor's preference is not the same thing as your employer's work rules, and it is the work rules or the sector CAO that govern how a certificate has to be submitted. In practice, emailing a PDF or uploading it to an HR portal is usually faster than a paper attest arriving by post inside the notification window. Ask HR rather than the shift office how they want it filed, and keep the email you sent it with as proof of the date.
For a short illness you can often write the note yourself: under Flemish Community rules a parent may self-certify four times per school year, each time for at most three consecutive calendar days. Once those four notes are used, or once an absence runs longer than three consecutive days, the school needs a certificate from a doctor. During exam periods a parent's note is never sufficient, so a doctor's certificate is always required. Send it to the school on the day your child returns.
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
