Medical Certificate in Bulgaria and Doctor's Note in Bulgaria: What's the Difference?
In Bulgaria, sick leave from work is generally supported by a болничен лист (bolnichen list), the certificate a doctor issues to confirm the absence, generally processed through NOI to support a sickness benefit claim. For sport, gym, travel, or general purposes such as visas or insurance, a separate certificate type applies. See the options below to find the one that matches your situation. Each type is reviewed by a doctor registered to assess cases in Bulgaria, so the right starting point depends on who is asking for the certificate and why. In everyday English this is often just called a doctor's note for Bulgaria, even where the official local term differs.
Bulgaria Legal Snapshot: Sick Leave
| Local document name | Болничен лист (bolnichen list): Bulgaria's sick-leave certificate, generally issued by a doctor to confirm an illness-related absence from work. |
|---|---|
| When it's typically needed | Generally, a bolnichen list is issued to support a period of sickness absence and an associated benefit claim, with the doctor determining the certified period based on a genuine assessment. |
| Who can typically issue it | Generally a licensed physician within Bulgaria's healthcare system, following a genuine clinical assessment of the case. |
| Notifying your employer | Generally, employees are expected to inform their employer of a sickness absence as soon as reasonably possible, with the bolnichen list following once a doctor has completed their assessment. The exact internal process can vary by workplace. |
| Typical certified period | A doctor certifies the period their assessment genuinely supports, generally up to 14 consecutive days at a time and no more than 40 days total (with breaks) in a calendar year. Beyond that, Bulgaria's medical expertise regulation routes further leave through a Medical Consultative Commission (ЛКК) rather than the treating doctor alone. |
| Governing framework | Generally processed through NOI (Национален осигурителен институт), Bulgaria's National Social Security Institute, which administers sickness benefit claims connected to a bolnichen list. |
| Data protection law | Bulgaria's Personal Data Protection Act, which implements EU GDPR, as Bulgaria is an EU member state. |
Note on currency: Bulgaria adopted the euro in 2026, replacing the lev, and prices on this page are shown in euro accordingly. If you're referencing older documents priced in lev, or an employer's internal process that still references lev figures, confirm the current conversion and requirements before relying on them for a specific case.
A certificate reviewed under our Bulgaria service can support a wide range of conditions, including stress, anxiety, and other mental health conditions alongside physical illness. Our doctors assess each case on its own medical merits rather than treating any one condition category differently by default. The same applies whichever certificate type you need: a sports fitness assessment and a general medical certificate are each reviewed against what that specific situation calls for.
If a certificate is ever questioned by an employer or another institution, the reference number and the reviewing doctor's credentials let them verify authenticity directly, rather than relying on our word alone. As with any genuine medical assessment, a doctor can only certify a period supported by the clinical picture in front of them. We do not backdate certificates simply because it was requested, since that would not reflect a real assessment of your condition.
Doctors reviewing requests from Bulgaria are registered to assess cases there and will only issue a certificate after genuinely assessing your situation. If a case needs an in-person examination instead, you receive a full, automatic refund rather than a certificate issued regardless. Last reviewed July 2026. Always confirm current rules before relying on them for a specific case.
All Certificate Types Available in Bulgaria
Every certificate type is reviewed by a doctor registered to assess cases in Bulgaria. Choose the one that matches your situation below. If you're not sure which applies, the assessment will ask enough questions to route you correctly before you pay anything.
Sick Leave Certificate
Supports a work absence due to illness, generally aligned with Bulgaria's bolnichen list / NOI process.
From €34.99Sports Fitness Certificate
For clubs, competitions, and gradings in Bulgaria requiring medical clearance.
From €34.99General Fitness Certificate
For gym membership and training sign-up where a health declaration is requested.
From €34.99General Medical Certificate
For insurance, visa applications, education, and other general documentation needs.
From €34.99How It Works in Bulgaria
Complete assessment
3-5 minutes. Select your certificate type, confirm Bulgaria as your country, and answer health questions covering your condition, the dates involved, and any employer or institution details you'd like included. 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 Bulgaria, generally during business hours (9am-6pm EET/EEST, Monday-Friday). The doctor may ask for more information through the same portal, or advise that your situation needs an in-person examination rather than an online certificate.
Receive your PDF
Emailed the same day in most cases, with the reviewing doctor's credentials and a reference number that your employer, school, or institution can check to confirm authenticity directly.
Who Accepts These Certificates in Bulgaria
A certificate is only useful if the institution asking for it will actually accept it. Below is who we most commonly hear from, and what each one is typically looking for when a certificate lands on their desk.
Employers
A certificate from a doctor registered to assess cases in Bulgaria can support a bolnichen list conversation with your employer, and the reference number lets HR verify it directly rather than taking the document at face value. Acceptance for NOI-administered benefit purposes specifically can depend on your employer's own internal process.
Schools & universities
Accepted for absence documentation, deadline or exam extensions, and school sports medical clearance, including for activities that ask for a documented health check before participation. Universities handling mitigating-circumstances requests can generally use the same certificate alongside their own internal form.
Sports clubs
Accepted for club and league medical clearance, gradings, and competitions requiring proof of fitness, particularly for higher-risk or contact activities where an organiser wants documented sign-off before allowing participation.
Airlines
Fit-to-fly certificates accepted by airlines requiring medical clearance for travel from Bulgaria after surgery, illness, or later-stage pregnancy, ahead of your departure date. The certificate is reviewed against your specific procedure and travel dates rather than issued as a generic template.
Government & insurance
General medical certificates accepted for visa applications, insurance claims, and other official processes that ask for a doctor-issued medical statement. Requirements for exactly what such a statement needs to cover generally depend on the specific institution requesting it.
GetMedicalCertificate in Bulgaria's Major Cities
Our service is fully online across Bulgaria. The assessment and delivery process is identical wherever you are based, whether you're in a major city or a smaller town without easy access to a private clinic. These are the cities we hear from most.
Sofia
The capital, generally the largest source of requests across every certificate type
Plovdiv
Bulgaria's second city, steady demand for sick leave and return-to-work certificates
Varna
A major Black Sea hub, notable demand for fit-to-fly certificates around travel season
Burgas
Southern coastal Bulgaria, growing demand for general medical and fitness certificates
Ruse
Northern Bulgaria on the Danube, steady requests for sick leave and general medical certificates
Stara Zagora
Central Bulgaria, requests spread fairly evenly across most certificate types
Pleven
North-central Bulgaria, a growing base of return-to-work and fitness certificate requests
Blagoevgrad
Southwestern Bulgaria, notable student population requesting general medical certificates
Sliven
Southeastern Bulgaria, a smaller but steady source of sick leave certificate requests
Bulgaria 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 |
Prices below are shown in euro, Bulgaria's national currency as of Bulgaria's 2026 euro adoption.
Typical private consultation costs are a general range reported for Bulgaria and vary by clinic, city, and provider.
The difference generally reflects overhead: an in-person consultation carries clinic, receptionist, and travel time that an online assessment does not. You are paying for the doctor's review and the certificate itself, with same-day delivery in most cases and no need to take time off to sit in a waiting room. Sports fitness and fit-to-fly certificates are the same price as a general medical certificate, even though they generally involve a more detailed assessment of a specific activity or procedure.
GetMedicalCertificate vs Getting a Certificate in Person in Bulgaria
Bulgaria doesn't have one dominant, widely recognised online medical certificate brand the way some larger markets do, so the more useful comparison is between our online service and the alternative most people would otherwise take: visiting a doctor in person.
Our online assessment is generally faster than booking and attending a private consultation, and our pricing (from €34.99) sits within the typical €25-€45 range reported for a private consultation in Bulgaria, without the need to travel to a clinic or wait for an available appointment slot. For most of the certificate types we offer, the process from starting the assessment to receiving a PDF can be completed the same day, on business days.
The other meaningful difference is verification. A certificate issued through our service includes a reference number that lets an employer, school, or institution confirm its authenticity directly, alongside the reviewing doctor's credentials, a level of verification a paper certificate from an in-person visit doesn't typically offer on its own. Whichever route you choose, a certificate is only valid if it reflects a genuine clinical assessment, which is why we decline to issue one, with a full refund, when a case needs an in-person examination instead.
Speed is also worth weighing against cost. A same-day online assessment can matter when a certificate is needed for a specific flight date, a competition deadline, or an employer who wants documentation quickly, whereas booking an in-person appointment can take longer depending on clinic availability in your area. Neither route is inherently better for every situation. An in-person visit remains the right choice whenever a condition genuinely needs a physical examination.
Our Medical Team for Bulgaria
Every certificate issued for Bulgaria is reviewed by a doctor registered to assess cases in Bulgaria, based on a genuine clinical assessment of the health information you provide and, where needed, follow-up questions asked through the same online portal. If a certificate is not clinically appropriate, for example if your case needs an in-person examination or further investigation, the doctor will decline to issue one, and you receive a full, automatic refund. We do not operate on a pay-first, questions-later basis: no certificate is guaranteed simply because a request was submitted.
Doctor credentials are shown on your certificate, and the reference number lets anyone checking it verify the certificate directly rather than relying on our word for it. If you ever have a concern about the assessment you received, our complaints process sits alongside, not instead of, your right to raise it through the appropriate channel for a doctor practising in Bulgaria. We would always prefer to resolve a concern ourselves first, but we won't suggest that using our service replaces a doctor's normal professional accountability.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including across Bulgaria.
Prof. Vasil Y.
Reg. #УИН - 1003994Dr. Georgi H.
Reg. #УИН - 1007661Prof. Theodora K.
Reg. #УИН - 1003941Prof. Dr. Dimitar N.
Reg. #УИН - 1003999Bulgaria Medical Certificate FAQ
A bolnichen list (болничен лист) is Bulgaria's sick-leave certificate: a document generally issued by a doctor to confirm an illness-related absence from work and support a sickness benefit claim, generally processed through NOI.
Yes. A doctor registered to assess cases in Bulgaria reviews your request and issues the certificate type that matches your situation, with same-day PDF delivery and certificate verification, without requiring an in-person visit for cases that do not need one.
Our baseline certificates start at €34.99, which includes the doctor's review, your PDF certificate with certificate verification, and same-day delivery. This compares to roughly €25-€45 typically reported for a private consultation in Bulgaria, though costs vary by clinic and city.
Yes. As an EU member state, Bulgaria implements the GDPR through its Personal Data Protection Act, and we handle personal data accordingly. Your medical information is only seen by the doctor assessing your case.
Most certificates are delivered the same day a doctor completes their review, typically on business days. If a case needs further information or an in-person examination instead, you'll be told before any charge is finalised, and receive a full refund if a certificate cannot be issued.
Most employers generally expect a bolnichen list to support a sickness absence, and a certificate from a doctor registered to assess your case can support that conversation. Acceptance for NOI-administered benefit purposes specifically can depend on your employer's internal process, so it's worth confirming what your workplace requires before you rely on any certificate for that purpose.
Yes. Every certificate for Bulgaria is reviewed by a doctor registered to assess cases there, and your certificate shows their credentials alongside a reference number so anyone checking it can verify this directly rather than taking our word for it.
A doctor can only certify a period based on a genuine clinical assessment of your condition, which may include a day or two immediately before your assessment if that is clinically supported. We do not issue certificates backdated simply because it was requested, as this would not reflect a genuine medical assessment.
Self-employed workers generally aren't tied to an employer's bolnichen list process, but a medical certificate can still support an insurance claim, a client-facing absence explanation, or another situation where documentation of your condition is useful.
You receive a full, automatic refund. This can happen if your case needs an in-person examination or further investigation that an online assessment isn't suited to. We would rather decline than issue a certificate that doesn't reflect a genuine assessment of your situation.
We issue certificates in English. If an institution outside Bulgaria specifically requires a local-language version, a certified translation, or an apostille, check their exact requirement directly, as this depends on the institution and sits outside what the certificate itself confirms.
Yes. In everyday English, "medical certificate" and "doctor's note" describe the same kind of document, and we use both terms for Bulgaria. Whichever term the person or institution asking for one uses, our certificate is reviewed by a doctor and designed to meet that request.
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

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