Medical Certificate in Italy and Doctor's Note in Italy: What's the Difference?
Italy's statutory paid sick leave system runs through INPS (Istituto Nazionale della Previdenza Sociale) and depends on a specific document called the certificato di malattia telematico, the electronic sickness certificate. This formal certificate is generally issued by your own treating doctor (medico di base), or, outside your own doctor's hours, by the on-call continuità assistenziale doctor (guardia medica), who transmits it directly and electronically to INPS through their own certified system. It is generally not something an external online-only service can issue in place of your registered treating doctor. Our online general medical certificate is a separate, complementary document, used for purposes such as insurance, visa applications, legal matters, education, sport, and travel, or as supporting general medical documentation, not as a substitute for the INPS-linked certificato di malattia telematico for statutory Italian sick pay purposes. If you need paid sick leave recognized by an Italian employer through INPS, you generally need to contact your own medico di base, or the on-call guardia medica outside their hours, rather than an online-only service. In everyday English this is often just called a doctor's note for Italy, even where the official local term differs.
Italy Legal Snapshot: Formal Sick Pay vs Our General Medical Certificate
| Local document name (formal) | Certificato di malattia telematico. English: "electronic sickness certificate." |
|---|---|
| Who can legally issue the formal certificate | Generally your medico di base (registered treating doctor), the on-call continuità assistenziale doctor (guardia medica) outside your own doctor's hours, or another treating clinician with access to the relevant INPS transmission system |
| How it is submitted | Transmitted directly and electronically by the doctor to INPS; there is generally no separate action for the patient to submit it themselves |
| Governing framework | INPS statutory sickness-benefit rules |
| Our online certificate | A separate general medical certificate, generally usable for insurance, visa, legal, education, sport, and travel purposes, or as supporting general medical documentation |
| What our online certificate is NOT | A substitute for the INPS-linked certificato di malattia telematico for statutory employer sick pay purposes |
| Data protection law | GDPR and Italy's Codice Privacy, overseen by the Garante per la protezione dei dati personali |
Note on statutory sick pay: If you are employed in Italy and need paid sick leave recognized by your employer through INPS, you generally need the certificato di malattia telematico issued by your own medico di base or, outside their hours, the on-call guardia medica, not a general certificate from an external online service. Our certificate is designed for other purposes, such as insurance, visa, legal, education, sport, and travel, or as supporting general medical documentation. Always confirm with your employer, your medico di base, or INPS directly if you are unsure which document your specific situation requires.
Understanding the difference in practice matters because the two documents serve genuinely different purposes and cannot generally be swapped for one another. If your goal is to be paid by your employer for time off sick under Italy's statutory system, the certificato di malattia telematico from your own medico di base is generally the document that counts, because it is the one automatically visible to INPS and, in most cases, to your employer through the usual channels. If your goal is something else entirely, such as supporting an insurance claim, a visa application, a university mitigating-circumstances request, a sports club sign-up, or travel documentation, a general medical certificate like ours is generally the more relevant option, and it can typically be obtained without needing to be registered with a specific medico di base in Italy. When in doubt about which situation applies to you, it is generally worth asking the institution requesting the certificate which type of document they expect before you apply.
A general medical certificate issued by a doctor after a genuine online assessment can be useful, and is typically accepted, as documentation for many non-INPS purposes in Italy, including school and university matters, insurance claims, visa support, and general sport or travel clearance. Acceptance can still vary by the specific institution requesting it, so it is generally worth checking directly with the school, club, employer, or authority involved before relying on any certificate for a particular purpose. This page describes typical practice and is not a substitute for individual legal or medical advice. Sources: INPS, Garante per la protezione dei dati personali. Last reviewed July 2026. Always confirm current rules before relying on them for a specific case.
All Certificate Types Available in Italy
Every certificate type is reviewed by a doctor registered to assess cases in Italy. Choose the one that matches your situation, and see the legal snapshot above if what you actually need is Italy's formal INPS sick-pay certificate rather than a general medical certificate.
Sick Leave Certificate
A general medical certificate documenting an absence due to illness, for purposes outside Italy's formal INPS sick-pay system, for example personal records, insurance support, or non-statutory workplace documentation. This is not the certificato di malattia telematico; for statutory paid sick leave through INPS, you generally need to contact your own medico di base or, outside their hours, the on-call guardia medica.
From €34.99Sports Fitness Certificate
A general fitness-for-sport certificate, useful for recreational and non-competitive activity. Many Italian clubs require a specific certificato medico sportivo for competitive or agonistic participation, which requires an in-person examination by a sports-medicine doctor, something an online-only review cannot provide. Check with your club about which document they actually require.
From €34.99General Fitness Certificate
For gym membership sign-up and personal training programmes in Italy where a general health declaration is requested, and for other non-competitive fitness purposes.
From €34.99General Medical Certificate
For insurance claims, visa applications, legal proceedings, university matters, and other general documentation purposes in Italy where a doctor's assessment is requested.
From €34.99How It Works in Italy
Complete assessment
3-5 minutes. Select your certificate type, confirm Italy as your country, and answer relevant health questions honestly and in as much detail as you can. No payment is taken at this stage.
Doctor registered to assess cases in Italy reviews
Your case is reviewed against the context of your situation in Italy, generally during business hours (CET/CEST, Monday-Friday). The doctor may request more information before deciding whether it is clinically appropriate to issue your certificate.
Receive your PDF
Emailed same day, usually within 30 minutes of approval, with doctor credentials and a verification reference that lets a school, club, employer, or other recipient confirm authenticity.
Who Accepts These Certificates in Italy
Acceptance always depends on the specific institution and the specific purpose, so it is generally worth checking directly with whoever is requesting the certificate before you rely on it. The categories below reflect the purposes we most commonly see requests for in Italy.
Schools & universities
Generally accepted by Italian schools and universities as general medical documentation supporting absence or coursework matters, alongside the institution's own attendance policies.
Sports clubs
Many Italian sports clubs require a certificato medico sportivo, a specific sports medical certificate, for competitive or agonistic participation, and this requires an in-person examination by a sports-medicine doctor. Our general sports fitness certificate can support recreational activity. Check your club's specific requirement before relying on it for competitive entry.
Airlines
Fit-to-fly certificates are generally accepted by airlines requiring medical clearance for travel after surgery, illness, or during later pregnancy on flights to or from Italy.
Insurers
General medical certificates are generally accepted by insurers as supporting documentation for claims, though individual policy requirements can vary.
Institutions & employers (general documentation)
Accepted for general medical documentation purposes outside the formal INPS statutory sick-pay system, for example internal HR records or non-statutory absence notes. For statutory sick pay through INPS, see the legal snapshot above.
GetMedicalCertificate in Italy's Major Cities
Our service is fully online and available across Italy, wherever you are based. These are the cities we serve the most requests from, spanning general medical, insurance, education, sport, and travel needs.
Italy Pricing: All Certificate Types
| Certificate Type | Our Price | Typical Private Doctor Visit |
|---|---|---|
| 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 in-person doctor visit costs are typical ranges reported for a general consultation in Italy and vary by clinic, specialty, and region. Some certificate types, such as agonistic sports clearance, may involve additional in-person costs not reflected in this general range.
How We Compare to an In-Person Doctor Visit in Italy
Since there is no single named online alternative we can fairly compare ourselves against in Italy, here is how our service generally compares to the more traditional route of booking a private in-person consultation.
A typical private in-person consultation with a doctor in Italy generally costs around €30 to €60 for a general visit, and usually requires booking an appointment in advance and travelling to a clinic during its opening hours, then waiting for the appointment slot itself. Our online certificates start at €39.99, are reviewed by a doctor registered to assess cases in Italy, and are typically delivered as a PDF the same day, usually within 30 minutes of approval, with a reference number that lets recipients verify authenticity online at any time, without needing to call anyone to confirm it. A genuine review of your case by a doctor is required in every instance; we do not issue certificates without an assessment, and the doctor may decline to issue one if it is not clinically appropriate, in which case you receive a full refund rather than a certificate you cannot use. It is also worth noting that some certificate types recognized under Italian rules, such as agonistic sports clearance (certificato medico sportivo), generally still require an in-person examination regardless of which provider you use, so an online service like ours is not always a full substitute for a traditional visit, and we say so plainly rather than implying otherwise.
Our Medical Team for Italy
Every certificate for Italy is reviewed by a doctor registered to assess cases in Italy. A clinician will only issue a certificate after genuinely assessing your case, and only if it is clinically appropriate to do so. If the doctor cannot issue your certificate, you receive a full refund rather than a certificate you cannot use.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including across Italy.
Dr. Fabiana S.
Reg. #54969Dr. Cristina N.
Reg. #54319Prof. Giuseppe T.
Reg. #16400Dr. Fabrizio S.
Reg. #43802Italy Medical Certificate FAQ
Generally, no. The certificato di malattia telematico is Italy's formal electronic sickness certificate, and it must come from your own treating doctor (medico di base), or the on-call guardia medica outside their hours, who transmits it directly to INPS through their own certified system. Our online certificate is a separate general medical certificate intended for other purposes, such as insurance, visa applications, legal matters, education, sport, and travel. If you need statutory paid sick leave recognized by an Italian employer through INPS, the right step is to contact your medico di base directly rather than an online-only service.
It is Italy's electronic sickness certificate, used for statutory sick-pay purposes. It is issued by your treating doctor and transmitted directly and electronically to INPS (Istituto Nazionale della Previdenza Sociale), Italy's social security institute, through the doctor's own certified system, rather than something the patient submits separately.
Yes. A doctor can issue a general medical certificate after a genuine online assessment of your situation, for purposes outside Italy's formal INPS statutory sick-pay system, for example insurance, visa, legal, education, sport, or travel purposes, or as supporting general medical documentation for schools, clubs, or employers who accept this type of document. You will still need to answer health questions honestly, and the doctor decides whether it is appropriate to issue the certificate after reviewing your case, rather than issuing it automatically.
Many do. Italian sports clubs commonly require a certificato medico sportivo, a specific sports medical certificate confirming medical clearance, for competitive or agonistic participation, and this requires an in-person examination by a sports-medicine doctor as part of the process. Our general sports fitness certificate can support recreational participation, but you should check with your specific club about which certificate they actually require before relying on it for competitive entry.
Our sick leave and general medical certificates cost €39.99, which includes the doctor's review, your PDF certificate with certificate verification, and same-day delivery. Other certificate types range from €45.99 to €76.99. This compares to a typical private in-person consultation in Italy, generally around €30-60, which usually also requires booking an appointment and travel time.
Yes. We handle personal data under GDPR and Italy's Codice Privacy, the national data protection framework overseen by the Garante per la protezione dei dati personali. Your medical information is only seen by the doctor assessing your case and is not shared with third parties beyond what is necessary to deliver your certificate.
Same day in almost all cases, usually within 30 minutes of doctor approval, once you have completed the online assessment during business hours. Cases submitted outside business hours or requiring additional information from you may take a little longer to review.
Yes. In everyday English, "medical certificate" and "doctor's note" describe the same kind of document, and we use both terms for Italy. 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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