Medical Certificate in Lithuania and Doctor's Note in Lithuania: What's the Difference?
In Lithuania, work absence due to illness is generally documented with a nedarbingumo pažymėjimas, a certificate of incapacity for work issued by a doctor and processed through SODRA, Lithuania's State Social Insurance Fund Board. For sport, gym, travel, or general purposes such as insurance or study, a separate certificate type applies: see the types below. In everyday English this is often just called a doctor's note for Lithuania, even where the official local term differs.
Lithuania Legal Snapshot
| Local document name | Nedarbingumo pažymėjimas: a certificate of incapacity for work. |
|---|---|
| What it generally confirms | A period of incapacity for work due to illness or injury, assessed and recorded by a doctor rather than self-declared by the employee. |
| Who can generally issue it | A doctor, with the certificate typically issued and tracked through Lithuania's e-health and social insurance systems rather than on paper. |
| Format | Electronic by default: most nedarbingumo pažymėjimas records exist digitally rather than as a printed paper form. |
| Processed through | SODRA, Lithuania's State Social Insurance Fund Board, which generally administers work-incapacity records nationally. |
| Related benefit | Ligos pašalpa, Lithuania's sickness benefit, may apply where an employee qualifies; specific eligibility, waiting periods, and payment amounts vary by situation and should be confirmed directly with SODRA or an employer. |
| Data protection law | The EU General Data Protection Regulation (GDPR), applied directly as EU law, together with Lithuania's national data protection legislation implementing it. |
Note on local procedure: Sick-leave documentation, benefit thresholds, and processing steps in Lithuania are set and periodically updated by SODRA and Lithuanian employment law, and employer-specific notification practices also vary. Always confirm current requirements directly with SODRA, your employer, or a qualified local adviser before relying on this page for a specific case.
Lithuania's nedarbingumo pažymėjimas system is generally administered through SODRA, which also processes the related ligos pašalpa (sickness benefit) payment where an employee qualifies. This does not change who a certificate needs to come from: an employer, school, or institution asking for proof of a medical condition or fitness assessment is generally looking for a certificate issued by a doctor, whether that doctor is reached in person or through a genuine online consultation. Every certificate on this page is reviewed by a doctor registered to assess cases in Lithuania before it is issued, with a full refund if a doctor cannot issue yours.
If an employer or institution has questions about a certificate issued after an online assessment, the same verification principle applies as with any doctor-issued document: the doctor's registration can generally be confirmed independently, and a reference number on every certificate we issue links back to a verification page rather than asking anyone to simply take our word for it.
In most cases, the choice between an in-person and an online consultation does not change what a certificate needs to contain: a genuine assessment of the condition, the dates covered, and the reviewing doctor's details. Where a case appears to need a physical examination, a diagnostic test, or another in-person investigation, a doctor registered to assess cases in Lithuania may decline to issue a certificate online and advise seeing a local clinician in person instead, rather than issuing a certificate that would not reflect a genuine assessment.
A certificate is only ever backdated to the extent a genuine clinical assessment supports it, for example, where a doctor's review of your reported symptoms and dates indicates the incapacity likely began a day or two before the assessment itself. We do not issue certificates covering a period simply because an earlier start date was requested, since that would not reflect an authentic medical judgment.
Last reviewed July 2026. Always confirm current rules before relying on them for a specific case.
All Certificate Types Available in Lithuania
Every certificate type is reviewed by a doctor registered to assess cases in Lithuania. Choose the one that matches your situation. If you're not sure which applies, the assessment will ask enough questions to route you correctly before you pay anything.
Sick Leave Certificate
For work absence in Lithuania, generally aligned with nedarbingumo pažymėjimas documentation and reviewed by a doctor registered to assess cases in Lithuania before any certificate is issued.
From €34.99Sports Fitness Certificate
For clubs, school sport, and competitions in Lithuania requiring medical clearance before participation, particularly for higher-risk or contact activities.
From €34.99General Fitness Certificate
For gym membership and personal training sign-up in Lithuania where a health declaration is requested by the provider.
From €34.99General Medical Certificate
For insurance, visa, legal, or study-related purposes in Lithuania where a general doctor-issued certificate is requested.
From €34.99How It Works in Lithuania
Complete assessment
3-5 minutes. Select your certificate type, confirm Lithuania as your country, and answer relevant health questions covering your condition, the dates you need covered, 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 Lithuania, generally within Eastern European business hours (9am-6pm EET/EEST, Monday to Friday). The doctor may request more information through the same portal, or in some cases advise that your situation needs an in-person examination rather than an online certificate.
Receive your PDF
Delivered same day as a PDF, with a verification reference that an employer, school, or institution can scan to confirm authenticity directly, rather than relying on our word alone.
Who Accepts These Certificates in Lithuania
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, though you should always confirm acceptance with the specific employer or institution requesting your certificate.
Employers
A certificate issued after a genuine assessment by a doctor registered to assess cases in Lithuania is generally treated the same as one obtained in person, and an HR team can independently verify it through its reference number.
Schools & universities
Accepted for absence documentation and school or university sports medical clearance, including for activities that require a documented health check before participation.
Gyms & sports clubs
Accepted for gym membership sign-up and club or league medical clearance requirements, particularly for higher-risk or contact activities.
Airlines
Fit-to-fly certificates accepted by airlines requiring medical clearance for travel after surgery, illness, or later-stage pregnancy, ahead of departure from Lithuania.
Insurance & institutions
General medical certificates accepted for insurance claims, visa applications, and other official processes that ask for a doctor-issued medical statement.
GetMedicalCertificate in Lithuania's Major Cities
Our service is fully online across Lithuania. These are the cities we serve the most requests from, alongside several other towns where the same process applies.
Vilnius
Lithuania's capital: the largest share of requests across every certificate type
Kaunas
Lithuania's second-largest city, with steady demand for sick leave and return-to-work certificates
Klaipėda
A port city, with demand for fit-to-fly and general fitness certificates
Šiauliai
Regular requests for general medical and sports fitness certificates
Panevėžys
One of Lithuania's larger cities: the same online assessment and same-day delivery applies nationwide
Alytus
A city in southern Lithuania, served by the same nationwide online process
Marijampolė
Near the Polish border, where the same certificate types and same-day process are available online
Utena
In northeastern Lithuania: requests here follow the same nationwide online process as the rest of the country
Lithuania Pricing: All Certificate Types
| Certificate Type | Our Price | Typical In-Person 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 |
Typical in-person visit costs are a general range and vary by clinic, city, and consultation type.
The gap between our pricing and a typical in-person visit generally reflects the difference between a walk-in appointment and an online assessment: you are paying for the doctor's review and the certificate itself, not a consultation room or receptionist time. For same-day documentation needed for travel, sport, or an employer, most people in this position choose a private route regardless of price, since the process does not depend on the next available appointment. This is not a claim that in-person care is unnecessary: for conditions that need a physical examination, a doctor may still advise seeing someone in person, and our assessment is designed to identify when that is the better route rather than issuing a certificate regardless.
GetMedicalCertificate vs a Typical In-Person Visit in Lithuania
Lithuania does not have one dominant, publicly named online medical-certificate provider in the way some larger markets do, so rather than compare against a specific competitor, this section compares the online route generally against a typical in-person visit.
An in-person visit in Lithuania typically costs in the range of €40-55 depending on the clinic and consultation type, and generally requires travelling to an appointment during clinic hours, which may not align with when you need documentation. An online assessment reviewed by a doctor registered to assess cases in Lithuania follows the same principle: a genuine clinical review before any certificate is issued, but removes the need to travel or wait for the next available slot, with same-day delivery once approved and a full refund if a doctor cannot issue a certificate.
This is not a claim that online assessment replaces in-person care in every situation. Conditions that need a physical examination, a diagnostic test, or ongoing treatment are generally better served by an in-person clinician, and our doctors are expected to say so rather than issue a certificate regardless. For the more common case, documenting an already-known condition for an employer, school, gym, airline, or insurer, the online route is generally faster and, at our published prices, typically at or below the €30-55 range charged for a private in-person consultation.
Our Lithuania Medical Team
Every Lithuania certificate is reviewed by a doctor registered to assess cases in Lithuania. A certificate is only issued after a genuine assessment of your case, based on the health information you provide and, where needed, follow-up questions asked through the same 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. As with any doctor-issued document, a doctor's registration can generally be verified through the relevant national channels, and every certificate we issue carries a reference number that resolves on an independent verification page, rather than asking anyone to take our word for it.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including across Lithuania.
Dr. Ingrida V.
Reg. #VASPVT - 1012103Dr. Daiva T.
Reg. #VASPVT - 1012109Dr. Danuta V.
Reg. #VASPVT - 1012091Dr. Dovile S.
Reg. #VASPVT - 1012102Lithuania Medical Certificate FAQ
A nedarbingumo pažymėjimas is Lithuania's certificate of incapacity for work, confirming a period of sick leave. It is generally issued by a doctor and processed through SODRA, Lithuania's State Social Insurance Fund Board.
Yes. A certificate issued after a genuine online assessment by a doctor registered to assess cases in Lithuania is generally treated the same as one obtained in person, though you should confirm acceptance with the specific employer or institution requesting it.
Our Lithuania sick leave and general medical certificates cost €34.99, compared to a typical range of €30-55 for a private in-person consultation.
Yes. We comply with the EU General Data Protection Regulation (GDPR). Your medical information is only seen by the doctor assessing your case and is never shared with third parties.
You receive a full, automatic refund. A certificate is only issued after a genuine clinical assessment; it is never guaranteed simply because a request was submitted.
Our Lithuania certificates cost €34.99 whatever the type, compared to a typical €30-55 range for a private in-person consultation. The online process also removes the need to travel to an appointment, with same-day delivery once a doctor approves your case.
Every certificate is reviewed by a doctor registered to assess cases in Lithuania, and carries a verification reference linking to an independent verification page, so an employer or institution does not need to take our word for a doctor's credentials.
Yes. Beyond general GDPR compliance, your health information is only seen by the doctor assessing your case during the assessment itself, and is not shared with your employer, school, or any other third party unless you choose to send them the certificate.
A doctor can only certify a period based on a genuine clinical assessment, which may include a day or two immediately before your assessment where that is clinically supported. We do not issue certificates backdated to cover a period simply because it was requested, as this would not reflect a genuine medical assessment.
Certificates are generally delivered the same day as a PDF, usually once a doctor registered to assess cases in Lithuania has reviewed your case during Eastern European business hours. Requests submitted outside these hours may be reviewed the next business day.
Yes. In everyday English, "medical certificate" and "doctor's note" describe the same kind of document, and we use both terms for Lithuania. 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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