Medical Certificate in North Macedonia: Online, Same-Day from €34.99

North Macedonia Legal Snapshot: Sick Leave

Note on documentation: North Macedonia does not appear to use one single separately-named certificate document distinct from боледување (boleduvanje) itself. Unlike some neighbouring countries, the process generally centres on a doctor's certification of the illness and its duration rather than a distinct named form. Confirm current requirements with the Fond za zdravstveno osiguruvanje na Makedonija or your employer before relying on this for a specific case.

A certificate reviewed under our North Macedonia 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 North Macedonia 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.

1. 1

   Complete assessment

   3-5 minutes. Select your certificate type, confirm North Macedonia 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.

2. 2

   Doctor reviews your case

   Reviewed by a doctor registered to assess cases in North Macedonia, generally during business hours (9am-6pm CET/CEST, 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.

3. 3

   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.

Typical private consultation costs are a general range reported for North Macedonia 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.

Our online assessment is generally faster than booking and attending a private consultation, and our pricing (from €34.99) sits within or close to the typical €20-€40 range reported for a private consultation in North Macedonia, 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.

Every certificate issued for North Macedonia is reviewed by a doctor registered to assess cases in North Macedonia, 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 North Macedonia. 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.

Nearby countries

• Albania
• Serbia
• Greece
• Bulgaria