Medical Certificate in San Marino: Online, Same-Day from €34.99

San Marino Legal Snapshot

Note on how firmly these details are sourced: San Marino's small size and close ties with Italy mean much day-to-day sick-leave practice draws on norms familiar from Italy, but San Marino is a separate sovereign republic with its own statutes and its own ISS, and it publishes less standardized English-language guidance than Italy itself. Treat the rows above as general orientation rather than a legal reference, and confirm your specific notice period, required documentation, and ISS process directly with your employer or with ISS before relying on them for a specific case.

San Marino's small size and close economic ties with Italy mean many day-to-day practices around sick leave documentation are broadly familiar to anyone used to Italian norms, though ISS is San Marino's own institute rather than an Italian one. Every certificate we issue for San Marino is reviewed by a doctor registered to assess cases there before it is sent to you.

If a certificate is needed for a purpose other than employment absence, for example a school, a sports club, or a gym in San Marino, the same doctor-review process applies, just assessed against different criteria appropriate to that request rather than sickness-benefit rules. We do not issue a certificato medico documenting sick leave for insurance, visa, or travel purposes; those situations are generally covered by the general medical certificate or fit-to-fly certificate instead.

ISS-administered sickness benefit generally applies to registered contributors in San Marino, whether employed or self-employed, though the qualifying period, the indennità di malattia amount, and how it interacts with any employer-paid continuation of salary can depend on your specific contribution history and employment terms. We would rather point you to ISS directly for that figure than quote a number we can't fully stand behind for every case.

A certificato medico issued after a genuine assessment by a doctor registered to assess cases in San Marino is generally treated the same whether that assessment happened online or in person, though because online medical certificates are a newer practice in a small jurisdiction like San Marino, an employer unfamiliar with the format may have follow-up questions, which is one reason every certificate we issue carries the reviewing doctor's details and a reference number an employer can check directly, rather than asking them to simply take our word for it.

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 San Marino as your country, and answer relevant health questions covering your condition and the dates or purpose you need covered. 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 San Marino, generally during Central European Time business hours, Monday-Friday. The doctor may ask for more information through the same portal, or in rare cases advise that your situation needs an in-person examination rather than an online certificate.

3. 3

   Receive your PDF

   Emailed same day, usually within a few hours on business days, with the reviewing doctor's details and a verification reference that your employer, school, club, or institution can scan to help confirm authenticity.

Private consultation costs are a general range and vary by clinic and by the reason for the visit.

The gap between our pricing and a typical private consultation in San Marino generally reflects the difference between an online assessment and an in-person clinic visit: you're paying for the doctor's review and the certificate itself, not a waiting room or receptionist time. Given San Marino's small population and limited concentration of private clinics, a same-day online route is often the more practical option for many people needing documentation quickly, regardless of price. This gap tends to be smaller for specialised certificate types, like sports fitness or fit-to-fly, where finding a private clinic willing to issue same-day paperwork can take longer than the assessment itself.

The main practical difference is speed and access: an online assessment can be completed from home or work in a few minutes and reviewed the same day, without booking a clinic appointment or taking time off to attend one in person. It typically costs somewhat less than the €30-60 range quoted for a private in-person consultation in San Marino, though the private consultation may include a broader physical examination that an online review does not attempt to replace; the right choice depends on what your specific situation and the requesting institution actually need.

Every San Marino certificate is reviewed by a doctor registered to assess cases in San Marino. We are not aware of a single centralised, English-language public register for doctors in San Marino in the way the UK's GMC provides, so rather than point you to a lookup we can't fully verify works the same way, we're direct about how the review works: a licensed doctor genuinely assesses your case, based on the information you provide and, where useful, follow-up questions, before deciding whether a certificate is appropriate.

A certificate is only issued after that genuine assessment. If a doctor decides a certificate is not clinically appropriate for your situation, for example because your case needs an in-person examination the online format cannot replace, we do not issue one, and you receive a full, automatic refund rather than being charged regardless. We do not operate on a pay-first, certificate-guaranteed basis for San Marino or anywhere else we operate.

Nearby countries

• Italy