Yes — anyone in Florence can have a case assessed online by a registered doctor without booking an appointment. There is one flat price, €34.99, across all six certificate types. It states the doctor's findings for an employer, school, club or insurer in Italy. It is not the INPS certificato di malattia telematico, which a medico di base or guardia medica files.
Last updated: 10 September 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
✓ 150+ customers served in Florence
Getting a Medical Certificate in Florence
Florence is Tuscany's capital and one of Italy's most visited cities, with an economy heavily shaped by tourism, culture and the arts, alongside established craft, fashion and leather industries. A city with that many visitors at any given time also has a steady stream of people needing insurance or travel documentation while away from their home doctor.
The city is home to the University of Florence, one of Italy's larger universities, drawing a substantial student population including many international and exchange students. Illness affecting an exam or coursework deadline is generally handled through a formal departmental process, and international students in particular should check what their specific programme requires.
There is no clinic to visit in Florence: your case is assessed online by a doctor registered to assess cases in Italy, and the review happens the same way wherever in the country you are. You do not need to be well enough to travel across Florence or to get a same-day appointment for this to work.
Behind the tourism headline, Florence's largest companies are industrial and pharmaceutical. Nuovo Pignone, in the city since 1842 and now part of Baker Hughes, tops the local ranking by turnover at over €7 billion, with the Menarini pharmaceutical group next at around €4 billion and Gucci third at about €3.3 billion. Gucci's operations sit at Casellina di Scandicci just south of the city, where the ArtLab prototyping campus already employs over 900 people and is adding around 150 technical specialists under a €300 million Kering expansion. The Scandicci leather district feeding those brands has consolidated sharply, from more than 600 workshops at its peak around the millennium to roughly 320 active today — which in practice means a workforce of skilled technicians and artisans in formalised employment, with the written absence and re-entry procedures that go with it.
Tuscany's primary-care position is tighter than its hospital reputation implies: GIMBE put the region 394 medici di medicina generale short at 1 January 2025, one of the seven largest regional gaps in Italy. Florence has a strong hospital and teaching-hospital base, but hospital capacity is not what you are queuing for when the document you need takes ten minutes of a family doctor's full list. The other Florentine variable is how many people in the city at any moment are not registered with a doctor here at all — visitors, short-let residents, exchange students, seasonal hospitality and retail staff — for whom the nearest medico di base may be several hundred kilometres away. That is the gap a remote assessment is genuinely useful for, and it is why fit-to-fly and insurance documentation are disproportionately common requests from a city like this.
A major tourism and cultural centre
Florence's economy is heavily shaped by tourism, culture and craft industries, with a large number of visitors and international residents in the city at any time.
The University of Florence
One of Italy's larger universities, with a substantial international student population. Each department sets its own evidence requirements for illness affecting exams or coursework.
A common stop for travellers
Fit-to-fly documentation for onward travel after surgery, illness or during later pregnancy. Airline requirements vary, so confirm with the airline directly too.
For statutory Italian sick pay, start with your own doctor
Our certificate is a separate general medical document. If you need the INPS-linked electronic sickness certificate for employer sick pay, that comes from your medico di base or, out of hours, the guardia medica — see the national rules above.
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 Florence
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.
What a Florence Medical Certificate Is Used For
General medical documentation
Supporting documentation for everyday situations where evidence of a medical assessment is useful, without an in-person appointment.
Insurance and legal matters
Insurers and legal processes commonly ask for evidence that a genuine medical assessment took place. Check what your specific insurer or process requires — the national rules above cover the general position.
Universities and coursework
The University of Florence's departments each set their own evidence requirements for illness affecting exams or coursework, including for exchange and international students.
Not a substitute for statutory sick pay documentation
If you need paid sick leave recognised by an employer through INPS, that requires the certificato di malattia telematico from your medico di base or the guardia medica — not this certificate. See the national rules above.
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.
Italy Legal Snapshot: What Applies in Florence
Sick-leave and certificate rules are set nationally, so what follows applies in Florence exactly as it does anywhere else in Italy.
Yes — you can get a medical certificate (doctor's note) in Italy online, reviewed by a registered doctor and usually issued the same day, from €34.99. 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.
| 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.
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 for patients in Florence.
Dr. Fabiana S.
Reg. #54969Dr. Cristina N.
Reg. #54319Prof. Giuseppe T.
Reg. #16400Dr. Fabrizio S.
Reg. #43802Medical Certificates in Florence: Common Questions
No. The assessment is completed online and reviewed by a doctor registered to assess cases in Italy, so where you are in the country makes no difference to the process or the price. This page exists because people search for their own city, not because the service works differently in Florence.
No. The INPS-linked electronic sickness certificate that Italian employers rely on for statutory sick pay is generally issued by your own medico di base, or out of hours by the guardia medica (continuità assistenziale), and transmitted directly to INPS. Our certificate is a separate, complementary general medical document — for insurance, visa, education, sport or travel purposes. If you need paid sick leave through INPS, contact your medico di base or the guardia medica.
Our certificate is €34.99 flat, including the doctor's review, the PDF and its verification reference. A private doctor visit in Italy commonly falls in the €50-€120 range depending on the type of consultation. A certificate is not a substitute for care — if you need to be examined or treated, see a doctor.
It can support that kind of request, but each department sets its own evidence requirements, and international programmes sometimes ask for specific wording. Check what your programme requires first, and tell us who the certificate is for so the wording can be matched.
Same day, usually within 30 minutes of the doctor approving your case during business hours. Some cases take longer where the doctor needs more information from you before making a decision.
No. It is €34.99 for anyone submitting a case in Italy, resident or not, and there is no separate non-resident rate. Residency matters for something else, though: statutory sick pay through INPS depends on being registered with a medico di base, which visitors and short-stay residents usually are not. For the documentation a visitor actually tends to need in Florence — fit to fly, general medical evidence for an insurer, a fitness statement for a course or a venue — registration is not part of the picture at all. Tell us who the certificate is for so the wording matches what they asked for.
Fit to fly is one of the six types assessed, and the answer depends almost entirely on the airline rather than on us. Carriers set their own gestational-week cut-offs and their own minimum intervals after surgery, and several require the certificate to be dated within a specific number of days of departure or to carry particular details. So find the airline's published policy first, tell us what it asks for, and the doctor reviews your case against that rather than issuing a generic statement. If you are flying out of Florence, note that much of the city's long-haul traffic routes through Pisa or Bologna — and it is the operating carrier's policy that governs, not the airport's.
Say who it is for when you submit, because that determines both the wording and the language. Italian institutions generally expect Italian; airlines, foreign insurers and international study programmes usually want English, and both come up constantly in a city with this many international residents and visitors. Certificates are issued as a signed PDF carrying the doctor's details and a verification reference, and that reference does the work a physical timbro used to do — it is what a recipient checks. Where a body insists on its own printed form with a wet signature and stamp, that is a different kind of request and an in-person appointment is the realistic route.
That is the normal pattern for this city. Florence's hospitality, retail and museum staffing runs on rotas that rarely line up with a family doctor's morning surgery, and the practical obstacle is almost never the illness — it is the appointment. Submitting a case takes a few minutes from a phone and does not require you to be anywhere in particular. The one thing to keep separate: if the absence itself needs covering for statutory sick pay, that is the INPS route through your medico di base or the guardia medica, and it should be started the same day rather than left until your next day off.
Send us the form's requirements before you order, because the answer varies. Many providers will accept a doctor's certificate covering the same points and merely prefer their template; some require their own document completed and signed by the examining doctor, which a remote assessment cannot do. International study programmes in Florence are the ones most likely to insist on the latter, usually because their home institution set the form. Reading the requirement first saves the wasted step — and if the form has to be completed by a doctor who examined you in person, an in-person appointment is the only route.
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
