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

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 Milan.

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, though — if you need to be examined or treated, see a doctor.

It can be useful supporting general medical documentation, but it is not the certificato di malattia telematico that Italian statutory sick pay is built on. For anything tied to employer sick pay through INPS, see the national rules above and contact your medico di base or the guardia medica instead.

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.

Ours is €34.99 flat. There is a free route for one specific thing: the INPS certificato di malattia for statutory sick pay is issued at no charge by your medico di base, or by the guardia medica out of hours, and if that is what you need you should not be paying anyone for it. For the other five types — sports fitness, general fitness, fit to fly, return to work, general medical — there is no free public equivalent, and a private appointment in Milan for the same purpose generally costs several times more. The price is identical across types, so the decision is about which document you need rather than which you can afford.

Not the Italian one, and this is the clearest refusal in our range. Competitive entry — a race under a CONI-recognised federation, or membership of a club registering you as an agonista — requires the certificato di idoneità agonistica, which only a sports-medicine specialist can issue and which involves an ECG at rest and after exertion, plus spirometry for athletics. The non-competitive certificate is easier but still needs an in-person visit with a physical examination, blood pressure check and a properly reported resting ECG. Where our sports fitness and general fitness certificates do apply is the gym and studio layer: recreational activity, which has not legally required a certificate in Italy since 2013 but which operators keep asking for anyway.

The doctor reviewing your case — and the certificate itself says considerably less than your submission does. A certificate is designed to be handed to an employer, a school or an airline, so it states that an assessment took place, what it concluded and the dates it covers, not your full history. That distinction matters in a city where HR departments are large and documents circulate: what you tell the doctor is clinical information, and what goes to your employer is a conclusion. If a Milan employer is asking for your diagnosis rather than a fitness conclusion, that is worth questioning before you supply it.

Usually, and the limiting factor is the airline rather than the assessment. Approved certificates are sent the same day, typically within about 30 minutes of the doctor signing off during business hours, so two days is comfortable. What is not comfortable is discovering at 48 hours that your carrier wants its own form completed by an examining doctor, a certificate dated inside a narrow window before departure, or a named specialist's letter. Pull up the operating airline's medical policy now and tell us exactly what it asks for, and the case is reviewed against that. With 56.9 million passengers through Milan's airports in 2024 the carriers all have well-documented policies — they are simply not the same as each other.

Asking for the wrong type, by a distance. The two most often confused are sick leave documentation and the INPS certificato di malattia: people buy a certificate stating they were unwell and then discover HR needed a telematic filing only a medico di base can make. Second most common is a return-to-work step being answered with an absence certificate, which does not say the thing a re-entry process is asking about. Get the requirement in writing, name the document, and the type follows. Where the requirement is an occupational-health fitness judgement, that belongs to the company's medico competente and no external certificate substitutes for it.