Yes. You can get a medical certificate in Naples online, assessed by a registered doctor and returned the same day in most cases. Pricing is flat at €34.99 for any of the six certificate types, sent as a PDF. It records what the doctor assessed, for use with 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
✓ 250+ customers served in Naples
Getting a Medical Certificate in Naples
Naples is Campania's capital and one of southern Italy's major port cities, with an economy that spans shipping and logistics, manufacturing, tourism around its historic centre and bay, and a large public administration presence. That range of work means documentation needs vary widely across the city, from a dockworker's shift-based employer to a small tourism business in the centro storico.
The city is also a significant university centre — Università di Napoli Federico II is one of the oldest universities in the world and among the largest in Italy. As with any large institution, illness affecting an exam or coursework deadline is generally handled through a formal departmental process, so it is worth checking that process before requesting documentation.
There is no clinic to visit in Naples: 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 Naples or to get a same-day appointment for this to work.
The industrial half of Naples's employment sits mostly outside the city boundary but well inside the daily commute. The Stellantis plant at Pomigliano d'Arco employs roughly 6,000 people and anchors an automotive supply chain across the eastern belt, on shift patterns that run alongside the port's logistics and terminal work. Those are the workplaces where documentation is most formalised: a written notification chain for an unplanned absence, then a separate re-entry step, often with an occupational-health element, before someone returns to a production role. Campania's large public administration adds a third pattern, where absence and return are governed by written procedure rather than discretion. In every one of those cases the document HR wants and the document INPS needs are two different things, and confusing them is the commonest source of trouble.
Campania's primary-care arithmetic explains much of why people here look for another route. GIMBE recorded the region 643 medici di medicina generale short at 1 January 2025, the third-largest gap in Italy, and Campania is one of the regions where more than one family doctor in two — 52.7% — is carrying more than the 1,500 patients the national contract sets as a ceiling. The hospital side is not the problem: Cardarelli is the largest hospital in Campania and in southern Italy, with around 850 beds and roughly 90,000 admissions a year, and the city's other major hospitals sit within a few kilometres of it. But a hospital is not where a certificate comes from, and a pronto soccorso is emphatically not the place to go for one. That mismatch — ample acute capacity, a stretched family-doctor list — is where a remote assessment has a narrow but real use.
A major southern port city
Shipping, logistics and manufacturing sit alongside a large tourism economy around the historic centre and the bay. Work patterns and absence procedures vary a great deal across that mix.
Università di Napoli Federico II
One of the oldest universities in the world, with its own evidence requirements for illness affecting exams or coursework. Check your department's process before requesting anything.
A large public administration workforce
As Campania's regional capital, Naples has a substantial public-sector employer base alongside its private industries.
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 Naples
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 Naples Medical Certificate Is Used For
General medical documentation
Supporting documentation for everyday situations where evidence of a medical assessment is useful, without needing 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
Federico II and Naples' other institutions each set their own evidence requirements for illness affecting exams or coursework. Check your department's wording first.
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 Naples
Sick-leave and certificate rules are set nationally, so what follows applies in Naples 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 Naples.
Dr. Fabiana S.
Reg. #54969Dr. Cristina N.
Reg. #54319Prof. Giuseppe T.
Reg. #16400Dr. Fabrizio S.
Reg. #43802Medical Certificates in Naples: 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 Naples.
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 faculty and department sets its own evidence requirements, and some ask for specific wording. Check what yours actually asks for 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.
It is €34.99, and it is the same across Italy because the assessment is the same: a doctor registered to assess cases in Italy reviews what you submit, wherever you happen to be. There is no Naples rate and no regional adjustment, and the figure covers all six certificate types equally. Local private prices do vary a great deal, which is why people ask, but nothing about a Neapolitan address changes what the review involves. The one genuinely free option remains the INPS certificato di malattia from your medico di base, and only for statutory sick pay.
Almost always a general fitness statement rather than a statutory certificate. Swimming for exercise is attività ludico-motoria, for which Italian law has required no medical certificate since 2013, yet pools and gyms across the city continue to ask as a condition of membership — and the general fitness certificate is built for that gap. If the pool is registering you with a federation or entering you for competition the picture changes, and you need the certificato di idoneità sportiva, which requires an in-person visit and a properly reported resting ECG. Worth adding for anyone over 60 with cardiovascular risk factors: the non-competitive certificate then requires a fresh reported resting ECG each year, which no remote assessment can produce.
Sometimes, and it depends on what can honestly be assessed rather than on what you would like it to say. A doctor can consider a history covering recent days and decide whether the evidence supports a stated period; what no doctor can do is certify a period they have no basis for, and a request to backdate a long stretch will be declined. For statutory sick pay there is a stricter answer: the INPS certificato di malattia normally runs from the date the doctor issues it, which is why the advice is always to contact your medico di base or the guardia medica on the first day rather than afterwards. If you have already missed days, say so plainly when you submit — a doctor working from accurate information is more use to you than one working from a version that suits the form.
No, and it is worth saying directly. Emergency departments in the city, Cardarelli included, run at very high volume, and a request for documentation is neither an emergency nor something they are set up to produce — you would wait a long time and quite possibly leave without it. Your medico di base handles the INPS certificate; the guardia medica covers nights, weekends and holidays for urgent primary care. A remote assessment covers the general fitness, travel, return-to-work and general medical documentation that neither of those is a natural fit for. If your symptoms are severe, the pronto soccorso is the right place — for the illness, not the paperwork.
Partly, and the part that is right matters. For statutory sick pay the certificate must be filed electronically into the INPS system, and that is done by a doctor working within the national health service — your medico di base or the guardia medica — so in that narrow sense your employer is correct. For anything else, no Italian rule requires documentation to originate from an ASL surgery: a return-to-work statement, a fitness confirmation or general medical evidence from a registered doctor stands on the doctor's registration, not on the building it was written in. The practical move is to ask HR to name the document they want. Most disagreements of this kind disappear once the two are separated.
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
