Yes — a registered doctor can review your case and issue a medical certificate for Kaunas online today, as a same-day PDF for €34.99. It is supporting documentation for employers who accept a doctor's note, and for study, travel, sport and insurance purposes. It is not an elektroninis nedarbingumo pažymėjimas: Lithuania's statutory sick-leave certificate is created in ESPBI IS by a doctor at a SODRA-contracted institution, and only it triggers employer-paid sick days and SODRA benefit.
Last updated: 1 October 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
Medical Certificates in Kaunas: Who Needs Them?
Kaunas runs on two engines: manufacturing at scale and health-sciences education. The Kaunas Free Economic Zone covers 534 hectares between Kaunas Airport and the A1 and A6 highways, and more than fifty companies operate inside it, including Continental Automotive Lithuania, Hella, Hollister and FL Technics Engine Services. Automotive electronics, medical devices and aircraft engine work all run continuous or rotating shifts, which is the single most common reason a Kaunas worker cannot reach a clinic while it is open. A missed start still has to be documented, whatever time the shift began.
Before ordering, it is worth separating two documents that get confused. Lithuania's statutory sick leave runs on the elektroninis nedarbingumo pažymėjimas, created by the treating doctor in ESPBI IS, managed in EPTS, signed with the doctor's electronic signature and transmitted automatically to your employer and SODRA. Only doctors at healthcare institutions holding a SODRA regional office contract can issue it; the employer covers the first two days and SODRA pays 62.06% of insured income from day three. We cannot create, file or transmit that certificate and nothing we issue triggers those payments. Our certificate documents a registered doctor's assessment instead.
The city is also Lithuania's medical capital, which makes the distinction between documentation and treatment unusually visible here. Kauno klinikos is the country's largest multidisciplinary healthcare institution, and LSMU Kaunas Hospital employs more than 3,350 staff — around 780 physicians and 1,070 nurses — across roughly 1,620 beds. The Lithuanian University of Health Sciences is the largest biomedical higher education institution in the country and founded Kaunas Clinics. These are referral and teaching institutions; none of them exists to produce a routine doctor's note on demand.
Student demand is heavy and seasonal. LSMU trains much of Lithuania's medical workforce, and Kaunas University of Technology was ranked the leading technological university in the Baltic states in the 2025 Times Higher Education rankings. Between them they concentrate tens of thousands of students in the city, and exam sessions produce short, intense spikes in requests for deferral evidence and for the fitness documentation that placements, laboratory work and clinical rotations often require.
Access itself is uneven rather than uniformly poor. Lithuania has roughly 4.6 practising physicians per 1,000 residents, above the OECD average, and the 2025 EU country health profile records around 90% of people seeing a family doctor within a week — but waiting times in some municipalities routinely exceed the recommended seven days, and specialist waits passed 30 days for more than half of patients in several specialties at the end of 2024. For a shift worker in the free economic zone, a week's wait for an appointment and a shift pattern that does not allow one are the same problem.
Kaunas Free Economic Zone
534 hectares between the airport and the A1 and A6 highways, with 50-plus companies including Continental Automotive Lithuania, Hella, Hollister and FL Technics Engine Services.
Kauno klinikos
Lithuania's largest multidisciplinary healthcare institution; LSMU Kaunas Hospital alone has 3,350-plus staff and around 1,620 beds.
LSMU & KTU
The country's largest biomedical university and, per the 2025 THE rankings, the leading technological university in the Baltics — both with exam-session documentation spikes.
Shifts vs Appointment Windows
Continuous manufacturing shifts and a recommended seven-day primary care wait combine badly. Online assessment removes the appointment from the equation.
Airport & Aviation Services
Kaunas Airport and aircraft engine services work rotations, and travel documentation such as a fitness-to-fly statement is a common request.
All Certificate Types Available in Lithuania
Every certificate type is reviewed by a doctor registered to assess cases in Lithuania. Choose the one that matches your situation. If you're not sure which applies, the assessment will ask enough questions to route you correctly before you pay anything.
Sick Leave Certificate
For work absence in Lithuania, generally aligned with nedarbingumo pažymėjimas documentation and reviewed by a doctor registered to assess cases in Lithuania before any certificate is issued.
From €34.99Sports Fitness Certificate
For clubs, school sport, and competitions in Lithuania requiring medical clearance before participation, particularly for higher-risk or contact activities.
From €34.99General Fitness Certificate
For gym membership and personal training sign-up in Lithuania where a health declaration is requested by the provider.
From €34.99General Medical Certificate
For insurance, visa, legal, or study-related purposes in Lithuania where a general doctor-issued certificate is requested.
From €34.99How It Works in Kaunas
Complete assessment
3-5 minutes. Select your certificate type, confirm Lithuania as your country, and answer relevant health questions covering your condition, the dates you need covered, and any employer or institution details you'd like included. No payment yet. You're only charged if a certificate is issued.
Doctor reviews your case
Reviewed by a doctor registered to assess cases in Lithuania, generally within Eastern European business hours (9am-6pm EET/EEST, Monday to Friday). The doctor may request more information through the same portal, or in some cases advise that your situation needs an in-person examination rather than an online certificate.
Receive your PDF
Delivered same day as a PDF, with a verification reference that an employer, school, or institution can scan to confirm authenticity directly, rather than relying on our word alone.
Who Accepts a Medical Certificate in Kaunas
Acceptance rests with the recipient, so confirm before ordering when something depends on it. The fixed exception is Lithuanian statutory sick pay, which needs the elektroninis nedarbingumo pažymėjimas from a SODRA-contracted institution.
LSMU & Kaunas University of Technology
Faculties generally require a dated written statement from a registered doctor to support a deferral, a missed assessment or an interrupted placement.
Free Economic Zone Manufacturers
Automotive, medical device and aviation services employers in the FEZ keep formal absence records, with note policies set company by company.
Sports Clubs & Gyms
Kaunas has a deep basketball and amateur sport culture, and club, league or gym registration generally needs a doctor's fitness assessment.
Airlines & Travel Insurers
A dated fitness-to-fly statement after illness or injury is a private document that carriers and insurers commonly request.
Municipal & Public-Sector Employers
City services document absences formally, while statutory sick pay continues to run entirely through the electronic certificate.
Lithuania Pricing: All Certificate Types
| Certificate Type | Our Price | Typical In-Person 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 |
Typical in-person visit costs are a general range and vary by clinic, city, and consultation type.
The gap between our pricing and a typical in-person visit generally reflects the difference between a walk-in appointment and an online assessment: you are paying for the doctor's review and the certificate itself, not a consultation room or receptionist time. For same-day documentation needed for travel, sport, or an employer, most people in this position choose a private route regardless of price, since the process does not depend on the next available appointment. This is not a claim that in-person care is unnecessary: for conditions that need a physical examination, a doctor may still advise seeing someone in person, and our assessment is designed to identify when that is the better route rather than issuing a certificate regardless.
Lithuania Legal Snapshot: What Applies in Kaunas
Sick-leave and certificate rules are set nationally, so what follows applies in Kaunas exactly as it does anywhere else in Lithuania.
Yes — you can get a medical certificate (doctor's note) in Lithuania online, reviewed by a registered doctor and usually issued the same day, from €34.99. In Lithuania, work absence due to illness is generally documented with a nedarbingumo pažymėjimas, a certificate of incapacity for work issued by a doctor and processed through SODRA, Lithuania's State Social Insurance Fund Board. For sport, gym, travel, or general purposes such as insurance or study, a separate certificate type applies: see the types below. In everyday English this is often just called a doctor's note for Lithuania, even where the official local term differs.
| Local document name | Nedarbingumo pažymėjimas: a certificate of incapacity for work. |
|---|---|
| What it generally confirms | A period of incapacity for work due to illness or injury, assessed and recorded by a doctor rather than self-declared by the employee. |
| Who can generally issue it | A doctor, with the certificate typically issued and tracked through Lithuania's e-health and social insurance systems rather than on paper. |
| Format | Electronic by default: most nedarbingumo pažymėjimas records exist digitally rather than as a printed paper form. |
| Processed through | SODRA, Lithuania's State Social Insurance Fund Board, which generally administers work-incapacity records nationally. |
| Related benefit | Ligos pašalpa, Lithuania's sickness benefit, may apply where an employee qualifies; specific eligibility, waiting periods, and payment amounts vary by situation and should be confirmed directly with SODRA or an employer. |
| Data protection law | The EU General Data Protection Regulation (GDPR), applied directly as EU law, together with Lithuania's national data protection legislation implementing it. |
Note on local procedure: Sick-leave documentation, benefit thresholds, and processing steps in Lithuania are set and periodically updated by SODRA and Lithuanian employment law, and employer-specific notification practices also vary. Always confirm current requirements directly with SODRA, your employer, or a qualified local adviser before relying on this page for a specific case.
Our Lithuania Medical Team
Every Lithuania certificate is reviewed by a doctor registered to assess cases in Lithuania. A certificate is only issued after a genuine assessment of your case, based on the health information you provide and, where needed, follow-up questions asked through the same 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. As with any doctor-issued document, a doctor's registration can generally be verified through the relevant national channels, and every certificate we issue carries a reference number that resolves on an independent verification page, rather than asking anyone to take our word for it.
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 Kaunas.
Dr. Ingrida V.
Reg. #VASPVT - 1012103Dr. Daiva T.
Reg. #VASPVT - 1012109Dr. Danuta V.
Reg. #VASPVT - 1012091Dr. Dovile S.
Reg. #VASPVT - 1012102Frequently Asked Questions
It is the final figure. One flat €34.99 covers the registered doctor's review and the issued PDF, and it is the same for all six certificate types with no separate consultation fee, no delivery charge and no priority tier. If the doctor decides they cannot issue a certificate for your case, nothing is charged at all.
Yes. The assessment form is open at any hour, so you can submit at the end of a night shift and a registered doctor will normally review it during the morning. Cases submitted during ordinary Lithuanian working hours are often decided within a couple of hours. Not needing to be awake and available during clinic hours is the practical point for continuous-shift manufacturing.
Because the two things solve different problems. Kauno klinikos and LSMU Kaunas Hospital exist for diagnosis, treatment and referral — not for issuing routine documentation on demand, and an appointment there is not something you arrange around a shift. If you need to be examined, they are the right destination. If what you need is a dated written record of a doctor's assessment, an online review gets you that without a queue.
No. The elektroninis nedarbingumo pažymėjimas is created inside ESPBI IS by the treating doctor, managed in EPTS and signed with that doctor's electronic signature, and only doctors at institutions contracted with a SODRA regional office can do it. From there it reaches your employer and SODRA automatically. We have no access to those systems, cannot file anything in them, and cannot trigger your two employer-paid days or your SODRA benefit from day three.
For statutory sick pay, yes — completely. Employers are also entitled to set their own evidence policy for short absences, and some accept a doctor's note while others do not. Ask HR what they require before you order, because discovering the mismatch afterwards is the expensive way. Where the certificate does real work is travel, study, sport, insurance and employers whose own policy accepts a dated doctor's statement.
It documents a registered doctor's assessment that you are fit to resume the duties you describe, which is often what an employer wants on file before restoring someone to a production line or a shift roster, at €34.99. The boundary matters in Kaunas: it is not an occupational health assessment for a role with specified hazards, which has to be carried out in person by an occupational health doctor to a defined protocol. If your employer is asking for that, we cannot provide it.
It provides the document faculties normally ask for — a dated statement from a registered doctor covering the relevant period. Whether it satisfies a clinical rotation's attendance rules is the faculty's and the placement provider's decision, and clinical programmes are often stricter than lecture-based ones, sometimes requiring evidence from within the Lithuanian system. Check the rotation's written requirements before you order rather than after you miss the day.
No. Turnaround depends on the doctor's review queue rather than on local demand, so a Kaunas exam week does not slow you down the way it might slow a campus clinic. Most cases are decided the same day. What exam sessions do affect is your faculty's deadline for submitting evidence after a missed assessment, which is usually the real constraint — find out what it is first.
It arrives by email as an English-language PDF, signed by the reviewing doctor and carrying a verification reference code the recipient can use to confirm authenticity rather than relying on a forwarded attachment. International manufacturers and service employers generally accept English without difficulty; a Lithuanian public body or a small local firm may want a Lithuanian translation, so ask what they expect in advance.
Yes, and for reasons unconnected to us. A certificate from us is a single documented assessment: it creates no continuing clinical relationship, no entry in ESPBI IS, no route to statutory sick pay and no referral into the Lithuanian system. Anything needing monitoring, ongoing prescribing, examination or referral belongs with your registered family doctor or with Kauno klinikos.
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
