Medical Certificate in Borgo Maggiore: Online, Same-Day from €34.99
- Same-day decision (most cases)
- Valid for employers across San Marino
- €34.99 base price, no hidden fees
- GMC-registered doctors
- 🇸🇲 EUR pricing
- Confidential handling of all medical information
- Accepted by employers & institutions in San Marino
Request a medical certificate in Borgo Maggiore online for €34.99, with most cases decided the same day and delivered as a PDF. A registered doctor assesses what you report and issues a dated record of that assessment for an employer, a club, a school, an insurer or a carrier. It is supporting documentation only — it is not the ISS certificato di malattia, and the ISS and the Ospedale di Stato, both in this castello, run the statutory process.
Last updated: 1 October 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
Medical Certificates in Borgo Maggiore: Who Needs Them?
Borgo Maggiore is the second-largest of San Marino's nine castelli, with a population of around 6,900, sitting below the capital on the slopes of Monte Titano and connected to it by cable car. It is best known domestically for its long-running market, and institutionally for something more consequential: the curazia of Cailungo holds both the Ospedale di Stato — the Republic's hospital, with a pronto soccorso and a network of district health centres behind it — and the headquarters of the Istituto per la Sicurezza Sociale, the ISS, on Via Scialoja.
That concentration is the reason this page has to be unusually careful about what it claims. The ISS administers both healthcare and social security in San Marino. The statutory sick-leave document is the certificato di malattia, prepared by a treating physician, and the ISS runs a commission for individual health assessments that controls illness certifications — including those of cross-border workers — and can call people in for examination. For cross-border workers the certificate has to reach the ISS Ufficio Prestazioni Economiche within three days of being issued.
Our certificate is not that document and never will be. We are not part of the ISS, cannot issue into its process, and transmit nothing to its Ufficio Prestazioni Economiche or to any other Sammarinese body. If statutory sickness benefit is at stake, the route runs through a treating physician inside the San Marino system, through the ISS's own notification requirements, and potentially through its commission. Anyone suggesting an online service can shortcut that is telling you something false, and in a castello where the ISS is a fifteen-minute walk away it would be a particularly foolish thing to believe.
What people in Borgo Maggiore actually use an online assessment for is the substantial set of needs the ISS is not involved in. An employer wanting written documentation of an absence or of fitness to resume duties. A sports club or gym wanting a fitness declaration. A school. An airline wanting travel clearance before a flight from Rimini or Bologna. A private insurer building a claim file. None of those are statutory processes, none of them go through the ISS, and for all of them a dated assessment from a named registered doctor is frequently exactly what is being asked for.
The mechanics are simple: a registered doctor reviews what you report, asks follow-up questions where the case needs them, and issues a dated PDF recording that assessment — Sick Leave, Sports Fitness, General Fitness, Fit to Fly, Return to Work or General Medical, each at €34.99. There is no examination, no treatment, no prescription and no follow-up. For care rather than documentation, the Ospedale di Stato at Cailungo and the district health centres are the right answer, and they are close.
The Ospedale di Stato is here
San Marino's hospital, at Cailungo in this castello, runs a pronto soccorso and sits behind a network of district health centres. For anything urgent it is the destination, not an online form.
The ISS is headquartered at Cailungo
The Istituto per la Sicurezza Sociale administers both healthcare and social security from Via Scialoja, which makes the boundary between the statutory process and ours especially worth stating plainly.
The statutory certificate comes from a treating physician
The certificato di malattia is prepared inside the San Marino system, is subject to the ISS commission's verification, and for cross-border workers must reach the Ufficio Prestazioni Economiche within three days.
The second-largest castello
Around 6,900 residents on the slopes below the capital, connected to it by cable car, with a long-established market at its centre.
What we actually do
One remote assessment by a registered doctor, one dated PDF, €34.99 for any of the six types — no examination, no treatment, no prescription and no follow-up.
All Certificate Types Available in San Marino
Every certificate is reviewed by a doctor registered to assess cases in San Marino. Choose the type that matches your situation. If you're not sure which applies, our assessment asks enough questions to route you correctly before you pay anything.
Sick Leave Certificate
For work absence, documented as a certificato medico and generally coordinated with ISS where a benefit claim applies.
From €34.99Sports Fitness Certificate
For clubs, gradings, and competitions requiring medical clearance, including San Marino's small domestic football league and other local clubs.
From €34.99General Fitness Certificate
For gym membership sign-up where a health declaration is requested, a routine step at gyms across San Marino's castelli.
From €34.99General Medical Certificate
For insurance, visa, or general documentation needs. San Marino is entirely surrounded by Italy, so cross-border paperwork is common for residents working or studying there.
From €34.99How It Works in Borgo Maggiore
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.
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.
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.
Who Accepts a Medical Certificate in Borgo Maggiore
The recipient decides in every case. These are the settings where a dated registered-doctor assessment is normally what is wanted — and the one where it has no standing at all.
Employers across the castello
A dated certificate naming the assessing doctor is the usual form of documentation for an absence or a return to duties. Your contract and absence policy determine whether one is needed, by when and through which channel.
Retail, market and hospitality businesses
Small employers often require nothing more than a dated doctor's certificate, and many self-employed traders need one for a private insurer rather than an employer.
Clubs, gyms and activity providers
Sports Fitness and General Fitness certificates support registration and participation where a doctor's declaration is requested. Some operators and all federations may prescribe their own screening.
Airlines out of Rimini and Bologna
Fit to Fly certificates are used where a carrier asks for medical clearance to travel. Each airline publishes its own criteria and several require their own form — check before booking the assessment.
Private insurers and claim files
A dated assessment from a named registered doctor is commonly accepted as supporting evidence. Policy terms, not the certificate, decide the claim.
Not the ISS, and not hospital care
The statutory process runs through a treating physician and the ISS at Cailungo. And where you need examination, imaging or treatment, the Ospedale di Stato is minutes away — use it.
San Marino Pricing: All Certificate Types
| Certificate Type | Our Price | Typical Private Consultation |
|---|---|---|
| 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 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.
San Marino Legal Snapshot: What Applies in Borgo Maggiore
Sick-leave and certificate rules are set nationally, so what follows applies in Borgo Maggiore exactly as it does anywhere else in San Marino.
Yes — you can get a medical certificate (doctor's note) in San Marino online, reviewed by a registered doctor and usually issued the same day, from €34.99. In San Marino, work absence is generally documented through a certificato medico (medical certificate), typically issued by a doctor and processed through ISS, San Marino's Social Security Institute. For sport, gym, travel, or general purposes, a separate certificate type usually applies. Exact requirements can vary, so confirm specifics for your situation before relying on any one document. In everyday English this is often just called a doctor's note for San Marino, even where the official local term differs.
| Local document name | Certificato medico: Italian for "medical certificate," the general term for documentation of illness |
|---|---|
| Who can issue it | Generally a licensed doctor |
| General timing | Generally expected as soon as reasonably possible after the absence begins; exact deadlines typically depend on the employer or institution requesting it |
| Processed through | Typically routed through ISS (Istituto per la Sicurezza Sociale), San Marino's Social Security Institute, for benefit purposes |
| Benefit coordination | Where a benefit claim applies, ISS generally administers a sickness benefit (indennità di malattia) alongside the certificato medico, though eligibility and the exact amount depend on individual contribution history; confirm the specific figure with ISS directly rather than assuming a fixed rate |
| Employer notification | San Marino, given its close economic ties with Italy, often mirrors Italian-style expectations for prompt notification; we are not able to confirm a single statutory deadline specific to San Marino from public English-language sources, so confirm your exact notice window with your employer or ISS |
| Data protection | San Marino is not an EU member state, so EU GDPR does not apply directly; San Marino maintains its own data protection framework |
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.
Our San Marino Medical Team
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.
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 Borgo Maggiore.
Dr. Sinéad Whelan
General Medicine · IE
IMC Reg. #114892Dr. Lukas Brandt
Family Medicine · DE
ÄK Reg. #BE-33210Dr. Camille Dubois
Psychiatry · FR
RPPS #10029384Dr. Anna Kowalska
Occupational Health · PL
NIL Reg. #7741029Frequently Asked Questions
Not because care is far away, and we should not pretend otherwise. What an online assessment solves is producing written documentation of an assessment on the day someone needs it, for a recipient who is not part of the healthcare system — an employer, a club, an insurer, an airline. If what you need is examination, treatment or a statutory certificato di malattia, the hospital and the ISS are a short distance away and are the right answer.
No. We do not transmit documents to the Ufficio Prestazioni Economiche, to the ISS generally, to an employer or to any Sammarinese body. Nor would it help if we did — ours is not the certificato di malattia that office requires. The three-day submission obligation for cross-border workers attaches to the statutory certificate from your treating physician, and it remains entirely yours.
Almost certainly not. If you have been assessed and treated at the hospital, the documentation from the treating team is stronger evidence than a remote assessment could be, and adding ours to it does nothing for you. Where a hospital has already examined and documented your condition, use their paperwork. Coming to us for a parallel certificate after in-person care is the wrong move.
A Fit to Fly certificate records an assessment of your fitness to travel by air, which many carriers accept. But each airline sets its own medical rules and several require their own form completed by a treating physician, particularly around recent surgery, pregnancy, oxygen needs or infectious illness. Look up the specific carrier's medical clearance page or call its assistance desk before you buy an assessment.
No. The whole process is remote: a registered doctor evaluates what you report and asks follow-up questions, with no physical examination, no measurements and no tests. That is an honest limitation rather than a feature. It is why some requirements cannot be met this way, and why a doctor will decline a case that genuinely needs examining rather than issuing something unsafe.
A longer absence is exactly where a remote assessment stops being the right tool. A doctor will not certify a stretch of time they had no means of evaluating, and an extended absence needs continuity of care — which in San Marino means a treating physician and, for anything statutory, the ISS process with its extensions. Involve them early rather than stacking up short certificates.
Sometimes it is accepted as general documentation of health status, but many employers run their own pre-employment medical, and for safety-critical roles that is a formal occupational assessment with an examination. A remote certificate does not substitute for either. Ask the prospective employer exactly what they require and from whom before you pay for the wrong document.
Pregnancy is precisely the area where remote assessment is least appropriate and where statutory arrangements are most specific. Maternity and pregnancy-related absence in San Marino runs through the ISS and through clinicians providing antenatal care, who know your history and have examined you. A doctor here may decline for that reason. Go to your maternity care provider and the ISS, not to an online form.
Yes. There is no requirement to be registered with the ISS, resident in San Marino or insured anywhere in particular, because we are not connected to any of those systems. What matters instead is the recipient: a club, an insurer, an employer or an airline has its own requirements, and those are the constraint. Being outside the ISS does not restrict access to an assessment; it just means the statutory route is not available to you either.
No. An assessment is of the person being assessed, so a doctor cannot certify you as fit or unfit on the basis of somebody else's illness. Carer's leave, where it exists, is governed by employment rules and by the ISS rather than by a medical certificate about you. Ask your employer what its policy provides and what evidence it requires — a certificate for the wrong person is money wasted.
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
