Medical Certificate in City of San Marino: 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
You can request a medical certificate in the City of San Marino online for €34.99, with most cases decided the same day and the PDF sent straight to you. A registered doctor reviews what you report and issues a dated record of that assessment, usable with an employer, a school, a club, an insurer or an airline. It is supporting documentation only — it is not the ISS certificato di malattia, which is prepared by a treating physician inside the San Marino system and is subject to the ISS's own verification arrangements.
Last updated: 1 October 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
Medical Certificates in the City of San Marino: Who Needs Them?
The City of San Marino is the capital of the Republic and one of its nine castelli, built on the western slopes of Monte Titano. Its resident population is around 4,100 — smaller than many of the castelli below it — but it holds the institutions of one of Europe's oldest republics, and since 2008 Monte Titano and the historic centre have together been a UNESCO World Heritage site. The University of the Republic of San Marino has its main campus here, at the Antico Monastero Santa Chiara on Contrada Omerelli, with further sites at Dogana and Montegiardino.
Working life in the historic centre is therefore a combination of public administration, academic work, and a tourism and retail economy operating on a steep hillside. That last point is not decoration: a great deal of employment here involves being on your feet on stone streets, steps and gradients for a full shift, often outdoors and in summer heat. Fitness to resume that kind of work after an absence is a genuine question, and it is what the Return to Work certificate exists to address — provided you describe the actual conditions rather than just a job title.
San Marino's statutory arrangement runs through the Istituto per la Sicurezza Sociale, the ISS, which administers both healthcare and social security. The sick-leave instrument is the certificato di malattia, prepared by the treating physician, and the ISS operates a commission for individual health assessments which controls illness certifications and can call people in for examination. The Ospedale di Stato — the country's hospital, with a pronto soccorso — is at Cailungo in the castello of Borgo Maggiore, alongside a network of district health centres.
So the honest boundary has to be drawn firmly. What we issue is not an ISS certificato di malattia. We have no access to the San Marino system to produce one, we do not transmit anything to the ISS, and we do not start, extend or secure any sickness benefit. If the statutory route is what you need, it runs through a treating physician inside the San Marino system and through whatever notification the ISS requires of you — not through an online form, and any service telling you otherwise is misleading you.
Where our certificate is genuinely useful is everything the ISS is not involved in. Employers commonly want written documentation of an absence or of fitness to return, over and above any benefit question. The University, schools, clubs, gyms, event organisers, airlines and private insurers each ask for a doctor's assessment for their own reasons. Those are the cases for Sick Leave, Return to Work, Sports Fitness, General Fitness, Fit to Fly and General Medical, each at €34.99 — and for anything urgent, the Ospedale di Stato at Cailungo is where to go.
The institutions of an old republic
The capital holds the Republic's institutions on the western slopes of Monte Titano, with around 4,100 residents — fewer than several of the castelli below it.
The University's main campus
The University of the Republic of San Marino is based at the Antico Monastero Santa Chiara on Contrada Omerelli, with further sites at Dogana and Montegiardino.
Work on a steep hillside
Tourism and retail employment in the historic centre means shifts spent on stone streets, steps and gradients, often outdoors — which makes fitness to return a real assessment rather than a formality.
The ISS certificato di malattia is a different document
Statutory sick leave runs through a treating physician inside the San Marino system, and the ISS operates a commission that controls certifications and can require an examination. We issue nothing into that process.
The Ospedale di Stato is at Cailungo
San Marino's hospital, with a pronto soccorso, sits in the castello of Borgo Maggiore, supported by district health centres. For anything urgent, that is the destination.
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 City of San Marino
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 the City of San Marino
Acceptance rests with whoever asked for the document. These are the contexts where a dated registered-doctor assessment is normally what that means — and the one place it is not.
Public administration employers
Written documentation of an absence is standard for public-sector employers in the capital, and their procedures tend to be prescriptive. Confirm with your personnel office which document they require and by when.
Tourism, retail and hospitality
A dated certificate from a registered doctor is the usual documentation for a missed shift, and a Return to Work certificate for resuming work on the hillside. Your own absence policy sets the deadline.
The University and schools
A General Medical certificate supports an absence from teaching or assessment. The institution applies its own regulations on evidence, deadlines and who it must be submitted to.
Clubs and event organisers
Sports Fitness certificates support registration and entry where a doctor's declaration is requested. A federation can prescribe its own medical screening, and where it does, that governs.
Private insurers
A dated assessment from a named registered doctor is commonly accepted into a claim file as supporting evidence. The insurer decides the claim under its own policy terms.
Not the ISS
Statutory sickness benefit depends on the certificato di malattia from a treating physician and on the ISS's own procedures and verification. We are not part of that chain and file nothing with the ISS.
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 City of San Marino
Sick-leave and certificate rules are set nationally, so what follows applies in City of San Marino 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 City of San Marino.
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
No. The certificato di malattia is prepared by a treating physician inside the San Marino system and feeds into the ISS's own procedures, including verification by its commission for individual health assessments. What we issue is a dated record of a registered doctor's assessment — useful to an employer, a school, a club or a private insurer, but not the statutory document and not accepted in its place.
Public-sector employers in San Marino tend to have written, prescriptive absence rules, and some require documentation through a designated channel or from a specified source. Our certificate names the assessing doctor and carries a verification reference, which is normally what a personnel office wants to see. Ask them before you rely on it, because a written policy will be applied as written.
The ISS operates a commission for individual health assessments which controls illness certifications and can convoke people for examination — that applies to the statutory process, including for cross-border workers. It is one more reason the statutory route and ours are genuinely separate things: a document we issue has no standing in that process, and we cannot represent you in it.
That is set by the University's own regulations rather than by us, and it varies between a self-declaration and a medical certificate depending on what you are missing. A General Medical certificate is often what is accepted in support of a mitigation or deferral request. Check with your faculty office first, and note their deadline — documentation submitted late frequently counts for nothing however good it is.
Certificates are issued in English. Italian is San Marino's official language, and while many employers, insurers and institutions read English documentation without difficulty, some will want Italian. Ask the recipient whether English is acceptable or whether they need a translation and from whom — we do not provide translations, so establish this before you pay.
The service runs the same way year round: cases submitted during business hours are usually decided the same day, with no seasonal delay and no seasonal pricing. There is no busy-period surcharge and no priority tier. If you are working a peak-season shift pattern, the constraint is that review happens in business hours, so submit within the working day rather than after a late shift.
No. We need accurate personal details so that the certificate identifies you correctly, and nothing that ties into the San Marino administrative system — precisely because we are not part of it. We do not hold, check or record ISS registration, residence permits or employment records, and we report nothing to any Sammarinese body.
In euros. San Marino uses the euro under its monetary arrangement with the EU, so the price is €34.99 for each of the six certificate types, with no currency conversion on our side. If your card is denominated in another currency, your bank will convert at its own rate and may add a fee, which is a matter between you and your bank.
Return to Work, and it is worth being specific. Say that the role involves sustained walking on steps and gradients, outdoors, for a full shift, in summer heat — because fitness to return is assessed against real demands, and a certificate that names them is one a manager can actually use. If your employer requires a separate occupational assessment, that runs alongside rather than being replaced by this.
Our certificates are issued as PDFs bearing the assessing doctor's name and a verification reference rather than a physical stamp, and most employers, schools, clubs and insurers accept and file them on that basis. Some administrative processes in San Marino do expect a stamped document from a local practitioner. If yours does, we cannot provide it and a local practice is the right route — better to know that now.
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
