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What happens if the doctor declines your request: what you need to know and what to do next

Learn what happens if the doctor declines your request for a medical certificate on DrCertificate, why it happens and how to avoid it.

An independent doctor registered with a medical council reviews every request after a digital chat consultation and decides whether to issue a certificate. DrCertificate serves people in 10 South East Asian countries, from Singapore and Malaysia to the Philippines.

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The short answer on what happens if the doctor declines your request

When the doctor declines your request on DrCertificate, no medical certificate is issued and the payment is not refunded. The independent doctor alone decides whether to issue one. Doctors decline about 2% of requests, usually because the name and ID do not match or the symptoms and details shared are inconsistent.

Before you apply

Price
It depends on your country, for example 25 SGD in Singapore, 399 pesos in the Philippines or 30 MYR in Malaysia.
Time
About 30 minutes.
Who reviews it
A certified doctor (MBBS, MD or MS). All doctors on the platform are registered medical council doctors.
Will it be accepted?
Please check with the place of submission that online medical notes are accepted before you apply.
If the doctor declines
Doctors decline about 2% of requests, usually when details do not match or symptoms are inconsistent. Payments are non refundable, except a verified technical fault reported within 24 hours.
How long a note covers
In most South East Asian countries, sick leave and work from home notes go up to 7 days for generic symptoms, and fitness notes are generally valid for 30 days. The doctor decides.
Medical reviewer
Dr Urooj Arshad, M.B.B.S, General Medicine, IMC | GMC 430548

Main points about a declined request

  • About 2% are declined

    Doctors on DrCertificate decline about 2% of certificate requests.

  • Mismatched names

    A name on the form that does not match the ID is a common reason for a decline.

  • Inconsistent details

    Symptoms and details that contradict each other can lead the doctor to decline.

  • No refund after a decline

    DrCertificate does not refund the payment when the doctor declines a request.

  • The doctor decides

    Only the independent doctor decides whether a medical certificate is issued.

What does it mean when the doctor declines your request?

A declined request means the independent doctor reviewed your details and chose not to issue a medical certificate. No PDF is sent, and nothing is issued in your name.

A decline is not a diagnosis.

The doctor is not saying you are healthy or unwell, and the decision does not appear on any document. The decision says one thing only: the information shared did not support issuing a certificate this time.

Any of the four options on the DrCertificate form can be declined. Those options are Sick Leave for university or work, Unfit to Travel, Work From Home and the Medical Fitness Certificate. The fitness option also covers fit to fly, fit to work and sports fitness requests, and a general medical certificate uses the Sick Leave option.

A decline is different from a technical fault. A verified technical fault reported within 24 hours falls under the refund policy, while a decline is a medical decision and the payment stays non refundable.

When does a doctor decline a certificate request?

  • A doctor declines a certificate request when the details are wrong or do not add up. On DrCertificate that happens in about 2% of requests.

  • The two common causes are simple. The name on the form does not match the ID, or the symptoms and details shared contradict each other.

  • Think about who reads the certificate later. An HR team checks a sick leave note against your employee record, and a university office matches it to your student file. An airline compares a fit to fly document with your passport and booking. Each of these organisations asks for a certificate because it needs a doctor's independent word on your health for a stated period or purpose.

  • A certificate carrying the wrong name, or telling a story that does not hold together, would fail those checks anyway. The doctor's name also stands behind every line on the page.

  • A decline protects you too.

    Inconsistent details can look like a travel fitness request that mentions symptoms suggesting you should not fly. Sick leave dates that do not fit the illness described are another example.

A declined request at a glance

The table sets out the facts about a declined request on DrCertificate, and what the doctor considers when approving one.

TopicWhat it means on DrCertificate
Decline rateAbout 2% of requests
Common reasonThe name on the form does not match the ID
Common reasonSymptoms and details shared are inconsistent
Who decidesThe independent doctor who reviews your chat
Payment after a declineNot refunded
Days covered when approvedDecided by the doctor case by case. In most South East Asian countries, sick leave and work from home notes go up to 7 days for generic symptoms.
Fitness outcome when approvedDecided by the doctor case by case. Fitness notes are generally valid for 30 days
When an in person visit fits betterUrgent or severe symptoms, emergencies, or a need for a physical examination

Who decides whether your request is declined?

An independent doctor with an MBBS, MD or MS qualification decides whether your request is approved or declined. Every doctor on DrCertificate is registered with a medical council.

DrCertificate is an online platform that connects applicants with independent doctors. The platform does not diagnose, treat or prescribe, and the medical decision belongs to the doctor alone.

Why does that separation matter? A certificate is only worth something if the person signing it judged the case freely. Employers, universities and airlines rely on that independence when they read a medical note, and a decline is part of what keeps the approved certificates credible.

The doctor reads your form, chats with you and decides.

How does a request get reviewed, step by step?

Getting a certificate online with DrCertificate takes five steps, and the doctor's decision comes at the end. Knowing where a decline can start helps you avoid one.

Most declines trace back to the first two steps.

Someone typing on a laptop at a wooden desk
  1. ຂັ້ນຕອນທີ 1: Choose the right form option

    Pick Sick Leave for university or work, Unfit to Travel, Work From Home or the Medical Fitness Certificate. Fit to fly, fit to work and sports fitness requests use the Medical Fitness option. A general medical certificate uses the Sick Leave option.

  2. ຂັ້ນຕອນທີ 2: Give accurate information when you fill in the form

    Enter your name as it is written on your ID and describe your symptoms or purpose plainly. Mismatched names and inconsistent details are the usual reasons doctors decline.

  3. ຂັ້ນຕອນທີ 3: Pay through Stripe

    Payment is taken through Stripe before the review. The fee is non refundable, even if the doctor declines.

  4. Step 4: Chat with the doctor

    An independent doctor reviews your request in a digital chat and may ask follow-up questions. DrCertificate has no video or in person consultations.

  5. Step 5: Receive the decision

    If the doctor approves, the certificate arrives by email as a PDF, usually in about 30 minutes. If the doctor declines, no certificate is issued.

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What should your request include to avoid a decline?

Your request should include details that match your ID and a plain, consistent account of your symptoms or purpose. Those same details end up on the certificate if the doctor approves it.

An approved certificate usually shows your name, the dates covered, the purpose and the issuing doctor's details.

Before you submit, ask your employer, school or airline what format they expect. Requirements differ from one organisation to the next, and checking first saves you from paying for a note that does not fit.

Run through this checklist.

  • Name matches your ID

    Spell your name the same way it is printed on your ID document.

  • Right option chosen

    Pick the form option that matches what the organisation asked for.

  • Dates make sense

    Request dates that fit the symptoms you describe.

  • Story stays consistent

    Describe the same symptoms in the form and in the chat.

  • Format confirmed

    Ask HR, the school office or the airline about any format rules first.

Will your employer or school accept the certificate if the doctor approves it?

Acceptance depends on your employer, school or airline, not on DrCertificate or the doctor. Each receiving organisation sets its own rules on online medical notes. DrCertificate encourages every customer to confirm that the place of submission accepts online medical notes before choosing the service.

Asking first costs nothing.

A certificate gets questioned for familiar reasons. The type may be wrong, for example a sick leave note handed in where a fitness certificate was needed. Details HR expects to see may be missing. Or the organisation may not accept online notes at all.

If a certificate is questioned, ask the organisation which detail is the problem and point them to the doctor details on the certificate. For anything about the certificate itself, email care@drcertificate.com. A certificate cannot be corrected once issued unless the fault came from the medical team, so a typo you entered or a wrong option you picked stays as it is.

When is an online certificate request not the right choice?

The doctor may also decline any request that does not suit a chat consultation.

Chest pain, trouble breathing or a sudden severe symptom calls for emergency care, not a form. DrCertificate is for suitable non emergency situations only.

The service also has fixed limits.

  • DrCertificate certificates are not for submission in India.
  • No legal or insurance use Certificates are not for legal purposes and must not be used for insurance.
  • Age 16 and over Applicants must be at least 16 years old.
  • No recovery or caretaker certificates DrCertificate does not offer recovery or caretaker certificates.

Declined requests in Singapore, Malaysia and the rest of South East Asia

DrCertificate is for people in 10 South East Asian countries, and the rules on sick leave and fitness notes differ in each one. Employers and schools often add their own rules on top of national law.

Check the official source for your country before you apply. In Singapore, that is the Ministry of Manpower. In Malaysia, look to the Ministry of Human Resources, and in the Philippines, the Department of Labor and Employment. Readers in other served countries should check their national labour ministry.

Then ask the people who will receive the note. Your HR team, school office or airline can tell you whether an online medical note works for them and what it must show. Confirming early avoids paying for a certificate you cannot use.

The same doctor review applies everywhere.

Singapore and MalaysiaRequests from Singapore and Malaysia go through the same online form and independent doctor review.
The PhilippinesApplicants in Manila, Cebu, Davao and the rest of the country use the same form and chat consultation.
Indonesia, Thailand and VietnamThe same eligibility rules and non refundable payment apply to requests from Indonesia, Thailand and Vietnam.
Cambodia, Laos, Myanmar and BruneiApplicants in Cambodia, Laos, Myanmar and Brunei should check local workplace rules before applying.

What does a request cost and how long does it take?

A DrCertificate request costs 25 SGD in Singapore, 399 pesos in the Philippines and 30 MYR in Malaysia. The fee covers the doctor's review and digital chat consultation, plus the PDF certificate by email if the doctor approves.

A decision usually takes about 30 minutes. Timing depends on when you apply, since fitness cases are handled from 9 am to 9 pm IST Monday to Saturday and 10 am to 8 pm IST on Sunday.

Payments are non refundable, including when the doctor declines. The only exception is a verified technical fault within 24 hours.

CountryPrice per request
Singapore25 SGD
Philippines399 pesos
Malaysia30 MYR
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Frequently asked questions about a declined request

Ready to request your certificate with the right details?

Choose the form option that matches your purpose and enter details that match your ID. An independent doctor reviews your chat and decides. Payments are non refundable, including declines, and the service is for suitable non emergency situations only.

ມີຄຳຖາມກ່ອນຍື່ນຄຳຮ້ອງບໍ? ຕິດຕໍ່ care@drcertificate.com