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What should a medical certificate include? What you need to know and how to get one

What should a medical certificate include, and how do you get one that your employer, school or airline will take seriously? This guide covers the details a certificate should show and when you need one.

On DrCertificate, an independent registered doctor reviews every request after a digital chat consultation and decides whether to issue a certificate. The service is for people in 10 South East Asian countries, from Singapore and Malaysia to the Philippines and Brunei.

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The short answer on what a medical certificate should include

A medical certificate should show who it is for, the date of the consultation, the dates or fitness outcome it covers and its purpose, plus the doctor's name, qualification and registration details. On DrCertificate, an independent doctor decides after a chat consultation whether to issue one, and the receiving organisation decides whether to accept it.

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

What are the main facts about medical certificates?

  • A doctor makes the call

    Only the reviewing doctor decides whether a medical certificate is issued and what dates or fitness outcome it states.

  • Names must match

    The name and ID on a request must match. Mismatched details are one reason doctors decline about 2% of requests.

  • Duration has limits

    In most South East Asian countries, sick leave and work from home notes go up to 7 days for generic symptoms. Fitness notes are generally valid for 30 days.

  • Acceptance is not automatic

    The employer, school or airline receiving the certificate decides whether it accepts an online medical note. Check first.

What is a medical certificate?

A medical certificate is a note from a doctor that records a medical opinion about you on a given date. It might say you are unfit for work or study for a set period, that you should work from home, that you are fit for a job, course, sport or flight, or that you are unfit to travel.

A medical certificate does not give a full diagnosis, a treatment plan or a prescription. It states the doctor's opinion, not your medical history.

Names get mixed up.

A sick leave certificate covers time off. A fitness certificate confirms you are well enough for an activity, and an unfit to fly note says the opposite for air travel.

On the DrCertificate form, a general medical certificate uses the Sick Leave option. Sports fitness, fit to fly and fit to work certificates use the Medical Fitness Certificate option. Unfit to fly requests use the Unfit to Travel option, and work from home notes have an option of their own.

When do you need a medical certificate?

  • You need a medical certificate when an organisation asks for proof from a doctor before it grants leave, accepts you or lets you travel. Work, university, school and air travel are the usual settings.

  • At work, HR or a line manager asks for one to approve paid sick leave or a work from home arrangement. In Singapore, the Ministry of Manpower says an employee must be certified unfit for work by a medical practitioner registered under the Medical Registration Act or Dental Registration Act to qualify for paid sick leave.

  • Universities and schools ask for one when you miss an exam, a deadline or classes. New employers, colleges and sports clubs may want a fitness certificate before you start.

  • Airlines are the other big one.

    Cebu Pacific, for example, asks for a valid medical certificate stating not fit to fly, with the doctor's signature, PRC number and official letterhead, when a passenger files a medical case request. The reason behind all of these requests is the same. Every one of these organisations wants a doctor, not the applicant, to confirm the health claim before it pays, excuses or changes something for you.

  • A note from a qualified doctor gives the organisation a record it can file and rely on if questions come up later.

A medical certificate at a glance

The number of days or the fitness outcome on a medical certificate is decided 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, and fitness notes are generally valid for 30 days.

An in person visit suits you better if you need a physical examination, tests or care for worsening symptoms.

SituationWhat the certificate statesWhat the doctor considersForm option to choose
Sick leave for work or universityUnfit for work or study for set datesYour reported symptoms and whether they fit the dates requestedSick Leave
General medical noteThe doctor's opinion on your health on that dateThe purpose of the note and the details you shareSick Leave
Work from homeYou should work from home for set datesYour symptoms and whether home working suits themWork From Home
Fitness for work, study, sport or flyingFit for the stated activityYour health details and the activity involvedMedical Fitness Certificate
Unfit to flyNot fit to travel by air for set datesYour symptoms and travel datesUnfit to Travel
Urgent or severe symptomsNot suitable for an online certificateThe need for examination or emergency careNone, seek care in person

Who issues a medical certificate on DrCertificate?

A medical certificate on DrCertificate is issued by an independent certified doctor holding an MBBS, MD or MS qualification. Every doctor on the platform is registered with a medical council, and the doctor alone decides whether a certificate is issued.

DrCertificate is an online platform operated by Health Venture OU. The platform connects applicants with doctors through an online form and a digital chat, and DrCertificate does not diagnose, treat or prescribe.

That split matters.

The platform handles the form, payment and delivery, while the medical judgement sits with the doctor. Before you apply, check that the place you will submit the certificate accepts online medical notes. If your employer in Singapore needs a doctor registered under the Medical Registration Act, ask HR whether a note from a doctor registered with another medical council will be accepted.

How do you get a medical certificate online, step by step?

Getting a medical certificate through DrCertificate takes five steps, from choosing the right form option to receiving a PDF by email. There are no video or in person consultations at any point.

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

    Open the online form and pick the option that matches your need: Sick Leave, Unfit to Travel, Work From Home or Medical Fitness Certificate. Fit to fly, sports fitness and fit to work requests use the Medical Fitness Certificate option.

  2. ขั้นตอนที่ 2: Fill in the form accurately

    Enter your name as shown on your ID, along with your symptoms or the activity you need clearance for. Wrong or inconsistent details are the usual reason requests are declined.

  3. ขั้นตอนที่ 3: Pay through Stripe

    Payment is taken through Stripe when you submit. Read the conditions first, because payments are non refundable.

  4. Step 4: Chat with the doctor

    An independent doctor reviews your request in a digital chat, may ask follow-up questions, and then decides whether to issue a certificate.

  5. Step 5: Receive your PDF

    If the doctor approves, the certificate arrives by email as a PDF, usually in about 30 minutes. Check every detail before you hand it in.

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What should a medical certificate include?

A medical certificate should include your full name, the date of the consultation, the dates or fitness outcome it covers and the purpose, plus the doctor's name, qualification and registration details. Those are the details HR teams, school offices and airlines look for first.

Formats differ.

Cebu Pacific, for instance, wants a not fit to fly note with the doctor's signature, PRC number and official letterhead. Your employer or school may keep its own list. Ask for it before you apply, then run through the checklist once your certificate arrives.

  • Name matches your ID

    The spelling on the certificate matches the ID you will show.

  • Dates are right

    The start and end dates or validity period match what the organisation asked for.

  • Type fits the request

    The certificate type suits the purpose, for example sick leave, not fitness.

  • Doctor details are shown

    The doctor's name and qualification are on the certificate, along with any letterhead, signature or registration number the organisation requires.

Will your employer or school accept a medical certificate from an online doctor?

Your employer or school decides whether to accept a medical certificate, not the doctor and not DrCertificate. Acceptance rules differ between countries, companies and institutions, and an online note is not accepted everywhere.

Check before you pay.

A certificate is questioned most often when the wrong type was chosen, when details are missing or do not match the person's ID, or when the organisation only accepts doctors registered in its own country. That last point matters for paid sick leave in Singapore, where the Ministry of Manpower rule names doctors registered under the Medical Registration Act or Dental Registration Act.

If your certificate is questioned, ask the organisation in writing what it needs and why the note fell short. Share the doctor details shown on the certificate if they ask for them. If the organisation will not accept a note from any online doctor, a visit to a local clinic is the better route.

Keep in mind that an issued certificate cannot be corrected unless the error came from the medical team, and payments are non refundable. A short email to HR or the school office before you apply saves you from both problems.

When is an online medical certificate not the right choice?

An online medical certificate is not the right choice for urgent symptoms, legal matters, insurance or submission in India. DrCertificate is for suitable non emergency situations only.

Chest pain, trouble breathing, heavy bleeding or sudden weakness need in person or emergency care straight away.

Other limits apply too.

  • The doctor may decline Requests with mismatched names and ID, or inconsistent symptoms, can be declined, and the fee is not refunded.
  • Certificates are not for submission in India, not for legal purposes and must not be used for insurance.
  • Age 16 and over Applicants must be at least 16 years old.
  • Not every certificate is offered Recovery and caretaker certificates are not offered.

Medical certificate rules in Singapore, Malaysia and the rest of South East Asia

Medical certificate rules differ by country and by employer. A note that works for an office in Manila might not satisfy an HR team in Kuala Lumpur, and DrCertificate serves people in the 10 countries listed below.

Official rules sit with each country's labour ministry. In Singapore, that is the Ministry of Manpower. In Malaysia, check the Ministry of Human Resources, in the Philippines the Department of Labor and Employment, and in Thailand the Ministry of Labour.

Airline rules sit with the airline itself.

Before applying, confirm with your employer, school or airline that they accept an online medical note and what it must show.

SingaporePaid sick leave needs certification by a practitioner registered under the Medical Registration Act or Dental Registration Act.
PhilippinesServed across Manila, Cebu and Davao. Cebu Pacific asks for a doctor's signature, PRC number and letterhead on not fit to fly notes.
MalaysiaCheck your employer's policy and Ministry of Human Resources guidance.
ThailandCheck your employer's policy and Ministry of Labour guidance.
IndonesiaConfirm employer or school rules before applying.
VietnamConfirm employer or school rules before applying.
CambodiaConfirm employer or school rules before applying.
LaosConfirm employer or school rules before applying.
MyanmarConfirm employer or school rules before applying.
BruneiConfirm employer or school rules before applying.

What does a medical certificate cost and how long does it take?

A medical certificate on DrCertificate costs 25 SGD in Singapore, 399 pesos in the Philippines and 30 MYR in Malaysia. Prices in other served countries depend on the country. The fee covers the doctor's review of your request and, if approved, the certificate sent by email as a PDF.

A decision usually takes about 30 minutes. Timing depends on how quickly you answer the doctor's questions and on doctor hours, which for fitness cases run 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 to issue a certificate. The only exception is a verified technical fault reported within 24 hours.

CountryPrice
Singapore25 SGD
Philippines399 pesos
Malaysia30 MYR
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Frequently asked questions about medical certificates

Ready to request your medical certificate?

Choose Sick Leave for a general medical certificate, or the option that matches your need, and an independent doctor will review your request and decide. Payments are non refundable, and the service is for non emergency situations for people aged 16 and over.

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