Medical Certificate / Sick Note Template

Fitness-to-work / sick leave certificate signed by the attending clinician.

Use this free medical certificate / sick note template to create, fill in and sign a medical certificate / sick note online. Self-sign in your browser — tamper-evident audit trail included.

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How to use the Medical Certificate / Sick Note template

  1. Open the template — Open the Medical Certificate / Sick Note template — the fields are laid out and ready, so you don't start from a blank page.
  2. Fill in your details — Type in the names, dates and terms. Adjust any wording to fit your situation; the layout updates as you go.
  3. Sign & download — Sign it yourself in your browser and download the sealed PDF, with a tamper-evident audit trail.

Template preview

MEDICAL CERTIFICATE

[clinic name]

Date: [date]

This is to certify that I examined [patient name] (ID: [patient id]) on [exam date].

Assessment

Diagnosis / reason: [diagnosis]

In my professional opinion the patient is [fitness status] and requires rest/leave from [leave from] to [leave to] ([leave days] days).

Clinician: [clinician name] Reg. No: [clinician reg no]

Frequently asked questions

Is this Medical Certificate / Sick Note template free?

Yes. You can open, fill in and try the medical certificate / sick note template for free — no account needed to start.

Is a signed medical certificate / sick note legally binding?

Yes. Signatures made with PDF Verified comply with the US ESIGN Act, eIDAS (EU), UETA and equivalent e-signature laws in 190+ countries, and every signed document carries a tamper-evident SHA-256 seal and audit trail.

Can I edit the Medical Certificate / Sick Note template?

Yes. The template is a starting point — change any text, add or remove fields, and place signature, date or stamp fields wherever you need them.

Do I need an account?

You can start filling it in right away. An account is only needed to send for signature, save, or download the sealed copy.

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