FREE 6+ Sample Medical Certification Forms in MS Word | PDF

It is unavoidable that at least once, you would be required to submit a medical certificate. This comes in handy for many kinds of people like for a traveler to prove that he is not carrying a deadly virus, an employee who had to miss a day or so of work, and an athlete to prove that he is reasonably healthy and is fit to play.

A medical certificate is a written note signed by a qualified health care provider that states the health and fitness of an individual or the results of their medical examinations. If you’ve found yourself needing such paperwork, take a look at our Sample Forms below.

Medical Records Certification Form in PDF

Medical Certification for Nursing Facility Form

Medical Certification Cause of Death Form in PDF

Medical Certificate For Motor Vehicle Driver Sample

In more than one instance, you will find yourself needing a medical certificate. Here are the different kinds of medical certificates and when you’ll be needing them.

• Medical Records Certification – this states that all records relating to your health is presented including your discharge summaries, emergency room records, consultations, and results of routine checkups.

• Medical Certificate for Nursing Facilities – this includes both a patient’s mental, psychological, and physical health histories and present issues faced. Also mentioned here are special instructions for the care of the patient. Also, make sure that elderly patients have their Medicare Application Forms signed and ready.

• Medical Certificate for Cause of Death – this is required so a death certificate may be issued. This mentions the deceased’s name, age, cause and place of death.

• Medical Certificate for Motor Vehicle Driver – this includes the opinion of a doctor on whether you are fit to operate motor vehicles and which conditions and restrictions should apply to your license.

• Medical Certificate for Sick Leave – this is usually required by the human resource department so that your sick leave would be credited. This should be signed by a physician and should mention the reason for your absence and recommended treatment. Also, consider submitting an Employee Emergency Contact Form so someone may be notified right away in case of an unfortunate occurrence in the workplace.

• Medical Fitness – this is a certificate usually required for athletes, travelers, and employees to attest that they are of sound health and mind and are fit to play, travel, or work.

Medical Certificate Format for Sick Leave

Medical Fitness Certificate Sample

Medical Certificate Blank Form

As you could see, there are various kinds of medical certificates, each with their own contents and their own purpose. Make sure you know which specific certificate is required of you to avoid any hassles. It is also beneficial that you know what should be in your certificate so you could inform the issuing medical personnel what information should be included, and if there should be any added in. Should you have trouble with formatting, search and download our sample forms above and use it as a guide. We also included a blank sample form which you could simply download and print out, and present to your physician so they could simply fill it out and sign.

Aside from medical certificates, make sure that you have your Contact Information Forms filled in and signed in case of unforeseen emergencies.