Get Certificate We’re Ireland’s online Medical Sick Certificate provider. Medical Certificate Is your illness a medical emergency or requires urgent or in person care by a GP or medical professional? Yes No Do you require a sick certificate for a minor illness from one day to a maximum of five days? Yes No Is this a minor illness which you have had before and will most likely self resolve? Yes No Is your minor illness a current illness? Yes No Are you pregnant or breastfeeding ? Yes No Have you ever been diagnosed with any serious chronic (long-lasting) medical condition in the past by a doctor: Yes No Are you currently taking any medicine (prescribed or other), alternative medicines or recreational drugs? Yes No Do you have any allergies or sensitivities to any medicines? Yes No Have you sustained any trauma, accident or injury of any kind in the past two weeks? Yes No Do you have severe or serious symptoms of any kind (breathing issues, chest pain, headache, abdominal pain, confusion or bleeding Yes No Do you think your current illness requires an in-person examination? Yes No Do you think your current illness requires a test such as Blood Tests, ECG, XRAY, CT or MRI scans? Yes No Do you have any mental health conditions? Yes No For which minor illness are you requesting a sick certificate?* Common cold or flu Cough Stomach Upset (Gastroenteritis) Other COVID Sore Throat Stress Please describe the timeline of your symptoms, the details of your symptoms, and if you would like anything specifically mentioned on the certificate. Please note that we cannot approve leave for past dates and cannot assess fitness for work Optional file upload (eg: photo of your COVID test) Proof of Identification (Passport or Driving Licence) Dates for the certificate Start Date of Sick Certificate:* End Date of Sick Certificate:* I confirm that I have read and understood the above questions and my answers are fully correct and true. I CONFIRM I DO NOT CONFIRM Name Date of Birth Address City State Post Code Seeking Sick Leave From: Work Studies Main Reason for Certificate Cough or sore throat Headache Migraines Back Pain Cold or Flu Period Pain Stress or Anxiety Other Describe the details and timeline of your symptoms. Please note that a certificate can’t be approved for past dates Date of Certificate I agree to the Terms & Conditions Credit card details Credit Card Number Submit