Application Form | Sports Medical Certificate
Please enable JavaScript in your browser to complete this form.

Section 1: Applicant Information

Full Name
Date of Birth
Required by many European event medical certificates
Required by many European event medical certificates
Address

Section 2: Basic Health Information

Do you currently smoke?

Section 3: Medical History

Do you have any of the following conditions?

Asthma
Bleeding or Clotting Disorders
Chronic Obstructive Pulmonary Disease (COPD)
Irregular Heart Beat or Arrhythmia
Diabetes
Epilepsy
Any Heart Conditions?
Previous Heart Attack
High Blood Pressure
Stroke
Lung Disease

Section 4: Further Medical History

Have you ever experienced any of the following during physical activity?

Chest pain or discomfort
Severe shortness of breath
Fainting, collapse or loss of consciousness
Palpitations or an abnormally rapid heart beat

Section 5: Family Medical History

Is there any history of sudden cardiac death among close family members?

Section 6: Other Medical Information

Do you have any other chronic illnesses or conditions?
Any other medical conditions you would like us to be aware of?
Have you been admitted to a hospital in the last 24 months?
Have you consulted your GP for anything recently?
Are you currently taking any medication?

Section 7: Athletic and Event Information

Previous Sporting Events: Have you previously participated in any athletic events?

Section 8: Current Athletic Event

Our sports medical certificates are valid for a period of 12 months and can be used for multiple events within this timeframe.
Click or drag files to this area to upload. You can upload up to 100 files.
If your sporting event requires a specific form or certificate to be signed and stamped by a doctor, please upload it here. If no specific template is provided by the event organizers, we will issue our own standard sports medical certificate, complete with a doctor's signature and stamp.

Section 9: Identity Verification

Click or drag files to this area to upload. You can upload up to 100 files.

Section 10: Additional Information (Optional)

Leave empty if you have no additional information to add.
Click or drag files to this area to upload. You can upload up to 100 files.
Leave empty if you have no additional documents to add.

Terms and Conditions

By submitting your application, you agree to our Terms of Service and Privacy Policy, and confirm the following:

  1. You affirm that you have fully understood all the questions in the application form and have answered them truthfully and to the best of your knowledge.
  2. The certificate or letter requested is solely for the individual whose details are provided in the application.
  3. You acknowledge that Fit Certify does not substitute a visit to your doctor, is not your primary healthcare provider, and its professionals do not have access to your medical records.
  4. You understand that once a Fit Certify doctor has reviewed your request and issued a signed certificate, the service is deemed complete, and no refunds will be issued.
  5. You accept that Fit Certify and its doctors cannot be held responsible if a third party rejects or fails to accept the certificate or letter, and neither Fit Certify nor its doctors will be liable for any associated costs.
  6. You confirm that all the information you have provided is accurate and complete as of the date of submission.
  7. You understand that any certificate issued by Fit Certify will be considered invalid if it is later discovered that relevant information was omitted or inaccurately provided.
  8. You acknowledge that Fit Certify does not offer diagnosis, consultation, or treatment services. No liability is accepted for any adverse outcomes that may arise for you or any other individual at any time.
  9. You agree that both Fit Certify and its doctors will not be held liable for any negative outcomes that may occur to you or others at any time.
  10. You recognise that the sports medical certificate issued reflects the doctor’s professional opinion based solely on the information provided and the limitations of an online platform. It does not guarantee your fitness for the event.
  11. You acknowledge that the certificates issued by Fit Certify are intended to satisfy the requirements for participation in specific sporting events. They are not a guarantee against health risks during physical activity.
Agreement to the Terms and Conditions

Checkout

Checkout securely below
Price: £59.00