Dr Simon Shaw, Co-Founder @ Fit Certify | 5th April 2025 | hello@fitcertify.com
Whether you’re taking on your first 70.3 or going all-in for a full-distance IRONMAN, one thing is clear: these races push your body to the limit. That’s why some IRONMAN events — especially in countries like France, Italy, and Spain — require athletes to submit a medical certificate before race day. In many cases, you’ll also need to provide results from diagnostic tests like an ECG, spirometry, or urinalysis to prove you’re fit to compete.
In this guide, we’ll walk you through what’s required and how Fit Certify makes it fast and easy to get medically cleared online — no matter where in the world you’re training.
Ironman events are some of the most iconic endurance races in the world, combining a 3.8km swim, 180km bike ride, and a full marathon (42.2km run) — all completed back-to-back. It’s the ultimate test of physical and mental strength.
Whether you’re preparing for your first 70.3 or a full-distance Ironman, one thing’s for certain: these races are not just tough — they demand serious preparation and medical clearance.
While many Ironman events don’t require a medical certificate, some international events — particularly in countries like France, Italy, and Spain — do ask athletes to submit one to confirm they are fit for high-level physical exertion.
Always check the athlete guide or official event page for specifics. When required, you’ll usually need a certificate that includes wording such as:
“Fit for participation in competitive triathlon and endurance sports.”
But that’s not all…
Unlike standard sports certificates, many IRONMAN organisers request additional diagnostic tests to ensure participants are medically fit. These may include:
🫀 Electrocardiogram (ECG)
🫁 Spirometry or pulmonary function tests
💧 Urinalysis
🩺 Sometimes a full physical exam report
These tests are typically required for athletes over a certain age (e.g., 40+) or based on the policies of local health authorities (e.g. as part of Italian and French law).
📝 At Fit Certify, you can securely upload your diagnostic test results, and our doctors will review them alongside your health history. If everything checks out, we’ll issue a signed and stamped IRONMAN medical certificate — usually within just a few hours.
Let’s be honest — navigating local clinics, appointments, and admin when you’re focused on race prep isn’t ideal. Here’s why we recommend the online route:
We specialise in medical certification for endurance athletes. Whether you’re entering IRONMAN Nice, IRONMAN Vichy, or another European triathlon, we know what’s required — and we make it simple.
Getting your medical certificate with Fit Certify is quick and easy. Here’s how it works:
Share your basic health details, race information, and medical history.
Have your ECG, spirometry, or other test reports ready? Upload them directly during the application process.
We’ll review your application and test results. If everything looks good, you’ll receive a signed and stamped certificate via email — typically within just a few hours.
IRONMAN events are a celebration of human endurance, but they come with physical demands. If your chosen race requires a medical certificate — especially with added tests like ECG or spirometry — don’t leave it to the last minute.
With Fit Certify, you can submit everything online and get medically cleared fast, so you can focus on training, travel, and race day.
🏁 Get your Ironman medical certificate today and take the next step toward the finish line.
Same-day sports medical certificates, all from the comfort of your home — fast, simple, and hassle-free.
hello@fitcertify.com
All certificate requests submitted before 9pm (BST) are issued the same day.
