Dr Simon Shaw, Co-Founder @ Fit Certify | 5th April 2025 | hello@fitcertify.com
Whether you’re taking on IRONMAN Italy in Cervia or competing in a FITRI-sanctioned triathlon, there’s one non-negotiable requirement you need to sort before race day: a valid triathlon medical certificate for Italian events. Unlike many other countries, Italy has strict national laws requiring athletes — including international participants — to submit a certificate signed by a licensed doctor, often accompanied by diagnostic tests like an ECG, spirometry, or urinalysis.
In this guide, we’ll break down exactly what’s required, which events it applies to, and how Fit Certify makes the process fast, simple, and 100% online — no matter where you’re based.
Italy has strict and legally enforced medical requirements for participation in competitive triathlon events. According to Italian law (D.M. 18/02/1982 and Ministerial Decree 24/04/2013), athletes participating in competitive sports must present a valid medical certificate of fitness for competitive activity.
This isn’t just an event-specific rule — it’s part of Italian national health regulation, and applies across all sanctioned races, including:
🏊♂️ Triathlon events under FITRI (Federazione Italiana Triathlon)
💪 IRONMAN® Italy races (e.g. Cervia, Venice–Jesolo)
🚴♂️ Duathlons and aquathlons held under CONI/FITRI approval
Without this certificate, you will not be allowed to race. No certificate = no bib number.
Here’s a breakdown of common events in Italy that require a medical certificate:
Your Italian triathlon medical certificate must include the following:
📝 Some events, including IRONMAN Italy, may provide an official template — you must use it or match the wording exactly.
A common statement on many Italian Triathlon Medical Certificates
For triathlon and IRONMAN events in Italy, event organisers or doctors may request additional testing before signing you off. These can include:
🫀 ECG (Electrocardiogram) – Resting ECG required by Italian medical law for competitive clearance
🫁 Spirometry – To assess lung function (occasionally required)
💧 Urinalysis – To screen for kidney function and systemic issues
🩺 A basic clinical exam, either in-person or via detailed self-reporting
💡 With Fit Certify, you can upload results of any tests you’ve had done — we’ll review them and issue a compliant certificate, often within hours.
If you’re an international athlete heading to Italy for a race, getting your certificate locally can be frustrating and time-consuming. Here’s why many choose an online solution:
At Fit Certify, we specialise in medical certificates for international triathletes racing in Italy. Whether you’re competing in IRONMAN Italy Cervia, a FITRI event, or a regional multisport race, we make sure you’re cleared and compliant.
🩺 UK GMC-registered doctors experienced in sports medicine
📄 Accurate Italian language and legally valid certificate format
⏱️ Quick turnaround, including weekends
🔒 Secure uploads for ECG, spirometry, or urinalysis
💷 Flat fee of £59 — full refund if we can’t certify you
Getting your Italian triathlon medical certificate with Fit Certify is quick and easy. Here’s how it works:
Fill out our secure medical form with your health history and race details.
If you have ECG, spirometry, or urine test results, attach them to your application. You can also upload any event specific templates you need completing.
We’ll assess your health info and test results. If everything is in order, we’ll issue your certificate. Your signed, stamped, Italian-compliant certificate will be sent to you as a PDF — usually within just a few hours.
Italy is home to some of the most beautiful and challenging triathlons in the world — but it also has some of the strictest medical regulations. Don’t get caught out by missing paperwork.
With Fit Certify, you can get legally compliant, race-ready, and medically cleared online — quickly, easily, and stress-free.
🏁 Apply for your triathlon medical certificate today and make sure nothing stands between you and that Italian 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.
