The Runner’s Guide to Marathon Medical Certificates

Dr Simon Shaw, Chief Medical Officer @ Fit Certify | 29th December 2024 | hello@fitcertify.com

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Running a marathon is more than just a test of physical endurance — it’s an opportunity to embrace a new challenge while soaking in some truly breathtaking scenery. Whether you’re navigating the charming streets of Paris or winding through Italy’s picturesque landscapes, marathons offer an unforgettable experience.

But before you hit the ground running, there’s one essential box to tick: a marathon medical certificate.

If you’re planning to join a marathon in France, Italy, or other parts of the world, chances are you’ll need to present a valid medical certificate before race day. Don’t worry — we’ve got you covered! Here’s everything you need to know about medical certificates for marathons: what they are, why they’re required, and how to get yours sorted hassle-free. Let’s dive in!

What is a Marathon Medical Certificate?

A marathon medical certificate is a document issued by a licensed doctor that confirms you’re fit to participate in your chosen race. It serves as a formal assurance to event organisers that there are no health contraindications putting you at risk while running.

Think of it as your “all-clear” pass — not just a requirement but a safeguard for your health as you take on this incredible challenge.

For more details about sports medical certificates and how they apply to various events, check out our Complete Guide to Sports Medical Certificates.

An image of a group of runners participating in a race after having obtain a marathon medical certificate from Fit Certify.

Why is a Marathon Medical Certificate needed?

Some may view a fit-to-run medical certificate as just another box to tick, but it’s actually an essential screening tool designed to safeguard your health and ensure a smooth race day for everyone involved. Here’s why these certificates matter:

1. Protecting Your Wellbeing

Running a marathon is no small feat — it’s a grueling physical challenge that pushes your body to the limit. Not everyone’s health can safely handle that level of exertion. A medical certificate ensures that common issues, such as heart or lung conditions, have been screened before you hit the starting line.

A man training for a marathon, after obtaining a marathon medical certificate from Fit Certify.

2. Meeting Strict Requirements

Countries like France and Italy have stringent laws for running events to ensure the health and safety of participants. By requiring medical certificates, organisers comply with these rules and protect themselves from legal issues in the event of a medical emergency.

3. Insurance Requirements

Hosting a marathon involves significant insurance coverage, and a key condition for that coverage is ensuring all participants have valid medical certificates. Additionally, if runners have personal insurance, not having the right certificate could lead to denied claims.

An image of a person on a laptop, planning to use an online sports medical certificate service for a marathon event.

In short, a medical certificate protects both runners and event organisers — making it a win-win for everyone involved!

Country specific rules: What are the medical certificate requirements for marathons in France and Italy?

If you’re gearing up for a marathon in France or Italy, you’ll need to ensure your medical certificate meets their specific requirements. Here’s what to keep in mind:

Check the date

Medical certificates are typically valid for 12 months, reflecting the importance of reassessing your health regularly. Make sure your certificate is up to date before race day.

Event-specific templates

Many marathons in France, Italy, and other parts of Europe require you to use their own medical certificate template. Popular events like the Marathon du Médoc, Berlin Wall Marathon, and Marathon des Sables often provide templates that must be signed by a doctor. Always check with your event organisers to confirm their requirements.

Special Wording Requirements

French and Italian race organisers can be very particular about the wording on your certificate. Most events require it to state that you have no contraindications to participating in competitive running events or a similar phrase. Double-check the phrasing to avoid rejection.

Recent Rule Changes

Starting in 2024, some French running events like the Paris Marathon and Mont Blanc Marathon have replaced the medical certificate with a Health Prevention Course.

A group of runners participating in a marathon after obtaining a fit to run medical certificate from Fit Certify.

"No contraindications to participating in competitive running events”

A statement offered required on the medical certificate for French and Italian running events.

3 Tips to Avoid Rejection of Your Marathon Medical Certificate

To ensure a smooth approval process for your marathon medical certificate, follow these essential tips:

A group of women competing in a marathon.
A mock up of a mobile phone displaying a marathon medical certificate, issued by a doctor at Fit Certify.

How to get a Medical Certificate for a Marathon in 2025

To obtain your marathon medical certificate, you can either book an appointment with your GP or regular doctor or opt for a faster, more convenient option like an online service such as Fit Certify. If you’re in good health with no complex medical history, an online service is often the quickest and simplest way to get a certificate.

Here’s a simple step-by-step guide to get your marathon medical certificate:

1

Choose A Trusted Provider

Look for a provider with the appropriate medical credentials and experience in issuing sports-related certificates. For instance, at Fit Certify, all our doctors are registered with the UK’s General Medical Council (GMC) and come highly recommended by runners who’ve shared reviews of their positive experiences.

2

Complete an Application Form or Book an Appointment

Depending on your provider, you’ll either fill out an online application form or schedule an appointment. During this step, you’ll typically provide details about your medical history and any required supporting documents, like diagnostic test results. If your marathon requires a specific template to be signed, make sure to include it at this stage.

3

Receive Your Medical Certificate

Once your application is approved, you’ll receive your certificate. Online services usually email the certificate, with an option for a physical copy sent by post if needed.

FAQs

What is a fit to run certificate?

A fit-to-run certificate is an official document issued by a licensed doctor that confirms you are medically fit and free from any health conditions that could pose a risk while participating in a running competition or event.

You can get a marathon medical certificate by filling out our online application form. Our doctors will review your information, and email your certificate across to you within just a few hours.

Yes. Please arrange to have the diagnostic tests required by your event and upload a copy of the results using our online portal when applying.

A rejected marathon medical certificate is often due to incorrect wording, a missing stamp or minor details. Simply update the certificate with your doctor or service provider, making sure it meets the running event’s requirements.

Yes, you can reuse the same medical certificate if it’s still valid and meets the rules for each event. However, some running events may have specific templates or additional requirements, so always double-check with the organisers before submitting.

How Fit Certify Simplifies the Process

Running a marathon is an incredible adventure — a chance to push your limits, embrace new challenges, and create unforgettable memories. To ensure a stress-free race day, start early when arranging your marathon or half-marathon medical certificate. With everything sorted in advance, you’ll be free to fully enjoy the experience and focus on the journey ahead. 

At Fit Certify, we take the hassle out of getting your fit-to-run medical certificate. Our online service is designed to save you time, stress, and unnecessary costs. Here’s what makes us stand out:

Ready to get started? Get your marathon medical certificate with Fit Certify today and take one step closer to the finish line!