Published: 7th December 2025 | Updated every year to reflect the latest requirements | Reading time: 4 minutes
By Dr Simon Shaw | Founder & Chief Medical Officer, Fit Certify
Dr Simon Shaw is the founder and medical director at Fit Certify — a worldwide provider of online sports medical certificates.
Every spring, hundreds of trail runners from around the world gather in Tuscany for the iconic Tuscany Crossing — a test of endurance and spirit across the rolling hills, vineyards, and ancient villages of Val d’Orcia. With race-distances up to 160 km on mixed terrain, this event challenges both body and mind. The next edition of the Tuscany Crossing takes place on 17-18 April 2026.
Before you tackle the course, one thing is non-negotiable: you’ll need a valid medical certificate confirming you’re fit for competitive running.
In this short guide, I’ll walk you through everything you need to know — including how to get your certificate signed online, quickly and hassle-free, by a qualified sports doctor at Fit Certify.
Yes. A doctor-signed medical certificate for competitive sports is compulsory for all Tuscany Crossing participants. Every runner must hold a certificate for competitive athletics that is valid at least until the date of the event, and it has to be uploaded, emailed, or handed in when you collect your race bib. If you don’t provide a valid certificate, your registration can be cancelled with no refund of the entry fee.
At Fit Certify, we help runners get a Tuscany Crossing medical certificate online, from anywhere in the world. Here’s how it works:
Share a few details about your general health and medical history.
One of our expert sports medical doctors will assess your suitability for competing.
If fit, you’ll receive a signed and stamped medical certificate by email — usually within just a few hours
A doctor-reviewed and signed medical certificate for the Tuscany Crossing is just £69 with Fit Certify.
Hear from others who got their sports medical certificates with Fit Certify.
Yes — for many editions of Tuscany Crossing, event organisers supply a standard medical-certificate template confirming that the runner has “no contraindications for competitive endurance running / mountain ultratrail.” This template is usually available to download from the official event website or can be requested from the organisers directly.
If you register via the official platform, check in the “Registration” or “Runner Info” section: you’ll often find a PDF template ready to complete, sign and upload. If it’s not visible, drop the organisers an email or contact request — they’ll typically send you a copy.
A stunning journey through the rolling hills, vineyards, and medieval villages of Val d’Orcia awaits at Tuscany Crossing 2026. On 17–18 April 2026, runners from around the world will take on one of Italy’s most scenic and rewarding ultra-trail races, with distances ranging from the iconic 100-mile event to shorter, faster routes for those who prefer a more compact challenge.
📅 Dates: 17–18 April 2026
📍 Start & Finish: Castiglione d’Orcia, Tuscany, Italy
🛣️ Distances: 100 miles, 103 km, 53 km, 15 km
🌐 Registration: Via the Tuscany Crossing website
📄 Medical Certificate: Required for all distances; must confirm fitness for competitive athletics and be valid on race dates
The Tuscany Crossing is more than a race — it’s a chance to experience one of the most beautiful landscapes in Europe through an unforgettable, physically demanding ultra-trail challenge. Securing your medical certificate is one of the key steps in getting prepared, and doing it early means one less stress as race day approaches.
With Fit Certify, you can get a doctor-signed certificate online, quickly and easily. Get your running medical certificate today and get race-ready for the Tuscany Crossing 2026!
Sports Medicine Doctor • Athlete • Founder & Medical Director at Fit Certify
I’m Simon — a UK and US-trained sports and exercise medicine doctor, family physician, GP, academic researcher, and the founder of Fit Certify. For the past few years, I’ve led a team of sports doctors who specialise in medical certification for endurance events across Europe.
As a runner myself, I know how much work goes into preparing for an ultra like Tuscany Crossing — and how frustrating it is to get stuck on paperwork right before the start line. That’s why Fit Certify exists: to make the process simple, fast and aligned with Italian regulations, so admin doesn’t get in the way of your race.
If you need advice or run into any issues, just drop us an email at hello@fitcertify.com. We’ll make sure you’re looked after.
Disclaimer: This guide is for general information only and should not replace personalised medical advice.
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