If you’re preparing for a marathon event in Italy or France, your preparation should consist of obtaining a marathon medical certificate, as these events require it.
If you’re a UK participant wondering where to obtain a UK-based medical certificate for marathon events in Italy or France, this guide is for you.
Why Italy and France Require Medical Certificates for Athletes
Italy and France place greater responsibility on race organizers to ensure participants are medically fit. If something happened mid-race, the organiser can use it to show that the runner was medically fit and avoid severe liability.
The Challenge of Navigating Rules as a UK-Based Competitor
NHS doctors do not typically issue sport medical certificates, so they may be unfamiliar with the specific wording required.
Understanding the Purpose and Importance of Proper Certification
A sports medical certificate isn’t just red tape. Neither is it just to protect race organisers. Medical clearance helps protect race participants, as undetected health issues can be exacerbated by the physical demands of sporting events.
Need a medical certificate? Visit the FitCertify website for a valid UK-issued medical certificate for European marathon events.
What UK Athletes Need to Know Before Competing Abroad

Athletes from the UK planning to compete in a racing event abroad should know that the rules regarding medical certificates are stricter in Europe.
Event Types That Commonly Require Medical Clearance
Many European events require a sports medical certificate. Popular types are endurance races (like marathons and cycling), combat sports (like boxing and judo), high altitude sports (like mountaineering), and extreme sports.
Differences Between UK, French, and Italian Health Regulations
While participants in UK racing events may not be required to present medical clearance, France and Italy have strict regulations that require it for all participants in physically demanding sporting activities.
What Happens If You Show Up Without Proper Documentation
If you don’t submit your medical clearance certificate for a European event requiring it, you will be disqualified from participating in it.
How to Obtain a UK-Issued Certificate That Meets Foreign Rules

You can obtain a UK-issued medical certificate that meets foreign regulations through an in-person GP consultation or by using an online service.
What to Tell Your GP or Clinic Before Your Appointment
For your GP to prepare a certificate that’d be accepted, you should provide them with:
- The purpose of the certificate
- Event-specific requirement for the medical certificate
- Any templates
Required Language and Wording for Italian/French Compliance
French and Italian marathon events usually require specific wording. For example, the Paris marathon medical certificate must include the phrasing “no contraindication to the practice of running in competition.”
To ensure your UK-issued certificate complies with foreign regulations, verify that it contains the exact wording required. Some events require the certificate to be in the local language (Italian or French). In such cases, ensure your UK certificate has a certified translation.
Using Online Services That Provide Valid, Exportable Documents
These days, many online services can help you get your sports medical certificate within hours. You fill out a medical questionnaire and upload necessary diagnostic test results, and a doctor will review it and issue you the certificate. This makes obtaining medical certificates faster.
Visit the fitcertify website for a same-day, hassle-free sports medical certificate delivered to your email inbox.
Submitting and Presenting Your Certificate
Ensure you submit your medical certificate before the event’s submission deadline.
Do You Need a Translation? When It’s Required
If the foreign event you want to participate in requires medical certificates to be in the host country’s official language, you’ll need an official translation for your UK-issued certificate.
How to Upload or Submit in Advance
How you submit your marathon medical certificate depends on the event’s submission guidelines. Most of the time, submissions are made via upload on the event’s website or as an email attachment. However, some events accept submissions via physical mail.
Carrying Physical Copies to the Event as Backup
Even after submitting your medical certificate in advance, it’s a good idea to bring a physical copy to the event as a backup.
Common Pitfalls for UK Runners Competing in the EU
Many UK runners are caught off guard by the stricter medical certificate-related regulations in Europe. Mistakes they make include:
Using a Vague or Improperly Worded Certificate
A medical certificate that does not carry the event’s required phrasing will not be accepted.
Assuming NHS Notes Automatically Qualify
Any medical clearance note from an NHS GP may not be accepted as a valid medical certificate for an EU marathon event. This is because these notes may fail to meet specific requirements, as the NHS does not typically provide medical certificates for sporting reasons.
Ignoring Country-Specific Deadlines for Submission
You cannot submit the medical certificate at any time you like. Failure to submit it by the submission deadline can result in disqualification.
Best Practices for UK Runners Entering EU Races
UK runners entering EU races should follow these guidelines to obtain valid medical clearance certificates and be race-day.
Plan 3–4 Weeks Ahead to Avoid Last-Minute Stress
Waiting until the last minute before moving to obtain the certificate can result in missing the submission deadline. Therefore, ensure you plan 3-4 weeks ahead.
Use Services Familiar with French and Italian Event Rules
When pursuing medical clearance for a French or Italian marathon event, use GPs or online services that are familiar with the event’s medical certificate rules. This ensures the certificate is in the required format and includes any necessary phrasing to ensure compliance.
Verify Certificate Acceptance Before You Travel
Even when you have a valid certificate, you may want to confirm that it will be accepted by the race organiser before you leave the UK. You can do this by double-checking the race website for any updates on medical certificate requirements.
Conclusion
When preparing to participate in an Italian or French marathon event, remember that you won’t make it to the starting lineup without a medical clearance certificate.
Don’t let missing paperwork derail your European race goals. Sort out your medical clearance on time, and you’ll have one less thing to worry about as you train and get mentally prepared for the race.

