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Medical Certificate in Koh Phi Phi

Reception at the Koh Phi Phi clinic late at night, a doctor at the counter with the waiting area empty

Certificates are one of the few things people need from a clinic while feeling perfectly well. Dive courses, work permits, visa extensions, employers wanting proof of sick leave, airlines wanting confirmation you are fit to board. A medical certificate in Koh Phi Phi is usually issued the same visit, and what decides whether it is accepted is getting the right one in the first place.

What we issue

The common ones, in rough order of how often they are asked for here:

  • Fit-to-dive certificates for PADI and SSI courses
  • Fit-to-fly certificates for airlines
  • Sick leave certificates for employers
  • Work permit medical certificates for Thai employment
  • Visa extension certificates
  • General fitness certificates for courses and insurers

Each has different content requirements and several have a specific form that must be used. Tell us which you need at the start of the visit rather than the end — the examination differs, and doing the wrong one means doing it twice.

Fit to dive, which is most of what we sign here

Phi Phi runs on diving, so this is the certificate we issue most. The dive schools will hand you a questionnaire, and a yes to anything on it sends you to us.

The examination covers heart, lungs, ears and your ability to equalise, plus a review of history and medication. It takes about twenty minutes and the form goes back with you signed.

The genuine blocker is a blocked nose rather than any condition on the list — see dive medical for the detail, including what happens if you have already dived and something does not feel right.

Fit to fly, and when an airline actually asks

Airlines ask in a narrower set of circumstances than people expect: recent surgery, a recent fracture in a cast, pregnancy beyond about twenty-eight weeks, a recent significant illness, or any visible injury that makes cabin crew uncertain.

A leg in a full cast is the one that regularly strands travellers. Many airlines require the cast to be split, or a certain interval after the injury, and finding that out at check-in is a bad way to discover it.

There is also a diving-specific version. If you have been treated for decompression illness, or dived heavily right up to departure, an airline or an insurer may want written confirmation you are fit to fly. That is worth arranging before you get to the airport rather than at the desk.

Sick leave, and being straight about what we will write

We issue sick leave certificates for genuine illness, stating the dates and a general description rather than a detailed diagnosis, which is what most employers actually require.

What we will not do is backdate a certificate for days we did not see you, or certify an illness that was not assessed. That is not primness — a backdated certificate is worthless the moment an employer questions it, and it puts the clinic’s signature behind something nobody verified.

If you were genuinely unwell earlier in the week and did not come in, say so. We can often write something accurate covering the consultation and the reported history, which is honest and usually sufficient.

Work permits and visa extensions

Thai work permit applications require a certificate confirming freedom from a defined list of conditions — tertiary syphilis, tuberculosis, leprosy, elephantiasis, and drug addiction.

The requirement is standard and the examination brief, but the form matters. Requirements vary between provinces and occasionally between offices within one, so bring whatever paperwork your employer or agent gave you rather than assuming a generic certificate will pass.

A fair number of people working a season on this island need one, and it is worth doing early rather than in the week your permit runs out. Dive instructors, bar staff and hotel workers all come in for these, usually at the point the paperwork has become urgent, and the examination itself is the quickest part of the process.

What the examination involves

For most certificates: blood pressure, pulse, temperature, height and weight, a look at heart and lungs, and a review of your history and current medication.

Some require blood tests, and a few require a chest X-ray — which does not exist on this island and means a trip to the mainland. We will tell you that at the start rather than halfway through, so you can plan around it.

Bring your passport, since certificates carry your passport name and number, and bring any form you have been given. If you take regular medication, bring the box.

Timing, cost and how long it stays valid

Most certificates are issued the same visit, in English, signed and stamped, at any hour. Where blood tests are needed, allow a few hours to a day.

Cost depends on the type and whether tests are involved, and it is quoted before anything is done. Certificates are inexpensive compared with the trip or the course they are protecting.

Validity varies: many Thai authorities accept a certificate issued within the last thirty days, dive schools generally want one within twelve months, and airlines usually want one issued within a few days of the flight. Getting a certificate a month early is a common and avoidable waste — check the window before you come in.

Frequently asked questions

Can I get a certificate the same day?

Usually within about twenty minutes, issued in English and signed. If blood tests are needed, allow a few hours to a day.

Can I come in at night for one?

Yes, the clinic is staffed around the clock — though for a dive course the day before is better than an hour before the boat leaves.

I answered yes on the dive medical form. Can I still be cleared?

Often yes. Conditions like well-controlled asthma are frequently cleared after a proper assessment.

Do you have a chest X-ray?

No. Where a certificate requires one, that means a trip to the mainland, and we will tell you at the start rather than midway.

How much does a medical certificate cost?

It depends on the type and whether tests are needed. You are quoted before anything begins.

Will you backdate a sick note?

No. We certify what was assessed. If you were ill earlier and did not come in, tell us and we can usually write something accurate.

How long is it valid?

It varies — often thirty days for Thai authorities, twelve months for dive schools, and only a few days for airlines. Check the window before coming in, because a certificate issued too early is simply wasted money.

Who treats you, and at what hour

English-speaking doctors on site, 24 hours a day. That is the part worth dwelling on, because Koh Phi Phi has no hospital and no road off it. The nearest emergency department is a ferry away on the mainland, and the ferries stop at night — so between roughly sunset and morning, a clinic that is actually open is the only medical care on the island. We are part of the Takecare Clinic group operating across Krabi and Phuket, which is what makes onward referral and continuing treatment on the mainland straightforward rather than something you arrange yourself from a hotel room.

Getting seen

Doctor Phi Phi Takecare Clinic is 24 hours, every day — genuinely, not as a phone line. No appointment is needed at any point and there is no wrong time to turn up. Walk in, or reach us on +66 82 140 3858 or WhatsApp. If you would rather not move, ask for a doctor hotel visit and we will come to you. And if this turns out to be beyond what the island can handle, that same call is how the ferry and the hospital transfer start being arranged — which on Phi Phi is a process worth starting early rather than late.

Open 8am–10pm · reachable 24 hours

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