Extreme Sports Medical Certificate
Medical clearance for skydiving, mountaineering, motorsport and adventure activities, issued by a UK GP.
Many operators ask for medical clearance before you can take part. No appointment needed.
✔ Written for skydiving, mountaineering, motorsport and adventure operators. Acceptance is always the operator's decision.
✔ Available for UK and overseas events and activity centres.
✔ Most certificates issued same day, normally by 9AM next morning. From £67.
✔ Full refund if the GP cannot issue.
Get my sports certificate 
Travelling abroad for your activity? Add a travel cancellation certificate in case injury forces you to cancel.
Accepted by most UK employers, universities and insurers, subject to their own policies. All consultations are subject to clinical assessment and certificates are issued only where clinically appropriate.
Consistently voted 5 stars
How It Works
Complete short online consult
No appointment required.
Complete a short medical questionnaire and upload any supporting evidence.
Doctor reviews your evidence
A GMC-registered doctor reviews your submission individually.
✔ Full refund if a certificate cannot be issued.
Receive your certificate
Most certificates are issued same day, almost all by 9AM the next morning. Delivered as a signed PDF. A doctor will email you if more evidence is needed.
Certificate security
Every MedicalCert certificate can be checked as genuine
Each certificate is issued with anti-tampering protection and its own verification reference. If your employer, university, airline or insurer wants to confirm the document came from a GMC-registered doctor, they can check it against MedicalCert records. Altered or copied documents do not pass that check.
Very happy, I ordered my Medical Certificate in the early morning hours and before noon time of same day I had it on my inbox. Speedy service and they present the health condition precisely, get to the point.
They meet the incredibly fast turnaround stated (certificate/letter sent before 9am the following morning if the doctor feels that a letter/certificate is appropriate) which is incredibly quick and I am really grateful for the help provided!
Very easy and quick to get my certificate. And the certificate was approved from the specific company to travel with my dog. I will use them again. Well done.
Second time using this company and they are fabulous! Always great, fast, friendly service. Highly recommend!
This was my second time using Medical Cert, and once again the service was exceptionally quick and professional. Everything was handled efficiently, with clear communication throughout.
I found the service very straight forward and quick. Exactly what I needed to get my Padi medical form signed before our holiday. Thank you very much.
Process was easy and responses were quick. I would recommend their service.
Fast efficient service for medical certificates. I used the not fit to fly service and was provided with a certificate the next day, the price is very reasonable and enabled a flight credit refund with my airline. Would recommend and would use again if needed.
A fast and efficient service. It wasn't complicated and the Fit-to-fly note was accepted by the Airport without any further questions. Thank you.
Ideal for me, I am looking to get a certificate for some medical issues I have. So this is the perfect solution for me, uploading docs was easy and the forms very straightforward to fill in. Will definitely use them again. Many thanks.
Excellent service. Easy to use and certificate issued in less than 24 hours. £39 as opposed to the £150 my GP charges. Highly recommended.
Quick and reasonably pain-free. Received their standard certificate as well as my requested bespoke certificate, by email, by 9am the following morning. Both completed properly, signed and stamped as required. More expensive than my GP, but infinitely quicker and easier.
One of the best experiences. It's easy to get a GP note.
Excellent. My GP refuses to issue DWP MED 3 Fit Notes to students. MedicalCert were excellent and extremely helpful in providing a necessary certificate. Highly recommended.
You were amazing, you kept me updated and replied promptly to any queries I had. I thank you from the bottom of my heart.
They helped me, they were very professional and nice.
Very pleased. Quick service with very professional letter provided.
Great service, pretty straight forward and easy to use the website.
I was recommended Medical Cert by a friend and was so impressed with the service received. I would recommend using a laptop rather than a phone. Overall a fantastic and fast service.
Extreme Sports Medical Certificate: Adventure Activity Fitness Clearance
An extreme sports medical certificate, a fitness to participate extreme sports clearance document, is a signed document from a GMC-registered GP confirming that a participant has no known medical contraindication to taking part in a high-adrenaline activity. Many adventure activity operators, challenge event organisers and overseas activity providers ask for this documentation before allowing participation, both to protect participants and to meet their own insurance and liability obligations. Each operator sets its own rules, so check what yours asks for before you apply.MedicalCert issues adventure sports medical certificates following individual GP review, covering recreational extreme and adventure activities where a private GP assessment is appropriate. No appointment needed. Complete a secure health questionnaire, describe your activity and any health conditions, upload relevant evidence, and receive a signed adventure sports fitness clearance certificate, usually the same day, and normally by 9AM the next morning. Full refund if a certificate cannot be issued on clinical grounds.
What This Certificate Covers and What Requires In-Person Assessment
MedicalCert’s GPs can provide extreme sports medical certificates for most recreational and adventure activities where a GP fitness opinion is the standard requirement. Some activities require a specialist in-person examination, and knowing the difference matters before you apply:✔ Covered by this service
- ✔Recreational and charity skydiving, where the British Skydiving self-declaration of fitness cannot be signed and the matching doctor’s form is needed. Upload that form and the reviewing GP can complete it where clinically appropriate
- ✔Mountaineering and high-altitude trekking where the operator requires a general fitness certificate from a GP
- ✔White-water rafting, kayaking, and open-water swimming events with operator medical requirements
- ✔Bungee jumping, where the operator asks for a doctor’s clearance after a health declaration has flagged a condition
- ✔Obstacle course races (OCR), ultra-marathons, and multi-day endurance events
- ✔Off-road vehicle events, quad biking and non-competition motorsport activities where the organiser asks for a GP fitness letter rather than a Motorsport UK licence medical
- ✔Via ferrata, rock climbing courses, and adventure activities at outdoor centres
⚠️ Requires specialist in-person assessment
- ✗Skydiving instructor medicals, British Skydiving Forms 116 and 116A, which are a separate requirement from the student and licensed skydiver forms
- ✗Powered flying that needs a CAA pilot licence, where the CAA requires its own medical certificate or pilot medical declaration, and hang gliding and paragliding, which sit outside CAA pilot licensing and run under the BHPA’s own declaration
- ✗Motorsport UK Race, Truck, Race Venue Kart and all International competition licences, which need an in-person medical examination reported by a doctor on Motorsport UK’s own medical report form
- ✗Scuba and technical diving, see our Scuba Diving Medical Certificate page for recreational diving
- ✗Olympic and elite-level competitive sports requiring specialist sports physician clearance
Why Adventure Operators Require Medical Clearance
Activity providers, from bungee jump operators to charity skydive organisations, often require medical clearance for two reasons: participant safety and insurance liability. Most commercial adventure activity operators carry public liability insurance that requires documented fitness screening before high-risk participation. Without it, they expose themselves to significant legal and financial risk if a participant suffers a health event during the activity.An extreme sports fitness certificate from a GMC-registered GP gives operators documented evidence of a clinical review. It records that a qualified doctor has reviewed the participant’s health and identified no known contraindication to the planned activity. Whether it satisfies the operator remains the operator’s decision.
Why your NHS GP may be unable to help
Writing a sports fitness certificate is non-NHS work. NHS Resolution’s Clinical Negligence Scheme for General Practice covers primary medical services provided under an NHS GP contract in England, and NHS Resolution advises practices to arrange separate indemnity for work outside that scope. That is one reason many surgeries decline these requests as a matter of policy. It is an indemnity boundary, not a reflection on your health. MedicalCert’s private GPs work under private medical indemnity that covers adventure activity fitness assessments.
Activities Covered: Common Requests
Charity skydiving certificate
British Skydiving’s Operations Manual requires every skydiver to hold a completed self-declaration of fitness to skydive, or a doctor’s certificate appropriate to the type of activity. Tandem students use Form 115A, with Form 115B for anyone unable to meet the requirements of 115A. Solo students use Forms 115C and 115D, and licensed skydivers Forms 115E and 115F. If you cannot sign the declaration, upload the matching doctor’s form and the reviewing GP will complete it where the clinical picture supports it.
Mountaineering medical certificate
For guided mountaineering expeditions, high-altitude trekking (including Kilimanjaro, Everest Base Camp, and similar), and alpine climbing, operators often require a mountaineering medical certificate confirming no contraindication to sustained high-altitude exertion. Cardiovascular and respiratory fitness are the primary clinical considerations.
Bungee jumping medical certificate
Many UK bungee jump operators ask participants to complete a health declaration, and to obtain a doctor’s clearance where that declaration flags a condition. A bungee jumping medical certificate records the GP’s opinion that no cardiovascular, neurological or musculoskeletal contraindication to the brief but intense forces involved was identified.
White-water rafting medical certificate
Some commercial rafting operators ask for a medical certificate, more often on higher grade rivers. Swimming fitness, cardiovascular capacity and the absence of conditions that could cause sudden incapacitation in the water are the key clinical areas reviewed.
Obstacle course race (OCR) certificate
Large obstacle course racing events often ask for medical clearance where a participant has declared a health condition. An obstacle course medical certificate records the GP’s opinion on fitness for sustained cardiovascular and musculoskeletal exertion over a multi-obstacle course.
Off-road racing and motorsport
Non-competition off-road vehicle events, quad biking challenges and recreational motorsport activities sometimes ask for a GP fitness clearance letter. Whether that letter is enough is the organiser’s decision, and a Motorsport UK competition licence needs its own examination on the Motorsport UK form instead.
