Open Daily in Thamel: Daily 08:00–20:00 NPT (UTC+5:45) · Walk-ins welcome
In this guide 27 sections

Medical Certificates & Documents We Issue

Same-Day Documentation for Travelers

Whether you need a fit-to-fly letter for an airline, a trek clearance for a permit office, a work permit medical, or an insurance claim report — we issue the official documentation you need, usually same-day. All certificates are on official letterhead, signed by licensed physicians, and formatted for international acceptance.

Documents We Issue

DocumentWhat It CoversCostTime
Fit-to-fly certificateAirline-required medical clearance after illness/injury$20Same day
Trek clearance letter"Fit for high-altitude trekking" for insurance or agencies$25Same day
Work permit medicalNepal work permit/employment physical with labs if required$40Same day
Visa extension medicalHealth declaration for visa/immigration$20Same day
Insurance medical reportVisit summary, diagnosis, treatment, itemized charges — formatted for claimsIncluded in visitSame day
Sick note / medical excuseDoctor's note for work, university, or embassy$15Same day
Prescription letterMedication documentation for customs/travel$10Same day
Vaccination certificateRecord of vaccines administered — WHO-format cardIncluded with vaccineSame day

How It Works

  • Walk in or book — most certificate requests take 15–30 minutes including the examination
  • Bring your requirements — if an airline, embassy, or agency has a specific form or wording, bring it — we'll complete their format or write a letter matching it
  • Official letterhead + signature — every document is on clinic letterhead with physician signature, license number, and clinic stamp
  • Digital copies — we email a PDF copy for your records and WhatsApp it if you need it on your phone

What Airlines Actually Need

Airlines typically require a letter stating: your diagnosis (or reason for care), that you're medically fit to fly, any in-flight requirements (oxygen, assistance, medications), and the physician's signature with license number. We know the format — bring your airline's specific form if they have one, or we'll write a standard letter that airlines accept.

The ICD-10 Advantage — Why the Code Matters

  • Insurers process codes, not descriptions — the ICD-10 diagnosis code (A09 for gastroenteritis, T70.0 for altitude sickness) is what automated claims systems read; a properly coded report processes faster than a narrative letter
  • Universally recognized — every insurer, hospital, and health system worldwide reads ICD-10; the code eliminates the translation problem between a Kathmandu clinic and a home-country insurer
  • We code correctly — the diagnosis on your report is the actual ICD-10 code for your condition, not a generic description; this is what makes claims process cleanly
  • Home-doctor continuity — when you take the report back to your own physician, the ICD-10 code tells them exactly what was diagnosed and treated

The Documentation Standards

  • Official letterhead — clinic name, address, phone, email on every document
  • Physician signature + license number — the Nepal Medical Council registration that makes the document legally valid
  • Clinic stamp — the embossed seal that verifies authenticity
  • Digital copies — PDF by email and WhatsApp; the physical original goes with you
  • Format flexibility — airline forms, embassy formats, insurance templates — we match the required format or write a standard letter that gets accepted

Common Questions

Certificates We Provide

Fit-to-fly certificates (airline requirement post-illness/injury), sick notes for work/insurance, vaccination records, trekking fitness certificates, and the documentation insurers and employers require. Each is generated with the clinical assessment and documentation standard that the requesting party needs.

The Process

Consultation first — the certificate documents a clinical assessment, not a rubber stamp. The fit-to-fly requires evaluating whether flying is safe for your condition; the trekking fitness certifies the physical capability. The certificate is only as credible as the assessment behind it; the assessment is what we provide.

Types of Certificates

Fit-to-fly certificates (airline requirement post-illness or post-surgery), sick notes for employers or insurers, vaccination records and certificates, trekking fitness certificates, and the medical documentation that the various authorities require. Each certificate documents the clinical assessment that underlies it — the certificate without the assessment is not credible.

The International Standard

Our certificates follow international formatting — English, standard medical terminology, the documentation that airlines, employers, and insurers recognize. The certificate that is requested for a specific purpose (visa, work, insurance) is written to that purpose's requirements. The documentation standard is the credibility the requesting party needs.

The Certificate Types

The certificates we provide: fitness-to-trek (the medical clearance that the trek permits or the insurance requires), sick certificates (the documentation for the school/work absence), the fitness-to-fly (the airline requirement after the medical event), and the specialist referral letters. The specific documentation that the institution requires determines the certificate type.

The Assessment Basis

The certificate requires the assessment — the clinical evaluation that supports the certification. We do not provide the certificates without the examination; the fitness certificate that is issued reflects the actual assessment. For the traveler who needs the certificate for the permit or the insurance, the assessment precedes the document.

The Insurance Certificate

Insurance medical certificates — the documentation that the claim requires (the diagnosis, the treatment provided, the fitness-to-fly assessment, and the prognosis). For the traveler filing the insurance claim, the certificate that documents what the insurer needs.

The Employer Certificate

Employer-required medical certificates — the fitness for the duty, the return-to-work clearance, the pre-employment medical. For the expatriate or the remote worker, the certificate that the employer requires.

The Types

Medical certificates for travel: the fit-to-fly (the airline requirement for the medical condition), the fit-to-trek (the tour operator's requirement), the vaccination certificate (the specific vaccines that are documented), and the work-permit medical (the employment visa's health requirement).

The Content

Medical certificate includes: the examination findings, the assessment of the fitness for the specific activity, the limitations if any, and the physician's signature/date.

The Purpose

Medical certificate purposes: the fitness for the activity (the trek, the sport, the work), the vaccination documentation (the specific vaccines that are documented), and the work permit requirement.

The Examination

Certificate examination: the history, the physical exam, the assessment that determines the fitness, and the certificate that is issued with the physician's signature.

The Trek Fit

Trek fit certificate — the physician's assessment that certifies the fitness. For the expedition or the guided trek that requires, the certificate that is provided.

The Return

Fit-to-return certificate — the clearance for the work or the school (the illness or the injury that is resolved). For the return that requires the documentation.

The Certificate Fee

Medical certificate fee — the standard charge (the examination + the documentation that is priced). For the fit-to-fly or the trek certificate, the fee that is quoted.

The Turnaround

Certificate turnaround — the same- day that is typical (the exam + the issue that is efficient). For the urgent need, the expedited that is possible.

The Certificate Fee

Medical certificate — the ~$10-30 (the documented that is issued). For the work/travel, the stamped that is provided.

The Turnaround

Certificate processing — the same-day (the quick that is the value). For the deadline, the timely that is delivered.

The Certificate Fee

Certificate fee — the ~$15-40 (the stamped that is priced). For the insurer/employer, the issued that is the document.

The Same-Day

Certificate turnaround — the same-day (the issued that is the speed). For the urgent, the produced that is the service.

How fast can I get a fit-to-fly certificate?

Same day — usually within an hour of the consultation. Bring your airline's specific form if they have one; otherwise we write a standard letter airlines accept: diagnosis, fitness-to-fly statement, in-flight requirements, physician signature and license number.

What do I need for a trek clearance letter?

A pre-trek medical assessment — vitals, history review, any indicated tests — then the "fit for high-altitude trekking" letter on our letterhead. Insurance companies and trekking agencies require it for permit issuance or coverage validation. Same-day service.

What is included in the insurance medical report?

Visit summary, diagnosis with ICD-10 code, treatment rendered, itemized charges, and physician signature — the complete packet your insurer needs for claim processing. Included with any visit; emailed as PDF and available via WhatsApp.

Do you do work permit medicals?

Yes — the full work permit/employment physical with laboratory tests if the employer requires them. Same-day service; the $40 covers the exam plus documentation.

Can you write a prescription letter for customs?

Yes — medication documentation letters for customs and travel, listing the drugs you carry with doses and medical necessity. Especially important for controlled substances entering Nepal or transiting other countries.

Medical Certificates — Thamel Clinic, Chaksibari Marg, Central Thamel, Kathmandu — Call/WhatsApp +977-9747726036
Thamel Clinic · Chaksibari Marg, Thamel, Kathmandu 44600, Nepal · Open Daily 08:00–20:00 NPT
Medical Certificates. Thamel Clinic — Chaksibari Marg, Central Thamel, Kathmandu 44600, Nepal (Ground Floor · 120m East of Kathmandu Guest House Gate) — Call/WhatsApp +977-9747726036 · info@thamelclinic.org · Open Daily 08:00–20:00 NPT.
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