Medical Certificate - Zaswiadczenie lekarskie - indro-online 2026

1. Click ‘Get Form’ to open the Medical Certificate in the editor.
2. In section A, enter the prescribing doctor's details including their name, first name, phone number, and address.
3. Move to section B and fill in the patient's information. Include their name, first name, place of birth, date of birth, nationality, passport number, and address.
4. Specify the duration of travel in days in section B as well.
5. In section C, provide details about the prescribed drug. Fill in the trade name, dosage form (liquid or tablets), international name of active substance, concentration of active substance, duration of prescription, and total quantity of active substance in mg.
6. Ensure to include the physician's stamp and signature along with the date at the bottom of the form.

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