Returning to work after an illness, injury, or extended medical leave often comes with one important requirement: clearance from a healthcare professional. In the Philippines, many employers ask for a fit to work clearance to ensure that employees are ready to safely resume their duties. While the process may seem confusing at first, understanding what’s required can make it much easier and faster.
This guide explains what the clearance is, who needs it, how to get one, and what costs to expect—written with both employees and employers in mind.
What Is a Fit to Work Clearance?
A fit to work clearance is an official document issued by a licensed physician stating that an individual is physically and mentally capable of returning to work. Unlike a standard medical certificate, which often confirms illness or treatment, this clearance focuses on work readiness and safety.
Doctors issue it after assessing whether the employee’s health condition could affect their performance, coworkers, or workplace operations.
Who Typically Needs One?
Not all employees are required to secure a clearance before returning to work. It is commonly requested in the following situations:
- After extended sick leave or hospitalization
- Following recovery from infectious diseases
- After surgery or physical injury
- For jobs involving physical labor, machinery, or public interaction
- When company policy or HR guidelines require it
Ultimately, the decision depends on employer rules and the nature of the job.
Requirements You May Need to Prepare
Before seeing a doctor, it helps to gather documents that support your medical history and recovery. While requirements may vary, most clinics or physicians ask for:
- A valid government-issued ID
- Previous medical records or discharge summary (if hospitalized)
- Laboratory results or imaging reports, if applicable
- Prescription history or treatment notes
- Employer request or return-to-work form (if provided)
In some cases, a prior medical certificate issued during the illness may also be reviewed to understand the timeline of recovery.
Step-by-Step Process to Get Cleared
1. Schedule a Medical Consultation
You can book an appointment at a clinic, hospital, or through a telemedicine platform. Choose a licensed physician who is authorized to assess work readiness.
2. Undergo Medical Evaluation
The doctor will ask about your symptoms, treatment, and current condition. Depending on your role and illness, the evaluation may include:
- Physical examination
- Review of test results
- Assessment of mobility, stamina, or respiratory health
The goal is to determine whether returning to work poses any health or safety risks.
3. Receive the Clearance
If the physician determines that you are ready, they will issue the document stating that you are fit to resume work. Some clearances include conditions, such as limited duties or gradual return.
If you are not yet cleared, the doctor may recommend further rest, tests, or follow-up consultation.
Can You Get It Through Online Consultation?
Yes, many doctors in the Philippines now issue fit to work clearances through telemedicine, especially for non-complex cases. Online consultations are commonly accepted when:
- The illness was mild or moderate
- No physical examination is required
- Medical history and recovery can be reasonably assessed online
However, some employers still prefer in-person evaluations, particularly for physically demanding roles.
How Much Does It Cost?
The cost varies depending on where and how you get evaluated. On average:
- Public hospitals: Often free or minimal fees
- Private clinics: Around ₱300 to ₱1,000
- Online consultations: Usually ₱300 to ₱800
Additional tests or lab work can increase the total cost. It’s best to ask upfront if the consultation fee already includes document issuance.
How Long Is It Valid?
There is no universal validity period. Most employers accept a clearance issued within a few days of the return-to-work date. Some specify a validity window, especially after infectious diseases or major procedures.
Always check company policy to avoid repeat visits.
Tips to Avoid Delays
- Confirm with HR whether a clearance or a medical certificate is required
- Bring all relevant medical records to your consultation
- Be honest about symptoms and job responsibilities
- Ask if digital copies are acceptable
Being prepared saves time and prevents unnecessary follow-ups.
Understanding how to get a fit to work clearance helps employees return with confidence and allows employers to maintain a safe, productive workplace. With clearer processes and more accessible healthcare options, securing one has become faster and more convenient than ever.