Midland Medical

Marathon Medical Cert £85

We offer affordable, comprehensive Medical Certificates for Marathon and Endurance Events, ensuring you are fit to safely meet the physical challenge, available at a range of convenient UK locations near you

The fee includes resting ECG and same day certificate

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Whats included in your Marathon Medical?

Cardiac Risk Screening

Musculoskeletal and Flexibility Check

Blood Tests

Fitness Certificate

About our Clinic

What is a Marathon Medical

The Marathon Medical is a vital safety check designed to look for any hidden medical issues that could cause serious trouble when you’re pushing yourself to the limit. This clearance is usually mandatory for a huge range of major endurance challenges—from marathons and ultra-runs to triathlons and big European cycling events. Our doctor reviews your heart health, breathing capacity, and general fitness to make sure your body can handle the extreme stress of the race. By catching risks like an undiagnosed heart issue or severe high blood pressure before you start, this medical acts as a crucial safety net, helping to prevent medical events on race day and confirming your fitness-to-run certificate meets the organiser’s official rules

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FAQs about our Marathon Medical

Which endurance events typically require this medical certificate?

This medical certificate is commonly mandatory for major international events, including most European marathons (like Paris, Rome), large ultra-marathons, challenging cycling events (such as L’Etape du Tour), and certain long-distance triathlons. Always check the official entry requirements of your specific race organiser.

How long is the signed certificate valid for?

The certificate’s validity is set by the race organizer but is typically valid for one year from the date the doctor signs it. You must ensure the certificate is still valid on the day of your race.

How soon before my race should I book the medical?

We recommend booking your medical 1–2 months before your race day. This provides enough time to get the official certificate, and crucially, allows you time to seek further specialist review (e.g., a cardiologist) if the doctor identifies a potential issue during the assessment.

Why do French and Italian marathons require a medical certificate?

Law in France and Italy requires all competitive athletes to prove they have no “contraindications” to sports. Without this stamped certificate, you will not be allowed to collect your race bib.

Is an ECG required for a marathon certificate?

While some basic certificates only require a physical, many events (and British Sports Medicine guidelines) now strongly recommend a Resting ECG to screen for underlying heart conditions like HCM or arrhythmias.

What specific wording must be on the form?

The form must usually state that there are “no contraindications to competitive running.” We are familiar with the specific templates for the Paris, Rome, and Florence marathons.

Can you sign the form if I have a high BMI?

A high BMI isn’t an automatic fail, but our doctor will assess your overall cardiovascular health. If your blood pressure and heart rate are within safe limits, we can usually clear you for the race.

What happens if the doctor finds a heart murmur?

If an abnormality is found, we may not be able to sign the form immediately. We might refer you for a private echocardiogram (heart ultrasound) to ensure it is safe for you to compete.