Services
Online medical certificate in Puerto Rico, after your video visit
An online medical certificate is a document the doctor signs after evaluating you in a real video visit: it documents an illness or condition she found, or completes a school or university form her evaluation supports. Dr. Diana Nieves Castro, MD, is licensed in Puerto Rico. We do not issue the health certificate for employment (health card, food handler) or evaluations to start a job. See pricing.
Is it an emergency? Call 911.
Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.
See the cancellation policy
You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.
If you choose a time less than 24 hours away, it can't be cancelled or changed.
If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.
Is this an emergency?
This is not an emergency service. Call 911 or go to the nearest emergency room if you have:
- Chest pain, pressure or squeezing, or shortness of breath.
- Sudden weakness or numbness on one side of the body, or sudden trouble speaking.
- Thoughts of self-harm: call 988 or Línea PAS (1-800-981-0023).
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On this page(10)
What an online medical certificate is and what it documents
It is a document the doctor signs only after evaluating you by video. It states what she found in your visit, for example an illness, the rest days she recommends or a condition you asked her to document. It is not a paper you buy without an evaluation. With a video visit you don't need to take a day off to sit in an office: the doctor sees you in English or Spanish.
You see Dr. Diana Nieves Castro, MD, a general practice physician licensed in Puerto Rico with several years of emergency-department experience. We see adults and children of all ages; for patients under 21, a parent with patria potestad or a legal guardian stays on camera for the whole visit and shows photo ID.
What we do not issue
Before you book, check that what you were asked for is not one of these documents, because this visit does not include them:
- The certificado de salud (Law 232-2000), the health card and the food handler certificate: an authorized Department of Health doctor issues them in person. Our clinic does not issue them.
- A medical evaluation or clearance to start a job, a practicum or an internship, or a document saying you are "fit" to work when there is no illness or condition the doctor evaluated.
- Forms that need a physical or vision exam, such as the driver's license medical certificate (DTOP), or sports certificates that need a physical exam.
- The PVAC-3 vaccine record ("hoja verde"): whoever gives the vaccines issues it, in person.
Which document were you asked for?
To pick the right visit:
- A note because you missed work or class sick: that is a doctor's note, included after your doctor visit if the doctor considers it appropriate.
- A letter or certificate of an illness or condition the doctor evaluated, for your employer or school: that is this service.
- A school or university health form: the doctor completes it to the extent her video evaluation supports it. If the form needs a physical exam, vaccines or tests, another provider does that part.
- The Department of Health certificate (certificado de salud): we do not issue it. Our health certificate guide explains who issues it and how to get it; it is informational only.
How an online medical certificate by video works
An online medical certificate isn't a form you fill in alone: it is a real virtual visit with the doctor. Before the visit, have the form or letter you were asked for ready, on paper or on your phone. The doctor goes over your history, medicines, allergies and what the document asks, and observes you on camera.
She completes and signs only the parts a video evaluation supports. If a part needs another step, such as an in-person exam, she explains it and another provider does that part.
Your doctor
Dr. Diana Nieves Castro, MD
General practice physician
Several years of emergency-department experience.
Founding Executive Director of The Health Initiative.
Three steps
Here's how it works:
Request a visit.
Video doctor visits 24/7 — book online and choose your time right away. On the booking page choose the forms visit; if what you need is a note for an illness, choose the doctor visit.
Join by video.
We send you a secure video link. It works on your phone, tablet or computer. Have the form or letter and your photo ID ready.
Get your document.
You receive the completed form or certificate, only if the doctor can truthfully certify what she evaluated.
Price
The forms visit costs the same for every age. You pay by card when you request the visit, and if the clinic can’t see you you get a full refund. There is no membership. See all three visit types on pricing.
You pay for the visit, not the paper. If a new health problem comes up that needs a full visit, the doctor explains why and, with your consent, you pay the difference.
Video visit
School and university forms
$35
School or university forms, and a medical certificate of an illness or condition the doctor evaluated, if her evaluation supports it. Does not include forms that need a vision exam, such as the DTOP driver's license form.
- You’re charged when you request the visit.
- Full refund if the clinic can’t see you
Medical certificate for school and university
Forms the doctor can complete after evaluating you, if what they ask can be certified by a video evaluation:
- School: health forms for enrollment or school activities. School requirements are covered in our guide to Puerto Rico school health requirements.
- University: health forms a video evaluation can support. If the program requires a physical exam, vaccines or tests, another provider does that part.
What this visit doesn't cover
We don't complete forms that need a vision exam or another exam that can only be done in person, such as the driver's license medical form (DTOP). Nor the certificado de salud, which an authorized doctor issues in person, or an evaluation to start a job.
If you need a note because you were sick, that's a doctor's note after a visit. To compare every document side by side, read medical certificates in Puerto Rico.
When to go to the ER
This visit is for paperwork. If you have warning signs such as chest pain or trouble breathing, call 911 or go to the emergency room.
How we care for you
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.
We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
Frequently asked questions
How do I get an online medical certificate in Puerto Rico?
Do you issue a medical certificate for work or to start a job?
Will the doctor sign any certificate?
Will my employer or school accept a certificate done by video?
Is a medical certificate the same as the certificado de salud?
How much is an online medical certificate?
Before you pay
Why do I pay before choosing a time?
Can I cancel or change the time?
Do you record the visit?
Need a school or university medical form?
$35School and university forms
- You’re charged when you request the visit.
- Full refund if the clinic can’t see you
Video doctor visits 24/7 — book online and choose your time right away.
School and university forms: $35 — BookPay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.
See the cancellation policy
You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.
If you choose a time less than 24 hours away, it can't be cancelled or changed.
If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-11
Sources (3)
- Certificados de Salud: guide from the Health Certificates Division (PR Department of Health, Spanish) (opens in a new tab) (accessed 2026-10-09)
- DTOP-DIS-260 driver's license medical certification form (rev. Aug 24, 2017, Spanish) (opens in a new tab) (accessed 2026-09-30)
- Puerto Rico Telemedicine and Telehealth Act, Ley 168-2018 (LexJuris, Spanish) (opens in a new tab) (accessed 2026-09-30)