Services
Work and school medical certificate in Puerto Rico, by video
We complete your work and school medical certificate in Puerto Rico after a video visit: the health form from your job, school or university, plus the lab order for the certificado de salud (health certificate). Dr. Diana Nieves Castro, MD, a physician licensed in Puerto Rico, signs what a video evaluation supports. The forms visit costs US$35. It doesn't cover forms that need a vision exam or another in-person exam.
Is it an emergency? Call 911.
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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What a work and school medical certificate in Puerto Rico is
It is the form or letter a doctor signs for your employer, school or university: to start a job, a practicum or an internship, to enroll, or to join a program. With this visit you don't need to take a day off to sit in an office: the doctor sees you by video, 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.
How we complete your certificate by video
Have the form ready before the visit, on paper or on your phone. The doctor goes over your history, medicines, allergies and what the form asks, and observes you on camera. She completes and signs the parts a video evaluation supports. If part of the form needs another step, such as a lab test, she explains it and, if needed, gives you a lab order for a lab near you.
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.
Request a visit online 24/7 — we confirm your time by email or text. Choose School and work forms on the booking page.
Join by video.
We send you a secure video link. It works on your phone, tablet or computer. Have the form and your photo ID ready.
Get your document.
You receive the completed form or the lab order, as the doctor considers appropriate.
Price
The forms visit costs US$35, the same for every age. You pay by card when you request the visit, and if it can't take place you get a full refund. There is no membership. See all three visit types on pricing.
If a new health problem comes up that needs a full visit, the doctor explains why and, with your consent, you pay the difference. You pay the lab directly for any lab tests.
Video visit
School and work forms
US$35
School, university and job forms, and the lab order for the certificado de salud (if you choose the TB skin test, it is placed and read in person by the authorized doctor or their nurse; the certificate is issued only by an authorized doctor at their authorized site). 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 visit can’t take place
Medical certificate for work in Puerto Rico
If your employer asks for a medical certificate or form before you start a job, a practicum or an internship, bring it to the visit. The doctor completes what her video evaluation supports.
If you will work where food is handled or where direct health services are given to the public, you will probably also be asked for the certificado de salud. That is a separate document with lab tests, explained below.
Medical certificate for school and university
Common forms the doctor can complete after evaluating you:
- School: health forms for enrollment or school activities. School requirements are covered in our guide to Puerto Rico school health requirements.
- University: health forms for admission, student housing, a practicum or a program.
The health certificate lab order
The certificado de salud is governed by Law 232 of 2000 and the Department of Health's Regulation 138. It is required every year for employees of places that handle food or give direct health services to the public. It requires a medical evaluation, a TB test from the last 3 months (a TB skin test or a TB blood test) and a syphilis test from the last 6 months. It is valid for one year.
In the forms visit we give you the lab order for the blood tests. We do not issue the certificate: a doctor authorized by the Department of Health issues it, only at their authorized site. If you use the TB skin test, the authorized doctor or their nursing staff places it, and it is read in person 48 to 72 hours later. The full process is in our health certificate in Puerto Rico guide.
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. For example, the driver's license medical form (DTOP) needs a vision exam: our driver's license medical certificate guide explains why.
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. We do not prescribe controlled substances.
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 a medical certificate for work in Puerto Rico?
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?
Do you complete the driver's license form?
How much is the forms visit?
Need a school or work form, or a lab order?
US$35School and work forms
- You’re charged when you request the visit.
- Full refund if the visit can’t take place
Request a visit online 24/7 — we confirm your time by email or text.
School and work forms: US$35 — BookAbout 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: 2026-10-02