Nurseries and schools

In what cases do you need to provide a medical certificate for your child?

Publié le 19 août 2025 - Directorate of Legal and Administrative Information (Prime Minister)

Whether your child is enrolled in a nursery, kindergarten, elementary school, college or high school, it is not always easy to know the situations that require the institution to issue a medical certificate. Service-Public.fr provides you with a simulator to know the cases for which you must obtain this medical document for your child.

When you enroll your child in a nursery, the institution may ask you for a medical certificate of less than 2 months indicating that he has no contraindications to be welcomed in the community. On the other hand, the requirement for a medical certificate for enrollment in nursery or elementary school was abolished by a decree of 15 May 2009; you only have to present a certificate of compliance with the mandatory vaccines for schooling (for example, a copy of the “vaccination” pages of your child's health record).

A medical certificate is only required if required by a legislative or regulatory instrument ; it is justified only if it has a medical reason. Service-Public.fr set up, in collaboration with the National Health Insurance Fund (CNAM), a simulator to know the situations that require you to obtain a medical certificate to give to your child's institution.

You must first indicate the type of institution your child is attending or enrolled in:

  • nursery;
  • primary school (kindergarten or elementary school);
  • college;
  • high school.

You are then asked to specify the situation for which you would like to know if a medical certificate is needed, for example:

  • the justification for an absence;
  • taking a medication;
  • an allergy (in this case, details are requested to know in particular whether this allergy leads to a special diet or the establishment of a individualized reception protocol);
  • a school outing or trip;
  • physical or sports activity (PSA).

When a medical certificate is not required, you are offered to download a document that you can give to the school.

Please note

Service-Public.fr also offers you a simulator to find out if a medical certificate is needed to practice a sport, depending on the situation (age, sports discipline, etc.).

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