CIAM | Secure form

Welcome to the medical certificate application assistant

Follow the steps to submit your application. This form takes approximately 10 to 15 minutes.

CIAM · Secure form

Please complete all steps of the form. The information you provide is MEDICAL CONFIDENTIAL and handled with strict confidentiality.

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Terms of Use

⚠️ English version pending legal review — content to be provided once the French master text is finalised.

Terms of Use

The English version of the Terms of Use and Privacy Policy for this service is currently being prepared. The definitive legal text will be published prior to production use.

In the meantime, please refer to the which constitutes the legally binding reference.