SSS Medical Certificate for SSS Medical Claim
Fill SSS Medical Certificate for SSS Medical Claim online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: (LAST NAME), (FIRST NAME), (MIDDLE NAME), (SUFFIX), DIAGNOSIS, HISTORY OF PRESENT ILLNESS/INJURY, PERTINENT PHYSICAL EXAMINATION FINDINGS, PLACE OF CONFINEMENT, (Name and Address of Hospital), Still confined, DATE ADMITTED, DATE DISCHARGED.
The form is the agency's own, from sss.gov.ph (checked 2026-10-14): the PDF you download is that form with your values printed in its boxes.
Part of the form pack: SSS sickness benefit papers (The sickness-benefit page names SSS Medical Certificate (Med 01688), with the diagnosis, the recommended sick-leave days, the clinic address, a contact number, and the physician's license number).
The free clean PDF is that pack’s shortest form. A later form in the same pack needs the Starter plan (₱499) or above. Preview, check, and verify stay free. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.