How many days MC can I get? A guide to medical certificates in Singapore

How many days of Medical Certificate am I likely to get?

Digital Health Clinic

21 May 2024

Everything you need to know about the number of days of Medical Certificates (MCs) you might get

8 min read | not-intended-to-game-the-system

In Singapore you can get a MC, if you are really sick

But you cannot get an MC if you are well! 

There have been cases where MCs are "issued" to patients who wanted to skip work or school, but who were not really sick. This is not legal.  But if you are really sick with mild symptoms, telemedicine may be your best choice! You get to skip the queue, see a doctor within 5 to 10 minutes, and get your much needed rest. You'd be surprised to know that majority of minor illnesses do not require any curative treatment. They merely require rest, allowing the body's own immune system to fight and fend itself. There are medicines that can be taken to alleviate annoying symptoms, but do not make you recover faster.

How many days of MC can I get?

The number of days of MC you can get, depends largely on the doctor's assessment of your illness (type and severity), and the expected duration of recovery. In some cases, to minimize spread of infectious diseases, as with the case of Covid-19 or HFMD, MCs can be issued for an extended duration as recommended by infectious disease guidelines.

As a rule of thumb, Doctors tend not to give MCs beyond 3 days at one go for Tele-consultation. This is because closer reviews might be necessary, especially if the symptoms do not improve or worsen.

If you are seeing Doctor repeatedly (e.g. frequent symptoms, more than 1 to 2 times a month), rather than to repeatedly issue MCs, a doctor may advise you to a specialist for further review or to visit your nearest GP for a physical examination.

Illness MC Duration (Estimated Duration)
Diarrhea & Vomiting 1 to 2 days

Usually resolves quickly within 24-48hours. If you have diarrhea lasting more than 3 days, have blood in stools, fever or persistent sharp tummy pain, please see a Doctor in clinic for a proper assessment.
Headache 1 day

Usually resolves within a day with adequate pan relief, rest or hydration. If you have sudden onset intense headaches (thunderclap-like), headaches that are triggered by exertion (e.g. exercise or sex), early morning headaches, you may need a follow up with a Neurologist who can arrange an MRI for you.
Cough, Runny Nose, Sore throat, Fever 1 to 3 days

Usually improves within 2-3 days. If you have any chest pain (e.g. when coughing or taking deep breaths), shortness of breath or persistently high fever > 3-4 days, you may have a more serious infection. Do visit your GP for a physical assessment.
Hand Foot Mouth Disease 7 to 10 days

Usually improves in about 5 days, but considered infectious for up to 10 days. Most individuals recover well. Some individuals may experience temporary finger or toe nail loss subsequently. If you have persistently high fever, numbness or weakness in any part of the body, sensitivity to light, neck stiffness, severe headaches or are unable to tolerate orally because of significant pain, you may need to visit the emergency department.
Chicken Pox 7 days

Usually improves in 5 to 7  days. Considered infectious as long as there are fluid filled vesicles that have not dried up. If you have persistently high fever, numbness or weakness in any part of the body, sensitivity to light, neck stiffness, severe headaches or are unable to tolerate orally because of significant pain, you may need to visit the emergency department.
Insomnia or Poor sleep 1 day

Usually improves with adequate rest. Sleep Hygiene is advised: (1) No activity or work in bed (2) Don't stay in bed if unable to sleep (3) Remove clocks from the room - clock watching or counting hours left to sleep worsens the condition (4) Regular exercise (in the early evenings) (5) Avoid day naps (6) Avoid Caffeinated Drinks. 
Low Back Pain  1 to 2 days

Usually improves with early mobility and avoiding carrying heavy items. If you have numbness or weakness in the lower limbs, bowel incontinence, difficulty passing urine you will need to be attended urgently in the Emergency Department.
Gout 1 to 2 days

Usually improves within 24-48hours with adequate hydration & pain relief (colchicine, NSAIDs +/- Prednisolone). If you have 3 or more attacks in a year, you may want to consider starting Uric Acid Lowering therapy (allopurinol). We will be able to advise you and arrange the necessary blood tests required.
Period or Menstrual Cramps 1 day

Usually occurs around day 1-2 of menses. If you have missed your last period, significantly heavier flow, have abnormal vaginal discharge or fever, you will be advised to visit a GP for further assessment.

Are digital MCs valid in Singapore?

MCs are legitimate as long as they are issued by SMC-registered doctors. As the MC is a computer-generated MC, the doctor's signature is not required. The doctor's name and MCR number are stated on the DigiMC. To further cement its authenticity, ensure that the digital MC is issued from the https://mc.gov.sg domain. If your employer does not accept your MC, you may inform them that this is a new initiative by GovTech and point them to this webpage www.mc.gov.sg for more information. For further clarifications, your employer can contact GovTech via the support form. 

At Remedy.sg, your health and convenience are our top priorities. Our medical certificates are issued by qualified and registered Singapore Doctors under Digital Health Clinic [Ministry of Health License No: R/23M1175/MDS/001/232] . All our physicians are proud members of the Singapore Medical Council (SMC). Our meticulous selection process includes thorough background checks, credential verification, and personal interviews, all part of our commitment to bringing you professional care in telemedicine services.

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