Starting from Sunday, October 18, 2026, occupational medicine doctors will issue certificates exclusively in electronic form. Patients who want to have the document at hand should create an Internet Patient Account. - From October 18, 2026, occupational medicine doctors will issue certificates only electronically. - The change applies to initial, periodic, and control examinations of employees. - The document can be downloaded from the Internet Patient Account after logging in with a trusted profile, e-ID, or through online banking. - Creating an IKP account is free and does not require a visit to a facility. ## End of paper certificates Electronic occupational medicine certificates can be issued from April 17, 2026 (What changed on October 18, 2026? Electronic medical certificate and Internet Patient Account - it's worth having – infor.pl). For the next six months, until October 17, doctors could still issue them in parallel on paper and in the system. From October 18, paper documents ceased to be created, except in cases specified by regulations (Employees were waiting for this revolution. The doctor will issue the certificate completely differently – medonet.pl). The new procedure applies to certificates from initial, periodic, and control examinations of employees. The e-Health Center considers the change as another stage in the digitization of healthcare, which aims to accelerate the transfer of documents between the employee, doctor, and employer. ## How the document reaches the patient The certificate is saved in the system, and the patient opens it in digital form. The easiest way to do this is through the Internet Patient Account, where the document appears after it is issued. Those without an account must ask the doctor or employer for a copy. ## How to download the certificate To download the e-certificate, you need to log in to the IKP, open the medical documents section, and select the certificate from the occupational medicine examination. The file can be saved on a computer or phone or printed. You log into the account using a trusted profile, e-ID, or online banking. ## How to create an account An IKP account is created online at the pacjent.gov.pl website after confirming your identity. Registration does not require a visit to a facility and is free. ## Sources - What changed on October 18, 2026? Electronic medical certificate and Internet Patient Account - it's worth having – infor.pl - Employees were waiting for this revolution. The doctor will issue the certificate completely differently – medonet.pl ## Read also - Certificates from preventive examinations of employees in electronic form – new rules from October 18 - Central e-registration for specialists – expansion schedule for 2027