Form 100 Medical Translation for Use Abroad

A Form 100 medical translation may be needed when a foreign clinic, insurance company, university, employer or visa authority asks for medical evidence from Georgia. Georgia’s Form No. IV-100/a is commonly called “Form 100.” A clear translation begins with the right source files and the recipient’s written requirements. Before ordering, send the complete certificate, every relevant attachment and the instructions you received from the organisation abroad.

The phrase “certified medical translation” does not have one universal meaning. One recipient may accept a translator’s signed accuracy statement, another may require notarisation, and another may ask for the Georgian medical document to be apostilled before translation. A visa programme may also require its own medical examination by an approved physician instead of accepting Form 100 as a substitute. Confirming the exact format first prevents unnecessary certification and repeated translation work.

What should you send for an accurate quotation and translation?

Send a clear scan or photograph of every page and side of Form IV-100/a. The doctor’s and institution representative’s signatures, the clinic seal, stamps, issue date, handwritten additions and any continuation pages must be visible. If an apostille or legalisation sheet has already been attached, include that as well.

Also send the supporting medical records that the receiving organisation has requested. Depending on the case, these may include laboratory results, imaging reports, a discharge summary, prescriptions, vaccination records or specialist opinions. Form IV-100/a contains a field listing diagnostic examinations and specialist consultations, but that list does not reproduce the full results. If a foreign doctor or insurer needs the actual findings, those reports are separate source documents and should be translated separately.

Finally, send the recipient’s checklist, email or portal instructions. We need to see the requested language, certification wording, file format and whether the organisation expects originals, certified copies or scans. You can read more about our medical translation service in Tbilisi.

What is Georgia’s Form No. IV-100/a?

The official Georgian title is “Medical Documentation Form No. IV-100/a — Certificate Concerning Health Condition.” The form and its completion rules were approved by Order No. 338/n of the Minister of Labour, Health and Social Affairs of Georgia. It is a certificate issued by a medical institution; it is not a universal international medical form.

Under the official rules, the certificate identifies the issuing institution and the institution to which it is being sent. It can include the patient’s identity and contact information, relevant outpatient or hospital dates, a health conclusion or diagnosis, previous diseases, a short medical history, diagnostic examinations and consultations, treatment, condition at discharge and medical recommendations. The diagnosis is recorded using the ICD-10 classification where applicable.

A certificate issued by a medical institution is generally signed by the treating doctor and the institution’s responsible person — the head or a deputy — and bears the institution’s seal. A certificate issued personally by a specialist doctor may instead bear that doctor’s signature and personal seal. An electronic certificate may use a qualified electronic signature and/or a qualified electronic stamp. These formal elements matter because the recipient may need to identify who issued and signed the document. The translation should reproduce visible signatures, seals, stamps and handwritten notes rather than silently omitting them.

Confirm the recipient’s requirements before translation

Ask the clinic, insurer, embassy, visa authority or other recipient the following questions in writing:

Will you accept Georgian Form IV-100/a, or do you require your own form or an examination by an approved doctor?
Which language is required, and must every page, stamp and handwritten entry be translated?
Do you require a translator’s certification, notarisation, a certified copy, an apostille or consular legalisation?
Must the original document and translation be submitted together?
Are digital scans accepted, or must paper originals be presented?
Is there a maximum permitted age for the medical certificate?
Do you require full laboratory reference ranges, medication dosages or the active ingredients of branded medicines?

These answers determine the correct workflow. For example, current UK visitor-visa guidance requires a full translation that can be independently verified and includes the translator’s accuracy confirmation, date, full name, signature and contact details. USCIS requirements for foreign-language documents use different wording: the English translation must be complete and accurate, and the translator must certify competence to translate. A requirement described as “certified” abroad therefore does not automatically mean Georgian notarisation.

For a plain-language comparison of translation forms, see ordinary, certified or notarized translation: which one do you need?

Prepare complete and readable files

Do not edit the diagnosis, hide a line or replace a medication name before sending the document for translation. If you believe information is irrelevant, ask the recipient whether redaction is permitted. An altered source may no longer meet a requirement for a “full translation.” Where transliteration of a patient’s name is required, provide the passport spelling so that the translation is consistent with the identity document.

Medical terminology and accuracy

Form IV-100/a can contain diagnoses, ICD-10 codes, abbreviations, laboratory terminology, drug names, dosages and treatment instructions. These details should be translated consistently and without adding a medical interpretation that is absent from the source. An unclear abbreviation or illegible handwritten entry should be queried or marked appropriately; it should not be guessed.

Does the translation need notarisation?

Notarisation is required only when the receiving organisation asks for it or when the applicable procedure clearly requires it. It does not by itself confirm a diagnosis or make a medical document acceptable for every country. Depending on the notarial act, the notary may certify a translator’s signature or another formal element; this is different from a foreign authority assessing the medical content.

Before choosing notarisation, obtain the recipient’s exact wording. If it is required, our notarized translation service in Tbilisi can prepare the appropriate format after the source document and destination requirements have been reviewed.

When may an apostille or legalisation be needed?

Georgia’s Public Service Development Agency lists documents issued by medical institutions within their authority among the documents that may be certified by apostille or legalisation. An apostille is used for documents intended for a country where the Hague Apostille Convention applies in relation to Georgia. For another destination, consular legalisation may be relevant.

This does not mean that every foreign clinic, insurer or visa application requires an apostille. The recipient decides what it will accept. The Hague Conference on Private International Law also explains that an apostille authenticates the origin of a public document — such as the signature, seal and the signer’s capacity — and does not certify the medical content.

There is an additional procedural distinction in Georgia: the apostille rules list medical-institution documents as eligible, while certain notarial acts concerning copy conformity or translation correctness are excluded. If an apostille is requested, ask which item must bear it: the original medical certificate, a duly certified copy or a translation produced by an authorised administrative body. The order of translation and authentication should be decided before documents are bound or certified.

Protecting sensitive medical information

Georgia’s Personal Data Protection Law treats health information as a special category of personal data. Form 100 may contain a personal number, address, diagnosis, medical history and treatment information. Send it only to the translator and organisations involved in the stated purpose, and use a controlled communication channel.

Checklist before you place the order

Complete Form IV-100/a, including both sides and continuation pages
Readable doctor and institution signatures, clinic seal and all stamps
Requested laboratory, imaging, discharge, prescription or specialist attachments
Passport spelling of the patient’s name
Destination country and target language
Recipient’s written translation and certification requirements
Confirmation of whether originals, copies or digital scans are accepted
Confirmation of whether an apostille, legalisation or an approved physician is required

Send the document and the recipient’s instructions

For the correct translation format, send us Form IV-100/a and all requested attachments together with the clinic’s, insurer’s or visa authority’s written instructions. Tell us the destination country, target language and intended use. We will review the visible pages and help identify which requirements must be confirmed before translation. The receiving organisation makes the final decision on acceptance.

Contact us: send the document on WhatsApp, write to us on Telegram, or email tsisi@tktranslations.ge.

Official sources

Sources and requirements checked on 29 September 2026. Rules can change, and the receiving organisation’s current instructions should be confirmed before submission.