Introductory medical certificate - Civilian invalidity

What is it?

The service allows the completion of the introductory medical certificate for the assessment of the condition of disability, in the experimental phase from 1° January 2025 to 31 December 2026, of the subjects residing/domiciled in nine provinces of the national territory, in accordance with the provisions of Legislative Decree no. 62 of 3 May 2024:

• Brescia;
• Catanzaro;
• Firenze;
• Forlì-Cesena;
• Frosinone;
• Perugia;
• Salerno;
• Sassari;
• Trieste.

And, from 30 September 2025, also for residents/domiciled in the additional 11 provinces:

• Alessandria;
• Aosta;
• Genova;
• Isernia;
• Lecce;
• Macerata;
• Matera;
• Palermo;
• Teramo;
• Trento;
• Vicenza.

Finally, as of March 1, 2026, the measure will also apply to residents or persons domiciled in the following 40 provinces:

• Arezzo;
• Ascoli Piceno;
• Asti;
• Bergamo;
• Bologna;
• Bolzano;
• Brindisi;
• Cagliari;
• Caltanissetta;
• Campobasso;
• Caserta;
• Catania;
• Chieti;
• Como;
• Cosenza;
• Crotone;
• Cuneo;
• La Spezia;
• Mantova;
• Massa Carrara;
• Messina;
• Milano;
• Pavia;
• Piacenza;
• Pordenone;
• Potenza;
• Ravenna;
• Reggio Calabria;
• Rimini;
• Roma;
• Savona;
• Sondrio;
• Terni;
• Torino;
• Treviso;
• Udine;
• Venezia;
• Verona;
• Vibo Valentia.

The experimental phase of the reform will conclude on 31 December 2026, with the new regulations coming into effect across the country from 1 January 2027.

The health assessment of civilian invalidity, blindness, deafness, Law 104/1992, Law 68/1999, for the rest of the country, will be conducted in accordance with the existing regulations until 31 December 2026 (prior to the reform of Legislative Decree 62/2024).

Who is it aimed at?

The completion of the introductory medical certificate may be performed by:

• general practitioners; 
• primary care paediatricians;
• outpatient specialists of the National Health System (in Italian, SSN);
• registered doctors with provisions for pensions;
• freelance professionals;
• doctors working at accredited private facilities
• doctors working at ASL (Local Health Authorities), hospitals, scientific hospitalization and treatment institutes, diagnosis and treatment centres for rare diseases.

How does it work?

By entering the residence/domicile of the claiming individual, the automatic routing service takes the doctor to:

• the old procedurefor completing the introductory medical certificate, which will also require the submission of the administrative claim to initiate the assessment procedure;
• the new procedurefor completing the introductory certificate, which directly initiates the procedure for certifying the disability, without further fulfilments required from the individual.