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Form 100 translation with notarisation

The medical certificate of health status is the document through which a foreign clinic, embassy or insurance company first meets your medical history. Its translation is the filter they cannot see past. We translate Form IV-100/a so that the recipient is left without a single question: the diagnosis with its code, the institution with its details, stamps and signatures with notes, and the layout following the original.

  • Layout following the originalField by field, so comparison is easy

  • Notary on the same dayAs soon as the translation is finished, with no extra visit

  • 1-2 working daysFor a 2-4 page certificate; urgent orders on the same day

Find out the price and timing before you order

Upload a photo or scan of Form 100 and choose the language. During working hours we will tell you the price and timing within an hour.

Form 100

Assessing the certificate is free, and we delete the file once the job is complete.

In short: Form 100 translation in six points

  • A Form 100 translation is a complete document: it reflects every field of the form, every stamp, the place of each signature and the doctor's handwritten text.
  • The ICD-10 code is carried over exactly as in the original, while the diagnosis in words follows the wording of the target language's official classification.
  • The patient's first name and surname are written as in the Latin entry in the passport, and the names of the doctor and the clinic in one and the same form across all translated documents.
  • To work out a treatment plan and price, a clinic is usually satisfied with a translation certified with the bureau's stamp, whereas an embassy, insurer or foreign authority needs a notarised one.
  • For another country's government authority, the order is: the final certificate, the translation, notarisation and, last, an apostille or legalisation.
  • A translation of a two- to four-page certificate is usually ready in one or two working days, or on the same day for an urgent order.

Where a Form 100 translation goes wrong, and why that is costly

Form 100 is a short document, two to four pages, and that is exactly why its translation seems simple. In reality it is the translation most often sent back, because it is read not by a reader but by an examiner.

  • A diagnosis without a code, or a code without a diagnosis

    The ICD-10 code must stay unchanged in the translation, and the diagnosis in words must be translated with the wording that matches this code in the target language. Any other wording makes the clinic think the code and the diagnosis do not match.

  • The institution's name in a "free" translation

    "შპს ნიუ ჰოსპიტალსი" and "New Hospitals LLC" must be the same in every document the recipient gets from you. If Form 100 carries a different version from the cost estimate, the authority sees two different clinics.

  • A missed stamp or annotation

    A translation that does not reflect the text of a stamp or the doctor's handwritten addition is incomplete for a notary and suspicious for the recipient: what was in that place that was not translated?

  • The tone of the recommendation

    "Recommended" and "necessary" mean different things to an embassy and an insurance company. The translation must carry over the doctor's wording exactly, neither strengthening nor softening it.

What a Form 100 translation includes

  • A complete translation from the form's heading to the last stamp, keeping the layout of the original so the recipient can compare the fields.
  • The ICD-10 code kept and the diagnosis worded according to the target language's official classification.
  • Consistent names and titles: the patient in the passport transliteration, the institution in one and the same form across all your documents.
  • Stamps, signatures and annotations noted in translator's notes, following international practice.
  • A second specialist's check comparing the diagnosis, dates and figures with the original.
  • Notarisation where needed: the translator signs before a notary, and the translation is bound to the original or a certified copy.
  • Delivery: a scan by email on the same day, the paper version by courier or from the office.

The price depends on the number of pages and the language; notarisation is charged separately. We will tell you the exact amount as soon as we see the certificate. Indicative prices and turnaround times are on the main medical translation page.

Before you send us the certificate: three things that save time

  1. Check who it is for

    A clinic, an embassy and an insurer each need different things in the certificate. If you have not obtained Form 100 yet, the guide shows what it should say, so you do not have to get it again later.

  2. Photograph every page

    The back too, if there is a stamp or annotation on it. A blurred stamp turns into a note in the translation, which the recipient may treat as a flaw.

  3. Send us the Latin spelling of the surname

    Exactly as it is in the passport. A difference of one letter between Form 100 and the passport is a reason for an embassy to return the document.

What a foreign recipient checks in a translated Form 100

A clinic's international department, an embassy official or an insurance assessor puts the translation next to the original and compares a few specific elements. These elements decide whether the certificate is accepted at first submission or you are asked for further explanation.

Element How it is carried over into the translation Why the recipient checks it
ICD-10 code The letter, digits, point and subcategory exactly as in the original. We do not convert the code to a national version, such as the German ICD-10-GM or the American ICD-10-CM. The clinic and insurer match the diagnosis code against their own system, and one transposed digit means a completely different disease.
Dates The numbers are unchanged, and for an English-speaking recipient we write the month as a word. "03.04.2026" is 3 April to a Georgian and 4 March to an American. The insurer checks the policy exclusions against the date of diagnosis.
Doctor's name and position The name in the official Latin transliteration of the Georgian alphabet (ხუციშვილი: Khutsishvili), the position with the matching title in the target country. In a complex case the clinic contacts the issuing doctor, so their name must be recognisable.
Certificate number and QR code The number unchanged; a translator's note in place of the QR code or electronic number. The recipient checks authenticity using the code on the original, and its place must be clearly visible in the translation.
The addressee phrase "For submission as required" is translated with the formula that official certificates issued in the target language use. A word-for-word version reads oddly and makes the recipient think the text was translated by a non-professional.

Handwriting, abbreviations and corrections

Form 100 is often partly filled in by hand: the doctor writes the diagnosis, recommendation or date on the printed form. Two translators decipher such text independently of each other and compare the results. Abbreviations the doctor uses to save space, including Russian and Latin abbreviations inserted into the Georgian text, are translated in full only when the context is unambiguous. A line corrected by hand is shown as a correction in the translation too, and we state whether it carries a signature and stamp: for the recipient this is as important as the text itself.

Certificate, translation, notary, apostille: an order that must not be broken

When Form 100 goes into another country's official procedure, each next step rests on the previous one. Changing one link means repeating all those that follow, so we plan the sequence from the day you order.

  1. The final original

    Before translating, make sure the doctor will not change anything else in the certificate. A certificate reissued with a new number or date requires a new translation and a new certification.

  2. Translation and your own check

    The translator translates, a second specialist compares, and you receive the scan by email and look over the surname, dates and diagnosis line yourself before the document goes to the notary.

  3. Notarisation

    The notary certifies the translator's signature and binds the translation to the original or its certified copy. After that the text can no longer be changed, so we do not rush the previous stage.

  4. Apostille or legalisation

    A government authority, court or embassy often needs an apostille on the notarial deed, while a country that is not party to the Hague Convention needs consular legalisation. Check whether your country requires an apostille or legalisation.

You can work out an indicative price for the translation in advance with the translation price calculator, and we will confirm the exact amount after seeing the certificate. You can collect the finished package from the office or receive it by courier, and the logistics team arranges dispatch abroad.

Frequently asked questions about Form 100 translation

Does a Form 100 translation for a clinic need to be notarised?

For most clinics that draw up a treatment plan and cost estimate, a translation certified with the bureau's stamp is enough: what matters to them is the medical content. Notarisation becomes necessary when Form 100 is part of an official procedure: a medical visa, insurance reimbursement, an application to a foreign foundation, a court or an employer. Since the same certificate often goes to both, we recommend making a notarised version from the start: the price difference is small, while redoing it costs time.

How are stamps, signatures and the form's official details translated?

Everything on the original is reflected in the translation. The text of a stamp is translated in square brackets with a note that it is a stamp, a note of the signature is written where the signature is, the institution's name is translated and also kept in its original form in brackets, and the patient's first name and surname are written in the Latin transliteration used in the passport. This way the recipient sees exactly where each element was on the original, and no doubt arises about the completeness of the translation.

Is a photo of Form 100 enough to start the translation?

A clear photo or scan is enough to assess the price and start the translation, as long as every stamp and signature is legible. For notarisation, the notary binds the translation to the original or a certified copy, so we will need the original at the final stage: we collect it by courier and return it to you with the translation. If the original has been submitted to another authority, a notarised copy will do, and we prepare that as well.

Is Form 100 translated in full or only the diagnosis?

In full, from the first line to the last stamp. A partial translation does not count as an official document and a notary will not certify it, while the clinic needs precisely the medical history, the treatment given and the recommendation, not just the diagnosis line. The only exception is illegible handwritten fragments: we add a note about them and, where possible, check them with the issuing doctor before we finish the translation.

What happens if the doctor's handwriting in Form 100 is illegible?

First, two translators read the fragment independently of each other and compare the results. If both arrive at the same reading and it also fits the medical context, the text is translated as usual. If doubt remains, we ask you to have the doctor clarify it, or with your consent we contact the clinic ourselves. When clarification is impossible, we write in square brackets at that point in the translation that the text is illegible. A guessed word would mislead the recipient, while an open note is the honest solution accepted in international translation practice.

The clinic reissued Form 100 after the translation was done. Can the old translation be used?

No. A translation belongs to a specific original: the number, date and text must match, and the notary binds the translation to exactly the certificate it was made from. A new certificate needs a new translation, and if the previous one was certified, the certification is done again too. If the text is largely the same and only the date or a few lines have changed, we use the previous translation as a basis and the work is finished faster. That is why we recommend confirming with the doctor before translating that the certificate is final.

Upload Form 100 and get a price within an hour

During working hours we will look at the document and tell you the price, the timing and whether a notary is needed in a single message.

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Form 100: price before you order.

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