Do I have to have an ID card to get a health certificate?

Need.

In most cases, it is really necessary to provide an ID card to apply for a health certificate. A health certificate is a document related to one's physical condition. In the process of processing, it is usually necessary to confirm the true identity and relevant personal information of the applicant. Identity card is the legal proof of China's citizenship, with high credibility and authority, so it is widely regarded as an effective document to verify personal identity.