In the framework of an application for a residence permit, third-country nationals who already hold a temporary authorisation to stay must undergo a medical check consisting of:

• a medical examination by a doctor established in Luxembourg and authorised to work as a general practitioner, a practitioner specialised in internal medicine or pediatrics; and
  
• a tuberculosis (TB) screening performed at a medical analysis laboratory (with a prescription from the doctor who performed the medical examination) or at the Health and Social Welfare League (Ligue médico-sociale - LMS), for any person aged 2 years and over; and
• a tuberculosis screening using a tuberculin test at the Health and Social Welfare League (Ligue médico-sociale - LMS) for children aged between 2 months and 2 years.

After receiving the results of these examinations, the Health Inspection (Inspection sanitaire) of the Health Directorate (Direction de la Santé) will issue a medical certificate, which will be sent to the Immigration Directorate of the Ministry of Foreign and European Affairs to allow the residence permit application to be processed.

Who is concerned

The medical check is mandatory for all third-country nationals (i.e. from a country that is neither an EU Member State nor a country treated as such - Iceland, Norway, Liechtenstein and Switzerland) who wish to reside in Luxembourg for more than 3 months within the context of an application for a residence permit.

Preliminary steps

Before arriving in Luxembourg, nationals of non-EU countries must hold a temporary authorisation to stay for:

• a salaried worker;
• a self-employed worker;
• a highly qualified worker;
• an athlete or a sports coach;
• student;
• a trainee;
• researcher;
• seasonal worker;
• a volunteer worker;
• pupil;
• family member of a third country national;
• private reasons.

Holders of a temporary authorisation to stay must then, within 3 months of this certificate being issued, enter Luxembourg or apply for a visa, if a visa is required.

Deadlines

Third-country nationals who hold a temporary authorisation to stay must apply for a residence permit at the latest 3 months after their arrival in Luxembourg.

The doctor who issues the temporary medical certificate must send it to the Health Inspection at the Health Directorate within one month. The Health Directorate must then issue the final medical certificate.

Costs

The costs of the medical examinations and issuance of the medical certificate are to be paid by the third-country national.

How to proceed

Medical examination

Third-country nationals must consult a doctor established in Luxembourg to undergo a medical examination. The medical examination must be carried out by a doctor established in the country and authorised to practice medicine as a general practitioner, a specialist in internal medicine or a paediatrician.

The medical examination must comprise:

• a general clinical examination carried out by a doctor who may, where applicable, be assisted by medical specialists and request additional examinations;
• a blood test to check for sexually transmitted diseases, depending on the clinical symptomatology, excluding HIV/AIDS;
• a check to ensure vaccinations are up to date;
• a capillary glucose test for people with a risk of developing diabetes, due to their medical history, age or state of health;
• a urine test including checks for protein and blood, depending on the clinical symptomatology.

The medical examination is intended to detect the following diseases or conditions:

• infectious diseases listed in the International Health Regulations 2005 (IHR);
• mental problems needing treatment and which are likely to compromise the safety of others or pose a serious threat to public order;
• known drug addiction needing long-term medical treatment;
• health problem that is clearly in contradiction with the reason for residing in Luxembourg (in particular undertaking paid employment).

Following the examination, the doctor issues a temporary medical certificate (form provided by the Ministry of Health), which they then send as soon as possible (within one month at the most) in a sealed envelope to the Health Inspection at the Health Directorate.

TB screening

Third-country nationals must go to a medical analysis laboratory of their choice (for persons aged 2 years and more) or to the Health and Social Welfare League (Ligue Médico-sociale - LMS) to undergo a TB screening test: For children between 2 months and 2 years of age, the test must be performed at the Health and Social Welfare League (LMS).

The screening is to check for active, contagious TB or TB that is likely to develop.

Following the screening, the medical analysis laboratory or the LMS confirm to the Health Inspection at the Health Directorate, that the screening has been performed.

Medical certificate

After having obtained the medical certificate from the doctor and the confirmation from the medical analysis laboratory or the LMS, the Health Inspection sends the official medical certificate to the Immigration Directorate of the Ministry of Foreign and European Affairs.

The official medical certificate does not contain any medical data and simply indicates whether or not the medical conditions required for residency are fulfilled.

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