Under certain conditions, foreign medical practitioners can provide services (acts related to their profession) in Luxembourg on a temporary and occasional basis without holding a licence to practise issued by the Minister of Health.
To do so, a prior declaration of provision of services must be sent to the Minister of Health:
Medical practitioners who:
Medical practitioners who are third-country national and:
The practitioners may provide services as a consultant for the attending medical practitioner established in Luxembourg, but only:
Where medical practitioners have been suspended or banned from practising their profession in Luxembourg and are legally established in another Member State, they may not provide any services in Luxembourg for as long as they continue to be suspended or banned.
Service providers must possess the language skills that are necessary for them to exercise their profession in Luxembourg.
If their mother tongue is not French, German or Luxembourgish, proof of their language skills must be provided in order to be authorised to provide services in Luxembourg.
The minimum level of language proficiency required in French or German is level B2 of the Common European Framework of Reference for Languages (CEFR). The level can be proven by any means such as:
Medical practitioners who cannot provide such proof as listed above must provide a level B2 language proficiency certificate issued by an approved examination centre.
In Luxembourg, the approved examination centre is the National Institute for Languages Luxembourg (Institut national des langues Luxembourg - INLL).
Where medical practitioners who are EU nationals or treated as such wish to engage in professional activities in Luxembourg, they must send a declaration in that regard to the Minister of Health, prior to the first provision of services.
A copy of that declaration is sent by the Minister of Health:
It constitutes automatic temporary registration with that body (Medical or Veterinary Board), the service provider being exempted from the obligation to pay a membership fee.
The copy of the declaration sent to the social security bodies enables those bodies, where necessary, to settle the costs and charges payable for the health care provided to persons insured under the social security system.
Where medical practitioners who are third-country nationals wish to provide services as a consultant for an attending medical practitioner established in Luxembourg, they must send a declaration of provision of services to the Minister of Health; this must be done prior to each provision of services.
The declaration must specify:
The Medical Board or the Veterinary Board and, as the case may be, the social security bodies are informed thereof by the Minister of Health.
Medical practitioners can submit their declaration of provision of services:
Ministère de la Santé
1, rue Charles Darwin
The procedure with authentication has several advantages compared to the procedure without authentication. In particular, it allows the temporary saving of the data entered so that the medical practitioners can access them later.
Once the declaration has been submitted, all subsequent messages and notifications concerning changes in the processing status of the application will be sent to the medical practitioners by email.
Medical practitioners must include the following supporting documents with their declaration:
If the Minister of Health so requests, medical practitioners who are third-country nationals must provide all the documents mentioned below, each time they submit a declaration of provision of services.
All documents that are not drawn up in French, German or Luxembourgish must be accompanied by their French, German or Luxembourgish translation produced by a sworn/certified translator.
The declaration of provision of services is valid for one year.
It must be renewed:
The renewal procedure is the same as the initial declaration procedure (transfer via MyGuichet.lu or by post).
In the event of renewal of the declaration of provision of services, medical practitioners must:
That attestation must not date back more than 3 months prior to the time when it is produced, and must where necessary be accompanied by a translation.
The renewal requirement does not apply in the case of medical practitioners who are third-country nationals; such persons must make a declaration prior to each provision of services.
Once the file is complete, a copy of the declaration concerning the provision of services is sent by the Ministry of Health to the Medical or Veterinary Board and to the social security bodies.
To speed up the processing of their application, medical practitioners should ensure that the declaration contains all the required information and supporting documents.
Medical practitioners who provide services in Luxembourg are subject to the Luxembourg rules of professional, regulatory or administrative conduct directly related to their professional qualifications, such as:
Medical practitioners, dentists and veterinarians providing services enjoy the same rights, and are subject to the same obligations, as professionals who are established in Luxembourg. However, they are exempt from having to take part in the provision of replacement services, on-call services, emergency services or the veterinary on-duty service.
Where medical practitioners, dentists or veterinarians providing services are unable to personally ensure continuity of the care which their acts entail, they must take steps to ensure that the care in question is provided by a medical practitioner, dentist or veterinarian legally established in Luxembourg.
They are required to comply with the professional rules and code of ethics in force in Luxembourg.
If the application is refused, the applicant may appeal the decision. The appeal must be filed with the administrative tribunal within one month of being notified of the decision.
The medical practitioners' disciplinary, civil and criminal liability may be incurred if, owing to insufficient language skills, they make a mistake in the performance of their duties.
They also run the risk of imprisonment and a fine in the case of:
Déclaration de prestation de services (première déclaration et renouvellement)
Déclaration de prestation de services - médecin-généraliste ; médecin-spécialiste ; médecin-dentiste ; médecin-dentiste spécialiste ; médecin-vétérinaire (première déclaration et renouvellement)