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Qualifications obtained in EU countries

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Right of establishment – EU citizens

If you are a citizen from the European Union, the EEA (Iceland, Liechtenstein and Norway) or the Swiss Confederation, you have obtained your health professional qualification in an EU Member State or in a country of the EEA (Iceland, Liechtenstein and Norway) or in the Swiss Confederation and you wish to pursue your profession in Italy on a permanent basis, you can apply for the recognition of your qualification under the provision called “right of establishment”.


A different procedure will be adopted according to the profession you wish to pursue:

  • for the following professions: surgeon, specialised doctor, doctor in basic medicine and general medical practice, veterinary surgeon, pharmacist, dental practitioner, specialised dental practitioner, nurse and midwife, the EU law has set harmonisation rules for Member States, countries of the EEA (Iceland, Liechtenstein and Norway) and of the Swiss Confederation. On the basis of these provisions, the recognition procedure consists of a documents’ examination aimed at assessing the existence of minimum standard requirements in terms of education and training. Current law sets these provisions as prior condition for the recognition.
  • for all the other professions, for which minimum education and training standards have not been set, it is necessary to carry out a specific assessment of the qualification achieved abroad (learning career and professional practice if present)

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Substitute declaration in lieu of Affidavit (link)


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Right to free provision of services – EU citizens

Right to free provision of services – EU citizens


You can provide your professional services on a temporary and occasional basis without permanently establishing in Italy and without enrolling in the relevant Italian Association/Order, Register or professional College; nevertheless, you will abide by the same legal provisions, in terms of obligations and disciplinary sanctions, as your Italian counterparts.

You can exercise this right if you are a citizen of the EU, of the EEA (Iceland, Liechtenstein and Norway) and of the Swiss Confederation and you have obtained one of the following professional qualifications in a Member State or in a country of the EEA (Iceland, Liechtenstein and Norway) or in the Swiss Confederation:

  • surgeon
  • specialised doctor
  • pharmacist
  • veterinary surgeon
  • dental practitioner
  • specialised dental practitioner
  • nurse
  • midwife

In order to be entitled to this right, if you belong to one of the above, you will each time give prior notice to the Italian Ministry of Health of the following data concerning the pursuit of the profession:

  • date
  • facility
  • reason
  • information on insurance coverage for professional liability


Moreover, you will provide the documents listed in the relevant information section concerning the free provision of services <interactive form (link)>

Substitute declaration in lieu of Affidavit (link)


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Data di ultimo aggiornamento 30 luglio 2021



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