Work in Finland as a foreign doctor, nurse or AHP (2026)
Since 1 January 2026 the Finnish Supervisory Agency (LVV) decides who may practise a health profession in Finland. Here is the non-EU route in order, with the official fees.
Overview
To work as a doctor, nurse, dentist, midwife, physiotherapist or other licensed health professional in Finland, you need the right to practise (legalisation, laillistaminen) granted by the Finnish Supervisory Agency (Lupa- ja valvontavirasto, LVV).
LVV took over all the duties of the National Supervisory Authority for Welfare and Health, Valvira, on 1 January 2026, when Valvira ceased to operate. Many guides and employer pages still say Valvira: it is the same function, and rights to practise that Valvira granted remain valid.
This page is for you if you trained outside the EU and EEA, for example in India, the Philippines, Nigeria, Pakistan, Kenya or the United Kingdom, including if you are working in the Gulf now. It sets out the whole picture: which professions are licensed, how LVV compares your training, the language rules, the examinations for doctors and dentists, the fees LVV publishes for 2026, the residence permits the Finnish Immigration Service (Migri) offers and what Statistics Finland says health professionals earn.
The route depends on your profession. Doctors and dentists trained outside the EU or EEA follow a fixed path: LVV recognises the degree, you complete a supervised internship in Finland, pass examinations at a Finnish university in Finnish or Swedish, and work on limited licences before full legalisation. For doctors that means a 6-month internship, three examinations at Tampere University and up to 2 years on limited licences. For nurses and most other professions there is no national exam: LVV compares your training with the Finnish degree and usually issues a decision listing additional studies you must complete at a Finnish educational institution.
Language is the main requirement. You must show sufficient Finnish or Swedish, Finland's two official languages, and English is not an alternative. The most common proof is the National Certificate of Language Proficiency (YKI) at the intermediate level, with at least level 3 in every skill. Doctors must also show YKI level 4 (B2) before the practical patient care examination, and all three doctors' examinations and every internship are in Finnish or Swedish.
LVV says its processing period for applications from outside the EU or EEA is at least 4 months once it has every document, and longer if it needs further information or an expert opinion. For the residence permit, most health professionals use either the residence permit for an employed person (minimum €1,600 gross a month in 2026) or, if the salary is at least €3,937 a month, the specialist permit or the EU Blue Card, which can be processed in two weeks through Migri's fast track.
The health system
Public healthcare in Finland is organised by wellbeing services counties (hyvinvointialue). The Ministry of Social Affairs and Health says responsibility for healthcare, social welfare and rescue services moved from municipalities to 21 wellbeing services counties on 1 January 2023. The City of Helsinki organises these services itself, and the HUS Group is responsible for demanding specialised healthcare duties laid down by law.
Primary care is provided at health centres (terveysasema, terveyskeskus or hyvinvointiasema), and specialised care at central hospitals and university hospitals. Employers must pay for preventive occupational health care for their employees, and private clinics operate alongside the public system. All three are possible employers.
Finnish law divides health professionals into two groups. Licensed (legalised) professionals, such as medical doctors, dentists, registered nurses, midwives, public health nurses, pharmacists, physiotherapists, psychologists and radiographers, may only work in the profession once LVV has legalised them. Professions with a protected occupational title, such as practical nurse, podiatrist, osteopath and chiropractor, protect only the title: others with suitable competence may do the work, and the employer is responsible for checking that competence.
LVV keeps the central register of health care professionals (Terhikki). Anyone can check a professional's right to practise in the public service JulkiTerhikki, which moved to julkiterhikki.lvv.fi at the start of 2026 and is available in English. LVV asks employers to check rights to practise there rather than ask staff for a paid register extract.
LVV is a new nationwide agency that combines Valvira's duties with most of the tasks of the former Regional State Administrative Agencies. Its head office is in Tampere, and applications from people trained outside the EU or EEA are posted to its office in Hämeenlinna. Valvira's online service became LVV's online service at the turn of 2026.
Pay in the public sector follows collective agreements. The collective agreement for social and health services personnel (Sote-sopimus), negotiated by the public employers' organisation KT, covers 2025 to 2028. Migri requires that a work-based permit holder is paid at least what the applicable collective agreement specifies.
Hospitals in Finland
Regulators in Finland
The route, step by step
1. Check whether your profession is licensed or title-protected
LVV's list of licensed professionals and protected occupational titles tells you which applies. For a licensed profession such as doctor, dentist or registered nurse you must be legalised before you work in it. A registered nurse's training cannot be used to get the protected title of practical nurse, so apply for the profession you actually trained in.2. Start Finnish or Swedish early
You need sufficient Finnish or Swedish, shown for example by a YKI intermediate-level certificate with at least level 3 in all four skills, or a Civil Service Language Certificate at 'Satisfactory' in every skill. Doctors need YKI level 4 (B2) for the practical patient care examination. Nurses can send the certificate with the final legalisation application; doctors must have it at the latest when they register for the first examination.3. Get your documents certified, legalised and translated
Documents issued outside the EU or EEA must be sent by post as officially certified copies bearing the original stamp and signature of the notary or Finnish mission. Your degree certificate must be legalised in the country that issued it, by Apostille or Grand Legalisation; LVV says it does not accept Apostille certificates from Pakistan at all. You also need a certificate of good standing, no more than three months old, from every country where you have been licensed, and official translations of anything not in Finnish, Swedish or English.4. Apply to LVV
Doctors and dentists apply for recognition of their degree on a paper form sent by post. Registered nurses use LVV's electronic application form and post the certified documents. LVV asks you not to email documents in advance because this slows processing, and says its processing period is at least 4 months from the date it has everything.5. Nurses and others: complete any additional studies
LVV compares your training with the current Finnish training, taking work experience and continuing education into account. If it finds differences, it issues a decision mandating additional studies, which you arrange directly with a Finnish university of applied sciences or other institution. LVV says 20 universities of applied sciences take part in qualification training and legalisation paths (SAILA) for nurses, and you should apply to LVV as soon as possible even if you are already in such training.6. Doctors and dentists: complete the internship in Finland
After degree recognition you find your own internship; LVV will not arrange it and will not credit training done before the decision. Doctors need at least 6 months (180 days) full time, or at least one year part time, in a public hospital or health centre, with no more than 14 days' absence. Dentists need at least 3 months as a dental intern or 6 months as a dental assistant. Volunteering, observation and integration training do not count, and you may not treat patients independently during the internship.7. Doctors: pass the three examinations at Tampere University
The clinical examination, the examination on the Finnish health care system and the practical patient care examination must be passed in that order, in Finnish or Swedish. The written examinations are held four times a year, in February, May, September and November. Dentists instead take theoretical and practical competence examinations at the University of Helsinki.8. Work on limited licences
After the first examination a doctor can apply for a limited licence to work in a public hospital, and after the second, in a health centre. Licences are granted for a named speciality and workplace for no more than 6 months at a time, generally up to 2 years (730 days) in total, and you apply at least 3 weeks before the job starts. Dentists work on limited licences for at least one year after passing the competence examinations.9. Apply for full legalisation
Doctors apply once they have passed all three examinations and worked under limited licences for two years; dentists after one year on a limited licence, if the employer is in favour. Nurses apply after finishing the mandated studies, sending the completion certificate, language certificate and good standing certificate. Your right to practise then appears in JulkiTerhikki.10. Find a job and apply for a residence permit
With a job offer, apply to Migri through Enter Finland. The permit depends on the salary: the residence permit for an employed person needs at least €1,600 gross a month in 2026, while the specialist permit and the EU Blue Card need at least €3,937. Migri states that health care professionals need a right to practise for the job, and your employer must confirm your qualifications when filling in the terms of employment.
Language requirements
- Finland does not accept English as proof of language skills for the right to practise. You must show sufficient oral and written Finnish or Swedish, and employers must also judge whether your language is good enough for the job.
- The National Certificate of Language Proficiency (YKI) counts if you pass the intermediate-level test (levels 3 to 4) with at least level 3 in every skill area in the same test. YKI tests listening, speaking, reading and writing; level 3 corresponds to CEFR B1 and level 4 to B2.
- The Civil Service Language Certificate also counts, with at least 'Satisfactory skills' in all skill areas. LVV also accepts Finnish school and matriculation certificates, a vocational qualification completed in Finnish or Swedish, civil-servant language studies at a Finnish university, or a maturity test taken for a Finnish degree.
- An employer's statement can be accepted case by case. It must give the place and dates of employment, your duties and a separate assessment of your written and spoken language, reading comprehension and speech comprehension, from someone who has seen you work.
- Doctors need more. Tampere University requires YKI level 4 (B2) in Finnish or Swedish before you sign up for the practical patient care examination, and all internships and examinations are in Finnish or Swedish.
- The Finnish National Agency for Education (OPH) lists the YKI intermediate test at €190, the basic test at €165 and the advanced test at €216. Grading takes around two months, and registration opens about two months before each test date.
Visas
Residence permit for an employed person (TTOL)
For a confirmed job paid at least the collective agreement rate and at least €1,600 gross a month in 2026, excluding supplements such as evening and night pay. It may be subject to labour market testing, and a first permit must be applied for from abroad. Migri's 2026 fee is €750 online or €950 on paper.
Specialist permit
For expert work that needs special expertise, usually with a higher education degree, at a gross salary of at least €3,937 a month in 2026, not counting fringe benefits. A first permit is granted for up to 2 years. The 2026 fee is €530 online or €630 on paper, and there is no labour market testing.
EU Blue Card
For highly qualified work lasting at least 6 months, at a gross salary of at least €3,937 a month in 2026, with a higher education degree of at least 3 years or usually 5 years of comparable professional experience. It is issued for up to 2 years. The fee is the same as the specialist permit.
Fast track and D visa
Applications for the specialist permit or EU Blue Card can be decided in two weeks through the fast track if you apply and pay in Enter Finland, prove your identity at a Finnish mission within five working days, and your employer adds the terms of employment within two working days. You can apply for a D visa at the same time so you can travel as soon as the permit is granted; the D visa costs €95 online.
Family members
Your spouse and children can apply for residence permits based on family ties and, if they apply at the same time as you, use the fast track too. Each application has its own fee and income requirement, which Migri sets out on its family pages.
EU and EEA citizens trained in the EU or EEA
You do not need a residence permit, and LVV handles your application under the recognition of professional qualifications procedure, including automatic recognition for some professions. LVV says the statutory processing period is four months and that a complete application may be processed within 30 days. You still need sufficient Finnish or Swedish.
Pay
Median total monthly earnings of full-time employees in 2024, all sectors, from Statistics Finland (table 15au, occupational classification 2010). Total earnings include supplements such as shift and on-call pay. These are statistics, not pay scales: your actual pay is set by the collective agreement and your employer, and newly legalised professionals usually start below the median. Figures are gross, in euros.
Monthly amounts
Generalist medical practitioners
€8,067
Statistics Finland 2024, median total earnings.
Specialists (medical)
€8,104
Statistics Finland 2024, median total earnings.
Senior physicians
€10,795
Statistics Finland 2024, median total earnings.
Dentists
€7,221
Statistics Finland 2024, median total earnings.
Pharmacists
€5,045
Statistics Finland 2024, median total earnings.
Midwives
€3,947
Statistics Finland 2024, midwifery associate professionals, median total earnings.
Nurses
€3,587
Statistics Finland 2024, median total earnings.
Public health nurses
€3,359
Statistics Finland 2024, median total earnings.
Practical nurses
€3,154
Statistics Finland 2024, 'other practical nurses', median total earnings.
Key terms in Finland
Questions
No. Valvira ceased to operate at the end of 2025 and the Finnish Supervisory Agency (LVV) took over all its duties on 1 January 2026. Applications now go to LVV, pending applications were transferred automatically, and rights to practise granted by Valvira remain valid.
Not in a licensed profession. LVV requires sufficient Finnish or Swedish, for example a YKI intermediate certificate with at least level 3 in every skill, and doctors need YKI level 4 (B2) for the practical examination. Internships and doctors' examinations are in Finnish or Swedish.
There is no national licensing exam for nurses. LVV compares your training with the Finnish degree and usually issues a decision mandating additional studies, which you complete at a Finnish institution, often a university of applied sciences. You then apply for legalisation with the completion certificate.
Three examinations organised with Tampere University's Faculty of Medicine and Health Technology: a written clinical examination based on patient cases, a written examination on the Finnish health care system, and a practical patient care examination at a health centre. You can sit the first only after a 6-month internship in Finland and once you have shown sufficient language skills.
For doctors and dentists LVV lists €440 for degree recognition, €870 for a limited licence, €440 for the right to practise after a limited licence, or €2,080 for legalisation without a prior licence. For nurses it lists €520 for a decision on additional studies and €870 for legalisation afterwards, or €1,390 without such a decision, plus €200 to €600 if an expert opinion is needed.
LVV says processing takes at least 4 months from a complete application and longer if it needs more information. For doctors, the stated minimums add up to almost three years after language study: at least 4 months for recognition, a 6-month internship and 2 years on limited licences. For nurses, the length of the additional studies decides it.
Not in the licensed profession you are studying for. LVV says people completing additional studies to meet its requirements may not work temporarily in that profession. Jobs with only a protected title can be done by people without the title if the employer judges them competent.
Yes, in most cases: the degree must be legalised in the issuing country by Apostille or, for countries outside the Hague Convention, Grand Legalisation. LVV states that it does not accept Apostille certificates from Pakistan at all, so check the Ministry for Foreign Affairs' guidance for your country.
It depends on salary. Below €3,937 a month in 2026, the residence permit for an employed person applies (minimum €1,600). At or above it, the specialist permit or the EU Blue Card, both of which can be fast-tracked to a decision in two weeks.
Your experience can count. LVV takes work experience and continuing education into account when comparing a nurse's training, but it wants employment certificates stating your title, duties and dates, not contracts. You must send a certificate of good standing, no more than three months old, from every country where you have been licensed, including Gulf regulators.
Statistics Finland's 2024 figures give median total monthly earnings of €3,587 for nurses, €8,067 for generalist medical practitioners and €8,104 for medical specialists, working full time. Actual pay depends on the collective agreement, your role and supplements.
Sources
- 1Valvira: Valvira's operations to end; duties transferred to the Finnish Supervisory Agency (19 June 2025)
- 2Valvira: Applications for rights to practise redirected to the Finnish Supervisory Agency (8 October 2025)
- 3LVV: Medical doctor trained outside the EU or EEA
- 4LVV: Registered nurse trained outside the EU or EEA
- 5LVV: Dentist trained outside the EU or EEA
- 6LVV: Healthcare professional trained outside the EU or EEA
Show all 28 sourcesShow fewer sources
- 7LVV: Examinations required for doctors trained outside the EU or EEA
- 8LVV: Sufficient language proficiency
- 9LVV: Legalisation of appendices to the application
- 10LVV: Status of professionals educated abroad
- 11LVV: Licensed and protected professional titles
- 12LVV: Completion of additional studies
- 13LVV: Healthcare professional trained in an EU or EEA member state
- 14Tampere University: Examinations for doctors trained outside the EU/EEA (in Finnish)
- 15OPH: National Certificates of Language Proficiency (YKI)
- 16OPH: Selecting the right YKI test and test days
- 17OPH: Registering for the YKI test
- 18Migri: Residence permit for an employed person
- 19Migri: Specialist
- 20Migri: EU Blue Card
- 21Migri: Fast track
- 22Migri: Income requirement for work-based residence permits
- 23Migri: Processing fees and payment methods
- 24Migri: Changes to processing fees as of 1 January 2026
- 25Ministry of Social Affairs and Health: Wellbeing services counties
- 26InfoFinland: Health services in Finland
- 27KT: Sote-sopimus collective agreement
- 28Statistics Finland: Earnings by sector and occupational group, 2024 (table 15au)
Keep exploring
Registering and working in Finland