Work in Slovakia as a foreign doctor, nurse or AHP (2026)
Slovakia recognises non-EU health qualifications in two stages: a paper recognition of your diploma, then a supplementary exam in Slovak. In between you can work under supervision for up to 18 months.
Overview
If you trained as a doctor, nurse, dentist, pharmacist, midwife or other health professional outside the EU, the EEA and Switzerland, Slovakia recognises your qualification in a two-stage process run by the Centre for the Recognition of Diplomas (Stredisko na uznávanie dokladov o vzdelaní) at the Ministry of Education, Research, Development and Youth.
First the Centre recognises your formal qualification on paper. Then you pass a supplementary examination (doplňujúca skúška) in Slovak at a Slovak university or secondary health school, and the Centre recognises your professional qualification for independent practice.
This page is for internationally trained health professionals from countries such as India, the Philippines, Nigeria, Pakistan and Kenya, people working in the Gulf, and UK-trained professionals, who are now third-country applicants in Slovakia. It explains who decides, what the exam involves, how the temporary traineeship works, what the chambers ask for, the work and residence permits and how pay is set by law.
The feature that sets Slovakia apart is the temporary professional traineeship (dočasná odborná stáž). Once your formal qualification is recognised, you may work for a health care provider under the supervision of a qualified colleague for up to 18 months while you prepare for the supplementary exam. The Centre says the traineeship is not compulsory, and you can apply for an exam date at any time.
Language is the main hurdle. The supplementary exam is held in Slovak, with a written part on professional knowledge and Slovak health law and an oral part that can include a practical test in simulated conditions. Passing it also counts as proof of Slovak for the Ministry of Health, which otherwise verifies the language separately before you can practise.
Pay for doctors, nurses and other health workers in inpatient hospitals is underpinned by law. Act No. 578/2004 sets the minimum basic monthly pay as a multiple of the national average wage, for example 1.00 times the average for a nurse and 1.50 times for a doctor without a specialisation. Most non-EU professionals come on temporary residence for employment, and many health occupations appear on the official shortage lists, which speeds up the labour office stage.
The health system
Health professions are regulated by Act No. 578/2004 on health care providers, health workers and professional organisations, and Act No. 576/2004 on health care. Government Regulation No. 296/2010 defines the qualifications needed for each health profession, and it is the benchmark for comparing your training.
Recognition of qualifications from abroad is decided under Act No. 422/2015 on the recognition of education documents and professional qualifications. For health professions from third countries, the Centre for the Recognition of Diplomas at the Ministry of Education is the deciding body.
The Ministry of Health verifies knowledge of Slovak for foreign health workers, recognises foreign specialisation diplomas and certificates, and oversees the temporary professional traineeship. Specialist training in Slovakia is also organised under the Ministry of Health, including at the Slovak Medical University (Slovenská zdravotnícka univerzita) in Bratislava.
Every practising health worker must be registered with the chamber for their profession. Doctors register with the Slovak Medical Chamber (Slovenská lekárska komora), and nurses and midwives with the Slovak Chamber of Nurses and Midwives (Slovenská komora sestier a pôrodných asistentiek). Under section 63 of Act No. 578/2004 you notify your details within 15 days of starting work. Membership of the chamber is voluntary; registration is not.
Doctors who want to practise independently, rather than as employees, need a licence from the Slovak Medical Chamber. Employed hospital doctors work under their employer's permit and do not need one.
Supervision of health care provision and public health insurance is carried out by the Health Care Surveillance Authority (Úrad pre dohľad nad zdravotnou starostlivosťou), set up by Act No. 581/2004.
Hospitals in Slovakia
Regulators in Slovakia
Also responsible here (no separate guide yet)
- Ministry of Health of the Slovak Republic (Ministerstvo zdravotníctva)Slovak language verification, specialisation recognition and the temporary professional traineeship
- Slovak Medical Chamber (Slovenská lekárska komora)Register of doctors and licences for independent practice
- Slovak Chamber of Nurses and Midwives (Slovenská komora sestier a pôrodných asistentiek)Registers of nurses and midwives
The route, step by step
1. Confirm your profession and its Slovak name
Find your profession in the national database of regulated professions on the Centre's portal, because the application must name the Slovak regulated profession (for example lekár for a doctor or sestra for a nurse). If your profession is not in the database, it is not regulated. The Centre warns that paediatrics graduates must apply as lekár, not as paediatricians, or processing is delayed.2. Apply for recognition of your formal qualification
Apply to the Centre for the Recognition of Diplomas by post, in person or through slovensko.sk if you have an electronic ID. You need a copy of your identity document, a certified copy of your diploma, a certified copy of your transcript or diploma supplement, an official Slovak translation and the fee: €140 on paper or €90 online for health professions. An apostille or superlegalisation is not required at submission, but may be requested during the procedure.3. Receive the decision on your formal qualification
The Centre checks that your school is state-recognised and that your training meets the formal requirements of Government Regulation No. 296/2010. Its stated processing time for third-country health qualifications is 2 months from a complete application. A positive decision lets you register for the supplementary exam and start a temporary traineeship.4. Consider the temporary professional traineeship
With the recognition decision, you can work for a health care provider in an employment relationship under the supervision of a qualified colleague in your profession for up to 18 months, without interruption, at one provider, and only once. You give the employer a copy of your ID and decision, proof of medical fitness, a declaration of good character and a declaration that you know Slovak or English well enough for the work. The employer must notify the Ministry of Health.5. Register for the supplementary exam
Apply directly to the school or university that holds the exam for your profession, at least 30 days before the date, not to the Centre. Doctors and dentists sit it at the Faculty of Medicine of the Slovak Medical University in Bratislava, which charges €500. Nurses with a bachelor's degree, midwives and several allied professions sit it at the university's Faculty of Nursing and Health Professional Studies; nurses trained at higher vocational level sit it at the secondary health school in Trnava.6. Pass the exam in Slovak
The exam has a written part on professional knowledge and Slovak health law, and an oral part that, depending on the profession, can include a practical test in simulated conditions. Only candidates who pass the written part go on to the oral. For doctors it covers internal medicine, surgery, paediatrics, and gynaecology and obstetrics, and the faculty publishes question lists and reading lists.7. Apply for recognition of your professional qualification
Send the Centre your application with a certified copy of the supplementary exam report. Its processing time for this step is 1 month. The resulting decision recognises your professional qualification for the independent practice of your profession in Slovakia.8. Register with your chamber and settle the language question
Doctors register with the Slovak Medical Chamber (registration fee €13) and nurses and midwives with the Slovak Chamber of Nurses and Midwives (€13), within 15 days of starting work. Under section 34b of Act No. 578/2004, passing the supplementary exam counts as proof of Slovak; otherwise you need a Ministry of Health language decision. Doctors with a foreign specialisation then apply to the Ministry of Health to have it recognised.9. Secure the job, permit and residence
Your employer reports the vacancy to the labour office and applies for a confirmation that the vacancy can be filled; many doctor and nurse roles are on the regional shortage lists, which removes the labour market test. You then apply for temporary residence for employment, or for an EU Blue Card if you meet the salary and contract conditions.
Language requirements
- Slovakia does not use IELTS or OET for registration. The language that matters is Slovak, and the supplementary exam for third-country health professionals is held only in Slovak.
- Under section 31(4) of Act No. 578/2004, knowing the state language to the extent necessary for your profession is a condition of practising. The Ministry of Health verifies it under section 45(1)(ak) of Act No. 576/2004.
- Section 34b of Act No. 578/2004 lists what counts as proof: a school-leaving exam (maturita) or state language exam in Slovak or Czech, a passed supplementary exam under section 18a of Act No. 422/2015, a qualification gained in a programme taught in Slovak, status as a Slovak living abroad, or a Ministry of Health decision after it assesses your own evidence or tests you.
- The Ministry of Health's own verification has a written part (a test including dictation) and an oral part (reading a professional text aloud, retelling it and a discussion). You apply with a copy of your recognition decision. The Ministry does not publish a CEFR level or a fee for this test.
- For the temporary traineeship, you give the employer a declaration that you know Slovak or English well enough for the work. English is therefore enough to start supervised work, but not to pass the exam or practise independently.
- The Slovak Medical Chamber asks foreign doctors whose qualification was recognised to provide the Ministry of Health's language decision when registering, unless they passed a maturita or state language exam in Slovak or Czech. Check with the chamber how it applies the supplementary exam exemption to your case.
Visas
Temporary residence for employment with a vacancy confirmation
The Central Office of Labour, Social Affairs and Family describes this as the most used route. Your employer reports the vacancy to the labour office at least 20 working days before applying for a confirmation that it can be filled; the office then decides within 15 working days. You have 180 days from the confirmation to apply for temporary residence, which is granted for the length of the job, up to 2 years, and can be renewed.
Shortage occupations: no labour market test
If the job is on the current list of occupations with a labour shortage in that region, and third-country nationals make up no more than 45% of the employer's staff, the labour office does not test the local market. The list for the third quarter of 2026 for the Bratislava region includes doctors without a specialisation, several specialist doctors, nurses without a specialisation and midwives. Lists are published per region every quarter.
EU Blue Card
For highly qualified jobs that need a higher education degree. The gross monthly salary must be at least 1.2 times the average monthly wage in the Slovak economy for the previous calendar year (a lower multiple applies to recent graduates), and the contract must last at least 6 months. For a regulated profession, the employer attaches your recognition decision. The labour office decides within 15 working days, you then have 90 days to apply, and the Blue Card is granted for up to 5 years.
Where you apply
Applications for temporary residence are handled by the foreign police (Border and Foreign Police) of the Ministry of the Interior, where you book an appointment through its online booking system, or at a Slovak embassy abroad. An administrative fee applies; check the current amount with the office where you apply.
Reporting your stay
The Ministry of Labour says every foreigner must report the start, place and expected length of their stay to the foreign police within three working days of entering Slovakia. If you stay in a hotel or other accommodation, the accommodation provider does this.
EU, EEA and Swiss citizens
You do not need a work permit. If you hold a doctor, nurse, dentist, midwife or pharmacist qualification listed under the EU directive, recognition by the Centre takes up to 3 months and no supplementary exam is required. You still register with the chamber and must know Slovak to the necessary extent.
Pay
In Slovakia the minimum basic monthly pay of health workers employed full time by inpatient hospitals is set by Act No. 578/2004 as a multiple of the average monthly wage in the Slovak economy, as published by the Statistical Office for the year two years earlier (so 2026 pay uses the 2024 average). The amounts are updated every 1 January. Allowances, on-call pay and overtime are paid on top, and employers can pay more. To turn a multiple into euros, multiply it by the Statistical Office's average wage for the reference year.
| Role or band | Pay |
|---|---|
| Doctor or dentist with professional competence (no specialisation) | At least 1.50 times the average monthly wageSection 80a(1), Act No. 578/2004, inpatient hospitals and emergency services. |
| Doctor or dentist with a specialisation | At least 2.50 times the average monthly wageSection 80a(2), Act No. 578/2004. |
| Nurse with professional competence | At least 1.00 times the average monthly wageSection 80ab(1), Act No. 578/2004, inpatient hospitals. |
| Nurse with a certified activity | At least 1.05 times the average monthly wageSection 80ab(2). |
| Specialist nurse | At least 1.10 times the average monthly wageSection 80ab(3); 1.15 times for advanced practice or nursing management with a master's degree and 5 years in the specialism. |
| Increase for each year worked | 0.015 times (doctors without a specialisation), 0.03 times (specialists) or 0.01 times (most other health workers) per yearSection 80b(5), up to 30 years. Work in your profession in another country counts (section 80b(7)). |
Key terms in Slovakia
Questions
The Centre for the Recognition of Diplomas at the Ministry of Education, Research, Development and Youth. It first recognises your formal qualification and, after you pass the supplementary exam, your professional qualification for independent practice.
It is the supplementary examination that third-country health professionals sit after their diploma is recognised. It is held in Slovak at a Slovak university or secondary health school that teaches the same programme, with a written part and an oral part that can include a practical test.
Yes, under supervision. With a decision recognising your formal qualification, you can do a temporary professional traineeship for up to 18 months at one provider, supervised by a qualified colleague. It is optional and can only be done once.
The Centre's fee for health professions is €140 on paper or €90 online. The Slovak Medical University charges €500 for the doctors' and dentists' supplementary exam; for other professions the school sets the fee. Chamber registration is €13. Translations and certified copies are extra.
The Centre's stated times are 2 months for recognising a third-country health qualification and 1 month for the professional qualification after the exam. In between you need Slovak good enough to pass the exam, and you must apply at least 30 days before an exam date.
No. Slovakia does not use English tests for registration. You need Slovak, and the supplementary exam is held only in Slovak. English is accepted only for the temporary traineeship declaration.
At the Faculty of Medicine of the Slovak Medical University, Limbová 12-14, Bratislava. It has published dates from September 2026 to December 2027, with registration closing about a month before each date.
The Centre says an apostille or superlegalisation is not required when you submit a third-country application, but it may ask for one during the procedure. Your diploma and transcript must be certified copies with an official Slovak translation.
Usually temporary residence for employment based on a labour office confirmation that the vacancy can be filled, or an EU Blue Card for degree-level jobs paying at least 1.2 times the average wage. Doctor and nurse roles on the regional shortage list skip the labour market test.
Your basic qualification is recognised first. The Ministry of Health then recognises foreign specialisation diplomas; it says it decides within one month for specialisations listed in Annex 3 of Act No. 578/2004 and within two months for others.
The law sets minimum basic pay as a multiple of the national average wage from two years earlier: 1.00 times for a nurse, 1.50 times for a doctor without a specialisation and 2.50 times for a specialist, plus a small increase for each year worked. Employers can pay more.
Sources
- 1Centre for the Recognition of Diplomas: Specific procedures for third-country qualifications
- 2Centre for the Recognition of Diplomas: Recognition for regulated professions
- 3Centre for the Recognition of Diplomas: What is the supplementary examination
- 4Centre for the Recognition of Diplomas: Supplementary exam by profession
- 5Centre for the Recognition of Diplomas: Upcoming supplementary exam dates
- 6Centre for the Recognition of Diplomas: Issuing of decisions
Show all 25 sourcesShow fewer sources
- 7Ministry of Education: Recognition for regulated professions (fees)
- 8Slovak Medical University, Faculty of Medicine: Supplementary exams for doctors and dentists
- 9Slovak Medical University, Faculty of Nursing: Supplementary exams
- 10Ministry of Health: Temporary professional traineeship
- 11Ministry of Health: Knowledge of the state language
- 12Ministry of Health: Recognition of specialisation documents
- 13Act No. 578/2004 (consolidated text from 1 January 2026, PDF)
- 14Slovak Medical Chamber: Register of doctors
- 15Slovak Medical Chamber: Contributions and fees
- 16Slovak Medical Chamber: Licences
- 17Slovak Medical Chamber: Membership
- 18Slovak Chamber of Nurses and Midwives: Registration
- 19Central Office of Labour: Employment with a vacancy confirmation
- 20Central Office of Labour: Highly qualified employment (EU Blue Card)
- 21Central Office of Labour: Occupations with a labour shortage
- 22Central Office of Labour: Shortage list, Bratislava region, Q3 2026 (PDF)
- 23Ministry of Labour: Entry and residence of foreigners
- 24Ministry of the Interior: Residence of foreigners
- 25Health Care Surveillance Authority
Keep exploring
Registering and working in Slovakia