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Healthcare regulator · Belgium

FPS Public Health Belgium: Visa to Practise and Requirements

The FPS Public Health is the federal authority that lets you practise a health profession in Belgium. It acts after a Community has judged your diploma, and it checks your language and your record.

FPS Public HealthWorking in Belgium

Overview

The Federal Public Service (FPS) Public Health (SPF Santé publique in French, FOD Volksgezondheid in Dutch), grants the visa that you need to practise a healthcare profession in Belgium with a foreign diploma.

In Belgian usage the visa is the licence to practise, not an immigration document. Without it you cannot work as a doctor, nurse, dentist, pharmacist, midwife or in another regulated health profession, even if your employer and work permit are in place.

The FPS does not judge the academic content of your training. That is done first by a language Community: NARIC-Vlaanderen in Flanders, the Service des équivalences of the Fédération Wallonie-Bruxelles for French-speaking applicants, or the German-speaking Community. The FPS then checks what is specific to practising: that you speak Dutch, French or German at the required level, and that the authorities in the countries where you have worked confirm you are entitled to practise and have no disciplinary record.

How you apply depends on two questions: whether your diploma is European (EEA or Swiss) or non-European, and whether you will settle in Belgium or only provide services temporarily. For European diplomas the Community recognition triggers the FPS file automatically. For non-European diplomas you send the application yourself, by email, once you have the equivalence and, for some professions, the Community's professional recognition.

The FPS also handles a separate, limited authorisation for doctors with non-European diplomas who come for clinical training. It is valid for up to two years, does not allow normal practice and only covers specific procedures within the training.

Official website: health.belgium.be

Who it registers

  • Doctors, dentists and pharmacists (the professions trained at master's level, with C1 language).
  • Nurses responsible for general care and midwives (bachelor's level, B2 language).
  • Nurses trained below bachelor level and certain paramedical professions (B1 language).
  • Physiotherapists, clinical psychologists and clinical orthopedagogues (master's level, C1 language).
  • Paramedical professions such as dietitians, occupational therapists, speech therapists, podologists, medical imaging technologists and medical laboratory technologists.
  • Nursing assistants and ambulance staff for non-urgent patient transport (A2 language).
  • Temporary training authorisations for doctors with non-European diplomas (article 146), for up to two years.

Eligibility

  • An equivalence of your diploma from NARIC-Vlaanderen, the Service des équivalences of the Fédération Wallonie-Bruxelles or the German-speaking Community, if your diploma was issued outside the EEA and Switzerland.
  • Where your profession requires it, recognition of the professional title by the Community first; this applies in particular to physiotherapists, nursing assistants and paramedical professions.
  • Proof of Dutch, French or German at the level the FPS sets for your profession, from a diploma taught in that language or an official certificate less than four years old.
  • A certificate of good professional conduct from the competent authority of each country, except Belgium, where you have practised, confirming that you may practise and have never been suspended or disciplined.
  • A certificate of good conduct from the countries you have lived in (this is listed for the European route; expect similar checks).
  • A completed FPS application form for authorisation to practise a healthcare profession in Belgium, with its required attachments.
  • For the article 146 training route: a host hospital, usually with the linked university coordinating your application.

Check your route with the route finder

How to apply

  1. 1. Obtain the equivalence of your diploma

    Apply to the Community body that matches the language you will work in. Apply for the diploma that qualifies you for the profession, not a later specialisation, which you can add as a supplementary diploma. The FPS cannot start until this decision exists.
  2. 2. Get Community recognition of the profession if needed

    For physiotherapists, nursing assistants and paramedical professions the Community recognises the professional title before the visa. In Flanders, doctors, dentists, pharmacists, nurses, midwives, clinical psychologists and clinical orthopedagogues skip this and go straight to the FPS with their NARIC certificate.
  3. 3. Prepare your language proof

    Choose a test that is a real examination, covers reading, listening, writing and speaking, and is passed at the required level in every part. Unsupervised online tests are rejected. Check the date: official certificates must be less than four years old.
  4. 4. Request good standing certificates

    Ask the professional order or ministry of health in each country where you have worked for a certificate of good professional conduct. It must state that you are authorised to practise and that you have never been suspended or disciplined. The FPS gives a professional order or a ministry of health as examples of competent authorities; for Gulf experience this is the authority that licensed you.
  5. 5. Complete the application form

    Download the FPS application form for authorisation to practise a healthcare profession in Belgium and collect the attachments it lists. Make sure your name is written the same way on every document, and keep copies of everything you send.
  6. 6. Email the file to the FPS

    Send the completed form and attachments, including your language proof and certificate of good professional conduct, to [email protected]. There is no fee for the visa procedure.
  7. 7. Receive your visa

    The FPS issues the visa only after it has received every required document. With the visa you can practise the basic profession; for specialist titles you then apply to the Community, for example the Departement Zorg in Flanders.

Exams and assessments

  • No federal licensing exam

    The FPS page lists no licensing exam or knowledge test for the visa. Your training is assessed on paper by the Community equivalence body.

  • Language examination

    The language check is the main assessment at the FPS stage. Examples of accepted certificates include Travaillerpour.be and Werkenvoor.be (FPS BOSA), DELF, DALF, TCF and TEF for French, ITNA from the Flemish universities and CNaVT for Dutch, CVO and CBE adult education centres, and the Goethe-Institut for German.

Language requirements

  • English is not accepted. The FPS requires sufficient knowledge of Dutch, French or German to issue a visa.
  • Master's-level professions (doctor, dentist, pharmacist, physiotherapist, clinical psychologist, clinical orthopedagogue): C1, with B2 accepted for written expression.
  • Bachelor's-level professions (nurse responsible for general care, midwife, most paramedical professions): B2.
  • Below bachelor's level (nurses trained below bachelor level, certain paramedical professions): B1. Nursing assistants and ambulance staff for non-urgent patient transport: A2.
  • Certificates must be less than four years old, unless you hold a secondary, higher or university diploma from a Dutch, French or German-speaking institution.
  • The FPS notes that its example tests are indicative only and that there is no official list of accepted examinations.

Fees

ItemFee
FPS visa, non-European diplomaStated by the FPS Public Health.FreeStated by the FPS Public Health.
FPS visa, European diplomaFree
NARIC-Vlaanderen specific equivalence2026 price, indexed every January. A level equivalence is €122.€2432026 price, indexed every January. A level equivalence is €122.
Fédération Wallonie-Bruxelles equivalenceCommunicated during the procedureThe application page says you are told the procedure fee when your file is reviewed.
Language test and translationsSet by the provider

Estimate your total cost

Timeline

  • Equivalence: NARIC-Vlaanderen shows a target date for each stage in your online file and says high volumes, more than 600 new files a month in 2026, can delay the start of the assessment.
  • Missing documents: NARIC-Vlaanderen gives you 6 months to upload them before your file is closed.
  • FPS visa: the FPS does not publish a processing time; it issues the visa once every document has been received.
  • Training authorisation (article 146): valid for a maximum of two years.

Questions

No. In Belgian health law the visa is the authorisation to practise your profession. Immigration is a separate procedure, through a single permit or another residence route.

No. For a non-European diploma the first step is equivalence from a Community body. The FPS application follows once you have that decision.

No. The FPS states that the visa procedure is free for both European and non-European diplomas. The Community equivalence and your language test are paid separately.

A certificate of good professional conduct from every country except Belgium where you have practised, issued by the competent authority there. Other names for it are certificate of current professional status (CCPS) and letter of good standing.

Yes, if you have practised there. The FPS asks for a certificate from each country where you have worked, so you need one from each Gulf authority you were licensed with as well as from your country of training.

Not an unsupervised one. The FPS requires a supervised examination covering all four skills, passed at the required level in every part.

No. The visa covers the basic profession. Specialist titles are recognised by the Community, for example the Departement Zorg in Flanders for general practitioners and medical specialists.

The temporary service route is for European diplomas. With a non-European diploma, the only limited option the FPS lists is the article 146 training authorisation for doctors, for up to two years.

Sources

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