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Healthcare regulator · Denmark

Danish Patient Safety Authority: Authorisation and Exams

The Danish Patient Safety Authority decides who may practise as a doctor, nurse or other authorised health professional in Denmark. Here is its third-country route, step by step.

Danish Patient Safety AuthorityWorking in Denmark

Overview

The Danish Patient Safety Authority (Styrelsen for Patientsikkerhed, STPS) is the national body that grants Danish authorisation to health professionals and, for doctors and dentists, permission to work independently.

It keeps the public Authorisation Register at autreg.dk and is based at Islands Brygge 67 in Copenhagen. If you were educated outside the EU/EEA, STPS approves your education, checks that you meet the language and test conditions, issues a temporary authorisation for your adaptation job and grants full authorisation after a positive evaluation.

In 2026 the first question is whether STPS will accept your application at all. It has set a quota of zero for nurses from 7 October 2025 and for doctors from 15 December 2025, both running to 31 December 2026, because it says there is no general shortage of either profession. Applications from non-EU/EEA doctors and nurses are refused unless the applicant is exempt, and STPS expects to set a new quota each year.

You are exempt if you are a Danish, Faroese, Greenlandic or EU/EEA citizen, were educated in Denmark, the Faroe Islands or Greenland, hold legal residence in Denmark when you apply, or have a specific job offer as a specially requested healthcare professional. Applications caught by the quota have their fees refunded; cases already decided do not.

This page is for internationally trained doctors and nurses, including those working in the Gulf or trained in the UK after Brexit, who want to understand exactly what STPS asks for. The country page covers residence permits, the health system and pay.

What sets STPS apart from regulators in English-speaking countries is that the final assessment happens in the workplace. You do not register first and then look for work: you pass Danish and, for doctors, the medical tests, then complete a 6 or 12-month supervised adaptation job, and only a positive evaluation from that employer leads to authorisation. Strict deadlines apply: 5 years for doctors and 3 years for nurses from the education assessment.

Official website: en.stps.dk

Who it registers

  • Nurse (sygeplejerske)
  • Midwife (jordemoder)
  • Physiotherapist (fysioterapeut)
  • Occupational therapist (ergoterapeut)
  • Radiographer (radiograf)
  • Clinical dietitian (klinisk diætist)
  • Biomedical laboratory scientist (bioanalytiker)
  • Psychologist (psykolog)
  • Medical doctor (læge): authorisation and permission to work independently
  • Dentist (tandlæge): authorisation and permission to work independently
  • Social and healthcare assistant (social- og sundhedsassistent)
  • Other authorised groups, including chiropractors, chiropodists, optometrists, contact lens opticians, dental hygienists, clinical dental technicians and prosthetists and orthotists: STPS says 20 groups in all must hold an authorisation

Eligibility

  • In 2026, for doctors and nurses who are citizens of or trained in a country outside the EU/EEA: an exemption from the zero quota, such as legal residence in Denmark or a job offer as a specially requested healthcare professional.
  • A completed basic education in the profession that STPS can assess as equivalent to the Danish basic education; for nurses, postgraduate education of up to 120 ECTS points can be taken into account.
  • For doctors: primary source verification through ECFMG's EPIC of your final medical diploma, final transcript and licence to practise from your most recent country of work, with the licence report no more than 3 months old.
  • For nurses: certified copies of your diploma and transcript, plus a confirmation of degree from your school and a Certificate of Current Professional Status no more than 3 months old, each sent in a sealed envelope.
  • If your basic education was completed more than 6 years before you apply: documentation of at least 12 months of recent full-time work in the profession.
  • Prøve i Dansk 3 with at least 10 in oral communication and 7 in reading comprehension and written communication, passed within 12 months before you apply unless you have lived in Denmark continuously since.
  • For doctors and dentists: passes in the professional tests and the course in Danish health legislation.
  • A job for adaptation and training purposes in Denmark, which you find yourself, and a positive evaluation at the end of it.

Check your route with the route finder

How to apply

  1. 1. Check the quota and your exemption

    Before you pay anything, confirm that you fall into an exempt group. Applicants relying on legal residence upload their residence permit letter and both sides of the residence card; specially requested professionals upload the job offer, which for doctors must cover the full four-year evaluation period. Without one of these, STPS will reject a doctor's or nurse's application in 2026.
  2. 2. Complete ECFMG EPIC verification (doctors)

    Create an EPIC account and submit your final diploma, final transcript and licence to practise. ECFMG emails you as each credential is verified; when all three are done, you ask for the EPIC reports to be sent to STPS. Start early, because verification depends on how quickly your medical school and licensing body respond.
  3. 3. Apply online and pay the fee

    Fill in the online form for your profession and upload a colour, fully readable passport copy, CV, diploma, transcript and any postgraduate or name-change documents. The current fee is DKK 3,689 for doctors and DKK 1,362 for nurses, paid when you submit. Documents not in English, Norwegian or Swedish need certified translations in the same file as the original.
  4. 4. Send sealed documents (nurses)

    After the online application, nurses post certified copies of their diploma and transcript, a confirmation of degree from the educational institution and a Certificate of Current Professional Status from the health authority, the last two in sealed envelopes. STPS starts processing within a few working days once everything is in.
  5. 5. Receive the education assessment

    For doctors, STPS says it assesses a complete application in about 14 days. If your education is approved, the letter sets out what you must do to obtain authorisation; it is not an authorisation. The deadline clock now starts: 5 years for doctors to complete the first adaptation job and start or secure the final one, and 3 years for nurses to meet every requirement.
  6. 6. Pass the Danish 3 exam and send the certificate

    Take Prøve i Dansk 3 in May/June or November/December and send the original or a certified copy of the result. STPS confirms it within up to 14 days. Getting the grades (10 oral, 7 reading, 7 written) is the step that takes longest for most applicants.
  7. 7. Sit the medical tests (doctors)

    You are registered automatically for the written test once the language requirement is approved. The written test (March or September) must be passed before the oral test (May or November). If you are ill on the day, tell the exam office by 9:00 and send a medical certificate within three working days, or the attempt counts.
  8. 8. Complete the course in Danish health legislation

    The online course is free and in Danish, and you are enrolled once your language documentation is received. The final test has 20 questions and you need 18 right, with three attempts. It must be completed within one month of starting your adaptation job.
  9. 9. Apply for temporary authorisation and start your adaptation job

    Once you have a job offer, apply for a temporary authorisation (evalueringsautorisation). Nurses send an updated CV, a certificate of good standing and the application form stamped by the employer, and STPS says processing takes at least 14 days. For doctors, the Regional Councils for Postgraduate Medical Training must approve the specific posts.
  10. 10. Evaluation and authorisation

    Your department assesses your clinical and communication skills and completes an evaluation form at the end of the employment. A positive evaluation leads to Danish authorisation, and for doctors permission to work independently. After a negative evaluation you may try again, but only within your original deadline.

Exams and assessments

  • Written medical test (doctors)

    A four-hour written test covering all medical specialties at the level of a Danish medical graduate, held in March and September at the University of Copenhagen. It is graded on the 7-point scale with external examiners, is in Danish and is free. You have three attempts.

  • Oral medical test (doctors)

    A two-hour test with several stations assessing different specialties, held in May and November after you pass the written test. It is graded pass or fail, in Danish and free, with three attempts. Detailed dates are published in Danish by the University of Copenhagen's faculty.

  • Dental tests (dentists)

    A written test held in March and September, then oral tests in children's dentistry and adult dentistry held in May and November. The written test must be passed first.

  • Course in Danish health legislation (doctors and dentists)

    An online e-learning course in Danish with five modules and a final test of 20 questions; 18 correct answers are needed to pass, with three attempts. It is free.

  • Adaptation employment evaluation

    The final assessment for every profession: 12 months in two 6-month posts in different specialties for doctors without recognised specialist training, 6 months for doctors with it, and 6 months for nurses, extended if you lack clinical teaching hours. Your employer's evaluation decides the outcome.

Language requirements

  • STPS tests Danish, not English. The requirement is Prøve i Dansk 3 with at least 10 in oral communication, 7 in reading comprehension and 7 in written communication.
  • For nurses educated outside the EU/EEA, the Danish 3 requirement applies from 1 July 2025. Nurses who had started or been offered adaptation employment by that date, or whose 3-year deadline ended before 1 July 2026, were exempt.
  • The pass must be no more than 12 months old when you apply, unless you have lived in Denmark continuously since passing it.
  • Danish upper secondary education, the higher preparatory examination (HF), GIF, a Danish IB or a Danish university education also meet the requirement.
  • No English test is listed. Documents in English, Norwegian or Swedish are accepted without translation; others need a certified translation by a university, an authority or a certified translator.
  • The medical tests, the dental tests and the course in Danish health legislation are all held in Danish.

Fees

ItemFee
Application, medical doctorsCurrent application page. STPS's overview pages for doctors and dentists still show DKK 3,508, the 2024 rate; check the amount on the form when you apply.DKK 3,689Current application page. STPS's overview pages for doctors and dentists still show DKK 3,508, the 2024 rate; check the amount on the form when you apply.
Application, nursesPaid when you submit the application form.DKK 1,362Paid when you submit the application form.
Application, dentistsAs shown on STPS's dentist overview page.DKK 3,508As shown on STPS's dentist overview page.
Authorisation, other professions (2024 rate)2024 rate from STPS's page on the July 2024 changes; current rates may be higher.DKK 1,2952024 rate from STPS's page on the July 2024 changes; current rates may be higher.
Specialist recognition (2024 rate)2024 rate; STPS says a fee applies to specialist registration.DKK 5,1952024 rate; STPS says a fee applies to specialist registration.
Medical testsWritten and oral tests at the University of Copenhagen.FreeWritten and oral tests at the University of Copenhagen.
Course in Danish health legislationFree
RefundsFees are not refunded if you are refused, except where STPS rejects an application because of the quota.Not refundedFees are not refunded if you are refused, except where STPS rejects an application because of the quota.
ECFMG EPIC verificationPaid to ECFMG, not STPS. Translations and Danish courses are extra.Set by ECFMGPaid to ECFMG, not STPS. Translations and Danish courses are extra.

Estimate your total cost

Timeline

  • Education assessment for doctors: about 14 days after STPS receives complete documentation, according to STPS.
  • Language documentation: confirmed within up to 14 days of receipt; the Danish 3 exam itself is held only twice a year.
  • Medical tests: written in March or September, oral in May or November, so a doctor who passes each first time needs at least two exam rounds.
  • Temporary authorisation for nurses: at least 14 days to process.
  • Adaptation job: 6 or 12 months, longer if clinical teaching hours are missing; doctors have 5 years and nurses 3 years from the education assessment to meet the requirements.
  • Overall: STPS says obtaining authorisation and permission to work independently may take several years, depending on how quickly you learn Danish and pass the tests.

Questions

Not from most non-EU/EEA doctors and nurses in 2026. The quota is zero until 31 December 2026, with exemptions for people with legal residence in Denmark, EU/EEA and Danish citizens, those educated in Denmark, Greenland or the Faroe Islands, and specially requested healthcare professionals.

STPS says applications not yet decided will generally be rejected and fees refunded where the education had not been approved. Doctors whose education was already approved and who document legal residence may continue. Rejected cases can be reopened if you show you were in an exempt group on the start date.

STPS uses ECFMG's EPIC service for primary source verification of your medical diploma, transcript and licence to practise. You open the EPIC account and pay ECFMG, then ask for the reports to be sent to STPS.

At least 10 in oral communication and at least 7 in reading comprehension and written communication. The pass must be under 12 months old when you apply unless you have lived in Denmark continuously since.

Three for the written test and three for the oral test. Not attending without unregistering at least one month ahead counts as an attempt, unless you report illness by 9:00 on the day and send a medical certificate within three working days.

If you completed your basic education more than 6 years before STPS receives your application, it generally assesses your skills as out of date unless you document at least 12 months of recent full-time work in the profession. Doctors may apply for a dispensation.

A temporary authorisation that lets you work in your adaptation and training job under evaluation. You apply for it once you have a job offer and must hold it before you start work.

Not directly. After authorisation, permission to work independently and your adaptation job, the Regional Councils for Postgraduate Medical Training assess your foreign specialist training and tell you which posts and courses you still need for Danish specialist recognition.

A Danish employer offers you a job covering the whole evaluation period and provides a supervision plan, including how you will learn Danish, with evaluation forms every six months. You apply through the normal route for your profession and email the job offer to [email protected].

Only if you are an EU/EEA or Swiss citizen who finished your UK education before 1 January 2021. Everyone else trained in the UK, including UK citizens, uses the third-country route.

Sources