OMCeO and OPI (Italian Ordini): Registration, Exams and Fees

• Albo dei Medici Chirurghi and Albo degli Odontoiatri, kept by each provincial OMCeO (national federation: FNOMCeO).
• Albo degli Infermieri and Albo degli Infermieri pediatrici, kept by each OPI (national federation: FNOPI).
• Albo delle Ostetriche, kept by the Ordini of the midwifery profession (FNOPO).
• Albo dei Farmacisti (FOFI) and Albo dei Fisioterapisti (FNOFI).
• The albi of the health technical, rehabilitation and prevention professions, such as radiographers and biomedical laboratory technicians, kept by the Ordini TSRM e PSTRP.
• Professions without an Ordine are listed in special lists (elenchi speciali) at the Ministry of Health instead.

• A Ministry of Health recognition decree for your title (or an Italian degree and qualification), issued no more than two years earlier.
• Passing the Ordine's check of Italian and, where your decree requires it, of the rules governing the profession in Italy.
• Residence or a professional address in the Ordine's province: OMCeO Milano, for example, requires residence or professional domicile in Milan or its province.
• An Italian tax code (codice fiscale).
• For doctors at OMCeO Milano, an Italian certificate at CEFR B2, and at C1 from 1 September 2026, plus its own test on writing medical certificates and professional documents.
• Payment of the Ordine's registration fee, the government concession tax and stamp duty.
• A valid permit to stay in Italy where you are a non-EU citizen; ask your Ordine which documents it accepts, because published lists vary.

Check your route with the route finder

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   1. Find the right Ordine

   Register in the province where you live or have your professional address. The Ministry's Ordini page links to each national federation, and the federations list their provincial Ordini. If you have a job offer, the Ordine of that province is usually the one to approach.
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   2. Check the Ordine's language rules and next exam date

   The language and rules check is organised locally. OPI Verona publishes exam dates, study material and an online enrolment form; OMCeO Milano states its certificate level and runs its own test. Ask early, because sessions are not held every month.
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   3. Get an Italian certificate if your Ordine asks for one

   OMCeO Milano asks non-Italian doctors for a CEFR B2 certificate and states that C1 is required from 1 September 2026. Other Ordini may test you directly without a prior certificate. Build in time for courses, because the level needed for clinical documents is high.
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   4. Sit the Ordine's exam

   At OPI Verona the exam has a written and then an oral part, held in person at the Ordine. If your decree requires only a language check you sit the Italian test; if it also requires the professional rules, you sit Italian and nursing legislation. OMCeO Milano's test covers using Italian to write medical certificates and professional documents, with reference to the rules on practice.
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   5. Pay the fees

   OPI Verona charges €100 to sit its exam, paid as instructed by email before the session. OMCeO Milano lists €135 registration (€70 for new graduates), €168 government concession tax and €16 stamp duty for first registration. Other Ordini set their own amounts.
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   6. Apply for registration

   After passing, submit the registration application with its attachments. OPI Verona asks for the signed form and all attachments in original; OMCeO Milano uses an online application through SPID or CIE digital identity, followed by a visit to the Ordine to finalise. OPI Napoli publishes a separate form for non-EU citizens with a title obtained outside Italy.
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   7. Keep your registration current

   If you move province you transfer to the new Ordine; OMCeO Milano lists €16 stamp duty and €5 for the card for a transfer. Ordini supervise members and can impose disciplinary sanctions, with appeal to the CCEPS.

• OPI Verona: Italian and nursing law exam

  For EU and non-EU nurses with a Ministry recognition decree. A written part followed by an oral part, in person at the Ordine in Verona, on Italian alone or on Italian and nursing legislation depending on the decree. The fee is €100, and OPI Verona publishes reference material for preparation.

• OMCeO Milano: professional Italian test for doctors

  Taken at the Ordine in addition to a B2 certificate (C1 from 1 September 2026). It tests your command of Italian for writing medical certificates and documents related to the profession, with reference to the rules governing practice in Italy.

• Ministry compensatory measure (before the Ordine)

  If your Ministry decree is conditional, you pass the Ministry's aptitude test in Rome before approaching the Ordine. This is separate from, and comes before, the Ordine's language check.

• No English test is required. The Ordine checks Italian, not English.
• DPR 394/1999 (article 50, paragraph 4) makes registration conditional on a check of Italian and of the rules on professional practice in Italy, carried out by the Ordine at your expense.
• Levels vary by Ordine: OMCeO Milano asks doctors for CEFR B2 and states C1 is required from 1 September 2026, plus its own test.
• OPI Verona tests nurses itself through a written and oral exam rather than asking for a set certificate level on its exam page.
• EU citizens with recognised titles also sit the Italian check; non-EU citizens are tested on Italian and, where the decree requires it, on the professional rules.

Estimate your total cost

• You must register within two years of the Ministry decree, or the decree loses effect (DPR 394/1999, article 50, paragraph 8-bis).
• Exam sessions are set by each Ordine; OPI Verona announces its date in the notes section of its exam page.
• Language preparation is usually the longest stage, especially where an Ordine asks for C1.
• Registration itself follows once you pass and submit a complete application; Ordini do not publish a standard processing time.