- a medical examination by a doctor established in Luxembourg;
- and TB screening by the Health and Social Welfare League (Ligue médico-sociale - LMS).
After receiving the results of these examinations, the Immigration Medical Department (Service Médical de l'Immigration - SMI) of the National Health Directorate (Direction de la Santé) will issue a medical certificate, which will be sent to the Immigration Directorate (Direction de l'Immigration) of the Ministry of Foreign and European Affairs (ministère des Affaires étrangères et européennes) to allow the residence permit application to be processed.
Residence permits will not be granted to applicants who refuse to undergo the medical check-up required.
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The medical check is mandatory for all third-country nationals (i.e. from a country that is neither an EU Member State nor a country treated as such - Iceland, Norway, Liechtenstein and Switzerland) who wish to reside in Luxembourg for more than 3 months and in the framework of an application for a residence permit.
- are family members of an EU citizen or a national of a country treated as such;
- or are long-term residents in another Member State, as is the member of their family.
Before coming into Luxembourg, nationals of non-EU countries must hold a temporary authorisation to stay for:
- a salaried worker;
- a self-employed worker;
- a highly qualified worker;
- a sportsman/woman or a sports coach;
- a student;
- a trainee;
- a researcher;
- seasonal worker;
- voluntary worker;
- family member of a third country national;
- or for private reasons.
The doctor who issues the temporary medical certificate must send it to the Immigration Medical Department (Service médical de l'immigration - SMI) within one month. The SMI must then issue the final medical certificate.
Applications for residence permits can only be processed by the Immigration Directorate once the corresponding medical certificates have been received. Applicants are therefore advised to undergo the medical examination and the TB screening test as soon as possible.
The costs of the medical examinations and issuance of the medical certificate are to be paid by the third-country national in question.
Third-country nationals must consult a doctor established in Luxembourg to undergo a medical examination. The medical examination must be carried out by a doctor established in the country and authorised to practice medicine as a general practitioner, a specialist in internal medicine or a paediatrician.
The medical examination must comprise:
- a general clinical examination carried out by a doctor who may, where applicable, be assisted by medical specialists and request additional examinations;
- a blood test to check for sexually transmitted diseases, excluding HIV/AIDS;
- a check to make sure vaccinations are up to date;
- a capillary glucose test for people with a risk of developing diabetes, due to their medical history, age or state of health;
- a urine test including checks for protein and blood.
The medical examination is intended to detect the following diseases or conditions:
- infectious diseases listed in the International Health Regulations 2005 (IHR);
- mental problems needing treatment and which are likely to compromise the safety of others or pose a serious threat to public order;
- known drug addiction needing long-term medical treatment;
- health problem that is clearly in contradiction with the reason for residing in Luxembourg (in particular undertaking paid employment).
Following the examination, the doctor issues a temporary medical certificate (form provided by the Ministry of Health (Ministère de la Santé)), which he sends as soon as possible (within a maximum of one month) in a sealed envelope to the Immigration Medical Department (SMI).
Third-country nationals must go to the Health and Social Welfare League (Ligue Médico-sociale, LMS) to undergo:
- a TB screening;
- and, if necessary, a chest X-ray.
The screening is to check for active, contagious TB or TB that is likely to develop.
Following the screening, the LMS sends confirmation thereof to the Immigration Medical Department.
After having obtained the medical certificate from the doctor and the confirmation from the LMS, the Immigration Medical Department (SMI) sends the official medical certificate to the Immigration Directorate of the Ministry of Foreign and European Affairs.
The official medical certificate does not contain any medical data and simply indicates whether or not the medical conditions required for residency are fulfilled.