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Apply for recognition as a healthcare and pediatric nursing professional with a professional qualification from a third country

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Would you like to work as a healthcare and pediatric nurse in Germany? If so, you’ll need a state license. To obtain one, you must submit an application and have your foreign professional qualifications recognized.

  • Basic information

    The profession of health and pediatric nurse is regulated in Germany. This means that in order to work as a health and pediatric nurse in Germany, you need a state license. With this license, you are authorized to use the professional title “Health and Pediatric Nurse” and to practice in this profession. You may also apply to use the professional title “Health and Pediatric Nursing Specialist.”

    Even with a professional qualification from a so-called third country, you can obtain the state license from the relevant authority in Germany. Third countries are all countries that do not belong to the European Union (EU), the European Economic Area (EEA), or Switzerland. To obtain the license, you must have your foreign professional qualification recognized.

    During the recognition process, the competent authority generally compares your foreign professional qualification with the German professional qualification and assesses their equivalence. The equivalence of the professional qualification is an important prerequisite for the issuance of the state license.

    You may also choose to waive the equivalency assessment and directly take a proficiency exam or complete an adaptation course. In that case, the competent authority will not conduct an equivalency assessment.

    In addition to the equivalence of your professional qualification, you must meet other requirements for the issuance of the license. Additional requirements include, for example, sufficient German language proficiency and medical fitness.

    If your professional qualification is from the EU, the EEA, or Switzerland, different regulations apply.
    You can also submit your application for the procedure from abroad.

    Requirements

    • You have a comparable professional qualification as a healthcare and pediatric nurse from a third country.
    • You want to work in Germany as a public health and pediatric nurse.
    • Personal Suitability: You are reliable for work as a health and pediatric nurse and have no criminal record.
    • Medical fitness: You are mentally and physically capable of working as a health and pediatric nurse.
    • You have the required level of German proficiency. This is typically language level B2 according to the Common European Framework of Reference for Languages (CEFR).
  • Procedure

    Application

    You must submit an application to the appropriate authority to obtain permission to use the professional title “Health and Pediatric Nurse.” Or you can apply for the professional title “Health and Pediatric Nursing Specialist.”

    You can upload the application and supporting documents electronically. Do not send any originals by mail.

    Equivalency Review

    The competent authority will then verify whether you meet all the requirements. An important requirement is the equivalence of your professional qualification. The competent authority compares your professional qualification with the German professional qualification as a health and pediatric nursing specialist under the Nursing Care Act. The professional qualification is considered equivalent if there are no significant differences between your professional qualification and the German professional qualification.

    You may also choose to waive the equivalency assessment and proceed directly to a knowledge test or an adaptation course. In that case, the competent authority will not conduct an equivalency assessment.

    Possible Outcomes of the Equivalency Assessment

    If your professional qualification is equivalent, your foreign professional qualification will be recognized. The competent authority can confirm the result in writing. You must still meet the other requirements. You will then be granted permission to use the professional title “Health and Pediatric Nursing Specialist,” “Female Health and Pediatric Nurse,” or “Male Health and Pediatric Nurse.”

    Are there significant differences between your professional qualification and the German professional qualification? Perhaps you can compensate for the differences through your professional experience, other knowledge, skills, or competencies (lifelong learning). Knowledge, skills, and competencies must be certified by an official authority in the country where you acquired them.

    However, it may be that the significant differences cannot be compensated for by your professional experience, knowledge, skills, or competencies. In this case, the competent authority will inform you of the significant differences between your professional qualification and the German professional qualification and explain why you cannot compensate for these differences.

    The competent authority will also inform you of the compensatory measures you can take to address the substantial differences. If you decide not to undertake any compensatory measures, your professional qualification will not be recognized, and you will not be permitted to work in Germany as a healthcare and pediatric nursing specialist.

    Compensatory Measures

    There are various compensatory measures:

    • Adaptation course: The adaptation course lasts a maximum of 3 years.
    • Knowledge exam: The knowledge exam tests your knowledge in specific subjects and areas. The knowledge exam consists of an oral and a practical portion.

    You can choose between an adaptation course or a knowledge exam, even if you decide not to take an equivalency exam.
    If you successfully complete the compensatory measure and meet all other requirements, you will be authorized to use the professional title “Health and Pediatric Nursing Specialist,” “Female Health and Pediatric Nurse,” or “Male Health and Pediatric Nurse.”

    More information

    Equivalency Determination

    As part of the authorization process (recognition process), an equivalence assessment is generally conducted. You may request a separate decision regarding the outcome of this assessment.

    Procedure for Late Repatriates

    As a late repatriate, you may choose to go through the recognition process either under the laws listed here or under the Federal Displaced Persons Act. You can decide this for yourself. The responsible agency will advise you on which process is right for you.

    Legal Remedies

    You may take legal action (for example, file an appeal) against the decision of the competent authority within a specified time limit. The decision will then be reviewed. Details can be found in the information on legal remedies at the end of your decision notice. You should first speak with the competent authority before taking legal action against the decision.

  • Necessary Documents

    • The relevant agency will tell you which documents you need to submit. Generally, the important documents are:
      • Proof of identity (ID card or passport)
      • Marriage certificate (if your name has changed due to marriage)
      • Resume
      • Proof of your professional qualifications (e.g., diplomas, professional certificates)
      • Evidence of education
      • Evidence of your relevant professional experience in a profession comparable to that of a health and pediatric nurse
      • Evidence of additional relevant knowledge required for work as a healthcare and pediatric nursing professional
      • Information regarding any previous application for recognition. If applicable, please specify the agency to which you submitted the application.
      • Proof that you intend to pursue gainful employment in Germany
      • Do you still live or work in a third country—that is, outside the EU, the EEA, or Switzerland? If so, you may need to provide proof that you have received a job offer from a healthcare and nursing facility in Bremen to work as a registered nurse.
    • You will usually submit these documents at a later date. The relevant agency will let you know when you should submit the documents:
      • Proof of your personal suitability: Criminal record or certificate of good conduct from your country of origin.

      • Proof of your medical fitness: Medical certificate.

      • Proof of your German language proficiency: Language certificate

    • The relevant office will let you know which documents you need to submit—whether as a simple copy, a certified copy, or the original.
  • Fees / Costs

    The relevant agency will inform you of the costs. The costs generally depend on the amount of work involved in processing the application.

    Additional costs may also arise (for example, for translations, certifications, or remedial measures such as an adaptation course or an aptitude test). These costs vary from person to person.

  • Deadlines & processing time

    What deadlines must be paid attention to?

    There are no deadlines.

    Sometimes documents are still missing from the application. In that case, the responsible agency will let you know by when you must submit the missing documents.

    How long does it take to process

    4 months The relevant agency will notify you if any documents are missing. If the documents are complete, the process will take no more than 4 months.

  • Legal Bases

  • More Information

This page has been automatically translated by DeepL. We cannot guarantee that the translation is correct.

The official information in German is complete and correct. 07.07.2026

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