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Documents for the Approbation, Fachsprachprüfung and Kenntnisprüfung: checklist with links

By Dr. Pascal Bafteh · As of 22 October 2026 · official sources only, all links opened on 22 October 2026

If you studied medicine in a third country – outside the EU, the EEA and Switzerland – and want to work as a doctor in Germany, you apply for the Approbation (the full licence to practise). This page lists the documents the authorities usually ask for and, for each one, who issues it and where you get it.

In short: You will almost always need the application form of your licensing authority, a CV, proof of identity, your diploma with a record of subjects and hours, proof that you may practise as a doctor in your country of training, certificates of good conduct from Germany and your home country, a certificate of good standing, a medical certificate and a German certificate at level B2; the Fachsprachprüfung (medical German, C1 level) follows later. Foreign documents usually need a translation by publicly appointed or authorised translators – many authorities accept only translators authorised in Germany – and often an apostille or legalisation. Exactly what is required is decided by the authority of your federal state.
Not legal advice – only the responsible authority is binding. Every federal state has its own information sheets, forms and deadlines. The list below shows what is commonly required and names the state, with a source, where rules differ. Before you have documents translated or certified, read your authority’s own checklist – it is linked on our page for your federal state (in German).

The documents one by one – with links

The basis is the document list of the federal government’s Recognition Finder for doctors with a degree from a third country (sample query: Berlin), together with the information sheets from Berlin, Hamburg and Hesse (all in German). Enter your place of work in the Finder to see the list and the responsible authority for your state.

A · Application and identity

Application form of the licensing authority

What for
The application for the Approbation (often also for a temporary licence, the Berufserlaubnis). In some states you also choose here whether to go straight to the Kenntnisprüfung.
Where to get it
From the licensing authority of the federal state where you want to work – the form is on its website. The authority is listed in the table below and on each state page. Example: application form of LAGeSo Berlin (PDF, German).
Depends on the state
Some authorities accept documents by post only, some also online; in Rhineland-Palatinate applications from third countries go through an education provider; in Hesse you send your first application to the Pflegequalifizierungszentrum (PQZ) Hessen in Marburg, which forwards it to the HLfGP (HLfGP Hesse). Details on the state page (in German).

Sources: Recognition Finder · Service Berlin

Proof that you intend to work in that federal state

What for
The state where you intend to work is responsible, and many authorities want evidence of this.
Where to get it
For example a job offer or employment contract (employer), a registration certificate (registration office of your place of residence), applications or invitations to interviews. If you are still abroad, the Central Service Center for Professional Recognition (ZSBA) offers location advice; Hamburg explicitly accepts the “Standortvermerk der ZSBA” as evidence.
Depends on the state
Berlin and Hamburg list several possible kinds of proof; in Hesse and Saxony-Anhalt a registration certificate is part of the documents.

Sources: Service Berlin · Hamburg information sheet (01/2026) · HLfGP Hesse

CV in table form

What for
An overview of your education, further training and previous jobs.
Where to get it
You write it yourself – in German, with date and signature. Hamburg asks for a CV “without gaps”, including your professional career.

Sources: Recognition in Germany: documents · Service Berlin · Hamburg information sheet

Proof of identity (passport or ID card)

What for
So the authority can identify you.
Where to get it
Your valid passport or ID card; usually you submit a certified copy. According to the recognition portal no translation is needed; if your document is not in Latin script, a transliteration may be required.

Sources: Recognition in Germany: documents · Service Berlin

Birth certificate; if your name changed, marriage or name-change certificate

What for
Shows your birth name and any change of name, so that all documents match you.
Where to get it
From the office that issues civil status certificates in your home country. Whether an apostille or legalisation is needed depends on the issuing state (see below).
Depends on the state
Berlin, Hamburg and Hesse ask for the birth certificate; according to the Recognition Finder you need proof of a change of name if your name has changed.

Sources: Recognition Finder · Service Berlin · Hamburg information sheet · HLfGP Hesse

B · Education and profession

Medical diploma or degree certificate

What for
Proof of your medical training – the core of the application. Berlin also lists your doctoral certificate, if you have one.
Where to get it
From your university. To confirm authenticity: an apostille from the competent office in the issuing state, or legalisation by the German mission there (see below).
Depends on the state
Berlin requires an apostille or legalisation for training documents (LAGeSo checklist for applicants trained in a third country, PDF, German); Hamburg asks for an apostille or legalisation; Bremen and Lower Saxony list degree certificates with apostille/legalisation; Saxony requires the diploma with apostille or legalisation in the original – without a recognised apostille or legalisation, Saxony always has its authenticity checked. Note: for documents from some states an apostille is not valid in Germany (see below).

Sources: Service Berlin · Hamburg information sheet · Landesdirektion Sachsen · Bremen, Lower Saxony: state pages

Record of subjects and hours (transcript, diploma supplement, study book)

What for
Shows the content and length of your studies. The authority needs it above all when it assesses equivalence on the basis of your documents.
Where to get it
From your university. Hamburg asks for an “individualised overview of subjects and hours” per semester with theoretical and practical hours, the practical training (e.g. internship) and the content of the final examination; the detailed curriculum only on request.
Depends on state and application date
For applications from 1 November 2026 (Federal Law Gazette 2026 I No. 225): if you do not explicitly choose the equivalence assessment, according to the Federal Ministry of Health you no longer have to submit documents needed only for it – such as curricula – so you need not copy, translate or certify them either (more on the reform).

Sources: Recognition in Germany: documents · Hamburg information sheet · BMG FAQ (German)

Proof that you may practise as a doctor in your country of training

What for
According to the Recognition Finder you must show that you are allowed to practise the profession in the country where you trained.
Where to get it
From the competent authority in your country of training (e.g. licence to practise, registration, work book). Hamburg also lists licences from other states and any previous German temporary licences.

Sources: Recognition Finder · Hamburg information sheet

Proof of work experience and further training

What for
Work experience and lifelong learning can compensate for substantial differences in your training – but you have to prove your professional practice.
Where to get it
References and certificates from your previous employers; certificates of further training from the providers. Hamburg asks for them “where applicable”.

Sources: Recognition in Germany: documents · Service Berlin · Hamburg information sheet

C · Good conduct and health

Certificate of good standing

What for
Confirms that there is nothing against your medical practice.
Where to get it
From the medical chamber or health authority responsible for your medical practice. Which country it must come from differs: Hamburg wants it from the country or countries where you last worked, Berlin from every country where you worked as a doctor (LAGeSo checklist), Hesse and Schleswig-Holstein from your country of training (HLfGP Hesse · SHIBB).
How old it may be
Berlin: no older than three months when submitted; Saxony: no older than three months (Landesdirektion Sachsen).

Sources: Service Berlin · Hamburg information sheet

Criminal record extract from abroad (home, study or residence country)

What for
Proof of personal reliability.
Where to get it
From the police or judicial authority of the country concerned. Whether an apostille or legalisation is needed depends on the issuing state.
Depends on the state
Berlin wants extracts from your home country, country of study and other countries of residence (LAGeSo checklist); Hesse and Schleswig-Holstein from the country of your last habitual residence or of training (HLfGP Hesse · SHIBB). Age: Berlin and Hamburg no older than three months when submitted, Recognition Finder no older than three months when applying, Saxony no older than three months (Landesdirektion Sachsen), Saxony-Anhalt no older than three months on entry for permanent residence in Germany (Saxony-Anhalt application form, PDF).

Sources: Service Berlin · Hamburg information sheet · Recognition Finder

German certificate of good conduct “for submission to an authority” (Führungszeugnis, Belegart O)

What for
An extract from the Federal Central Criminal Register on your personal reliability.
Where to get it
From the Federal Office of Justice: online at fuehrungszeugnis.bund.de (with an online ID; according to the Federal Office of Justice, online applications are currently – as of 22 October 2026 – not possible because of a security warning from the BSI), in Germany also at the registration office of your place of residence. From abroad in writing with the Federal Office of Justice form: your signature and personal data must be officially confirmed (German mission, a foreign authority or a notary), and you pay the fee in advance. State the purpose and the exact address of your licensing authority – the certificate is then sent straight there. Fee: 13 euros. Hamburg and Hesse write “Belegart 0B” or “Typ OB”; Hamburg also wants its authority code K6392Q and your profession as the purpose. Use the wording from your authority’s information sheet.
When and how old
Berlin: no older than three months. Saxony: no older than one month when you apply (Landesdirektion Sachsen). Hamburg: only when the licensing office asks for it. Saxony-Anhalt: not needed when you apply, later on request (application form, PDF). Hesse: only if you have already been in Germany for at least three months (HLfGP Hesse). Mecklenburg-Western Pomerania: only after you have passed the Fachsprachprüfung. So wait for your authority’s instructions.

Sources: Federal Office of Justice (German) · Service Berlin · Hamburg information sheet · Mecklenburg-Western Pomerania: state page

Medical certificate of fitness to practise

What for
Confirms that you are medically fit to practise the profession.
Where to get it
According to the Recognition Finder, a medical certificate from Germany or from a medical adviser of the German embassy. Many authorities have their own form, for example the medical certificate form of LAGeSo Berlin (PDF, German).
Depends on the state
Berlin: from a doctor licensed in Germany, no older than three months. Hamburg: from a doctor practising in Germany, not from family members. Hesse: from the occupational health service of the hiring hospital or from a doctor practising in Germany. Saxony: according to the Landesdirektion no older than one month when you apply – elsewhere on the same page: three months (Landesdirektion Sachsen).

Sources: Recognition Finder · Service Berlin · Hamburg information sheet · HLfGP Hesse

Declarations: previous applications, pending criminal or investigation proceedings

What for
The Recognition Finder asks whether and where you have already applied for recognition. Hamburg’s application form (Vordruck 1) also asks you to declare pending criminal or investigation proceedings.
Where to get it
Usually part of your authority’s application form.

Sources: Recognition Finder · Hamburg information sheet

D · Language

German certificate at level B2 (general language)

What for
The basis of your German skills and a precondition for the Fachsprachprüfung.
Where to get it
By passing a B2 exam with a provider your authority recognises – see the section on language certificates.

Fachsprachprüfung (medical German, oriented to level C1)

What for
Proof of the professional language needed to work as a doctor; usually taken at the state chamber of physicians.
Where to register
Depending on the state, the authority registers you or you register yourself with the chamber – table below.

E · Form

Certified copies, translations, apostille or legalisation

What for
So that German authorities can read foreign documents and trust them.
Where to get it
Translators: interpreter and translator database of the state justice administrations. Apostille: from the competent office in the issuing state – only if the Convention applies in relation to Germany (Federal Foreign Office list, German; authorities: Hague Conference). Legalisation: from the German mission in the issuing state. Details in the next section.

Copies, translations, apostille: what is involved?

Certified copies instead of originals

The federal government’s recognition portal advises: do not send originals; if the authority asks for documents “in the original”, submit officially certified copies. The states handle this differently:

Source for the general rule: Recognition in Germany: documents for the application

Translations

You usually have to submit foreign documents in German translation, made by publicly appointed or authorised translators. Whether a translation made abroad is accepted is decided by the responsible authority – ask first. Translators authorised in Germany can be searched by language and place in the interpreter and translator database of the state justice administrations.

Sources: Recognition in Germany · Translator database

Apostille or legalisation

Both confirm that a foreign public document is genuine. Which procedure applies depends on the state that issued the document:

Sources: Federal Foreign Office: international recognition of documents · Federal Foreign Office: where the apostille applies in relation to Germany (German) · Federal Foreign Office: states without legalisation (German) · Federal Foreign Office (German) · HCCH: apostille authorities

Authenticity checks and expert reports: the Gutachtenstelle für Gesundheitsberufe (GfG)

The Gutachtenstelle für Gesundheitsberufe (expert office for health professions) at the Central Office for Foreign Education (ZAB) works for the recognition authorities of the states: for example, it checks whether documents are genuine and prepares expert reports. Whether it is involved depends on your authority’s procedure. In Hamburg the information sheet includes forms with which you declare the commission and agree to the costs: 145 euros for checking the authenticity of your qualification, 417 euros for determining the reference qualification; billing goes through the licensing office (as of 01/2026).

Sources: Standing Conference of Education Ministers (KMK, German) · Hamburg information sheet

Language certificates: B2 and the Fachsprachprüfung

According to the Recognition Finder you need German at level B2 of the Common European Framework of Reference and, in most cases, also a Fachsprachprüfung at C1 level. This goes back to the 2014 key points of the Conference of Health Ministers: general language at B2, professional language oriented to C1.

Which B2 certificates are accepted?

There is no list binding on all states. The BAMF does publish an overview of recognised B2 certificates, and Saxony follows it (Landesdirektion Sachsen); other authorities name their own providers. Ask your authority before you register for an exam:

Federal stateExam providers named (B2)Age of certificate
Berlintelc, TestDaF or Goethe-Institut Service Berlinno older than 3 years
Hamburg“recognised language institute”: Goethe-Institut, telc, TestDaF, ÖSD, ECL Hamburg information sheetnot stated in the sheet
HesseGoethe-Institut or telc gGmbH HLfGP Hessenot stated
Saxonybased on the BAMF overview of recognised B2 certificates Landesdirektion Sachsennot stated
Saxony-Anhaltno provider named; B2 or higher (for registering for the FSP at the chamber) Ärztekammer Sachsen-Anhaltno older than 5 years
Schleswig-HolsteinGoethe-Institut, TestDaF or telc (section on the temporary licence); elsewhere on the same page only Goethe-Institut or telc SHIBBnot stated

When do you have to submit the B2 certificate?

The information differs here too: according to the Recognition Finder (Berlin example) and Service Berlin, you do not yet need a language certificate when you apply. Hesse, by contrast, requires the B2 certificate with the application, as does Saxony according to its chamber of physicians (Sächsische Landesärztekammer), and Schleswig-Holstein with an application for a temporary licence (SHIBB); and in North Rhine-Westphalia the procedure only continues once B2 has been proven (NRW state page). In many states you cannot register for the Fachsprachprüfung without B2.

Sources: Recognition Finder · Service Berlin · HLfGP Hesse · Health Ministers’ Conference 2014 (quoted by the Saxon State Chamber of Physicians)

Does another medical-German certificate replace the Fachsprachprüfung?

Each state decides. One example: the Berlin Chamber of Physicians states that the telc certificate Deutsch B2-C1 Medizin does not replace the Berlin Fachsprachprüfung – LAGeSo only accepts the exam passed at the Berlin chamber (Ärztekammer Berlin). Other states accept certain certificates; what applies in yours is on the state page.

Where to apply and how to register for the FSP – by federal state

You apply to the licensing authority of the federal state where you want to work. Depending on the state, the authority registers you for the Fachsprachprüfung, or you register yourself with the chamber – usually only once you have the acknowledgement of receipt of your Approbation application. Click a state to open its page with authorities, forms, fees and sources (in German).

Federal stateRegistering for the Fachsprachprüfung
Baden-WürttembergThe authority (Regierungspräsidium Stuttgart) registers you.
BavariaThe authority (ZAABY) passes on your data; the state chamber contacts you.
BerlinYourself at the Berlin Chamber of Physicians – with the LAGeSo acknowledgement of receipt.
BrandenburgYourself at the state chamber – while your procedure at the LAVG is running.
BremenThe authority registers you.
HamburgThe authority passes your data to the chamber; the chamber contacts you.
HesseYourself online at the state chamber – with the HLfGP acknowledgement of receipt.
Mecklenburg-Western PomeraniaYourself by email to the chamber – with the LAGuS certificate.
Lower SaxonyThe authority (NiZzA) registers you.
North Rhine-WestphaliaVia the Bezirksregierung Münster (form), which forwards to the chamber.
Rhineland-PalatinateYourself by email to the Bezirksärztekammer Rheinhessen – with the LSJV acknowledgement of receipt.
SaarlandNot clearly published – ask the licensing authority.
SaxonyThe authority (Landesdirektion Sachsen) registers you.
Saxony-AnhaltYourself at the chamber – with the authority’s acknowledgement of receipt.
Schleswig-HolsteinBy form at the SHIBB, which forwards it to the Mecklenburg-Western Pomerania Chamber of Physicians (it holds the exam for Schleswig-Holstein).
ThuringiaYourself electronically at the state chamber – with the acknowledgement of receipt of the Landesverwaltungsamt.
State information as of 2 October 2026, researched before the reform’s cut-off date. The official source for each row is on the state page. Procedures may change after 1 November 2026.

Funding: BAMF job-related language course for academic health professions

The Federal Office for Migration and Refugees (BAMF) funds a job-related German course (Berufssprachkurs) specifically for doctors, dentists and pharmacists. According to the BAMF:

Sources: BAMF: language courses for recognition procedures (German) · BAMF: job-related German courses – entitlement

Other funding routes – recognition grant, education voucher, employers – are explained in our funding guide for the FSP and KP; the Förder-Check shows in four clicks which route fits you (both in German). Important according to the Recognition Finder: apply for financial support for the recognition procedure before you submit your application for recognition (Recognition in Germany: financial support).

Reform from 1 November 2026

For applications from 1 November 2026 with a degree from a third country, the Kenntnisprüfung is the standard route; the equivalence assessment based on your documents is only available if you choose it within four weeks of applying – what this means for your documents is explained on our page on the recognition reform 2026.

Free advice

Printable checklist

Tick what you already have and what is done. Whether a document needs a certified copy, a translation or an apostille/legalisation is stated in your authority’s checklist.

✓ have it · C certified copy · T translation · A apostille or legalisation

DocumentHave itCertified copyTranslationApostille / legalisation
Application form of the licensing authority☐–––
Proof of intention to work in the state (e.g. job offer, registration certificate)☐☐☐☐
CV in table form (German, date, signature)☐–––
Passport or ID card☐☐––
Birth certificate, marriage or name-change certificate if applicable☐☐☐☐
Diploma / degree certificate (doctoral certificate if any)☐☐☐☐
Record of subjects and hours (transcript, diploma supplement)☐☐☐☐
Proof of licence to practise in the country of training☐☐☐☐
Employer references, further training (if any)☐☐☐☐
Certificate of good standing (Berlin, Saxony: no older than 3 months)☐☐☐☐
Criminal record extract, home/residence countries (usually no older than 3 months)☐☐☐☐
German Führungszeugnis, Belegart O (Hamburg/Hesse: 0B/OB) – sent straight to the authority; Saxony: no older than 1 month☐–––
Medical certificate (authority’s form; usually no older than 3 months, Saxony: 1 month)☐–––
German certificate B2 from a recognised provider☐☐––
Fachsprachprüfung passed☐–––

“–” means: usually not applicable (German document, the authority’s own form, or sent straight to the authority). Depending on the authority, time limits and the age of documents apply at the time of application, of submission or of granting the Approbation. Not legal advice – only the responsible authority is binding.

FAQ

Is there one nationwide list of documents?▾

No. The “Recognition in Germany” portal lists the documents that are always, usually or depending on the profession required, and the Recognition Finder gives the list for your profession and place; exactly which ones, in what form and when is decided by the licensing authority of your federal state. Its checklist is binding.

Do I have to have all documents translated?▾

Foreign documents usually yes, by publicly appointed or authorised translators; according to the recognition portal, not your passport. Whether English documents need translating differs by state – Hesse and Schleswig-Holstein do not require it, Saxony does. For applications from 1 November 2026, you do not have to submit documents needed only for the equivalence assessment at all if you do not choose that assessment.

How do I get the German Führungszeugnis if I still live abroad?▾

Directly from the Federal Office of Justice – in writing with its application form (signature and personal data officially confirmed, fee paid in advance) or online at fuehrungszeugnis.bund.de once that works again: according to the Federal Office of Justice, online applications are currently (as of 22 October 2026) not possible because of a security warning from the BSI. For submission to an authority you give that authority’s exact address, and the certificate is sent straight there. The fee is 13 euros. The Federal Office of Justice points out longer processing times for applications from abroad.

Where do I get an apostille?▾

In the state that issued the document – from the office designated there. The office that issued your document can usually name it; the Hague Conference (hcch.net) publishes the apostille authorities. If the Hague Convention does not apply between Germany and the issuing state – because the state has not joined or because Germany has objected (e.g. India, Morocco, Pakistan, the Philippines, Uzbekistan) – you need legalisation by the German mission. The Federal Foreign Office publishes the list.

Which B2 certificate should I take?▾

One that your authority accepts. Berlin names telc, TestDaF and Goethe-Institut (no older than three years), Hamburg also ÖSD and ECL, Hesse Goethe-Institut and telc. Ask your authority before you register for the exam.

Who pays for the Fachsprachprüfung?▾

In principle you do. If you take part in the BAMF course for academic health professions, the BAMF pays the cost of the Fachsprachprüfung. The fees for each state are on the state pages.

Sources

All links opened on 22 October 2026 (HTTP 200). State information that refers to the state pages: as of 2 October 2026. Most sources are in German.

  1. Recognition Finder (BIBB on behalf of the federal government): doctor, degree from a third country, Berlin example
  2. Recognition in Germany: documents for the application
  3. Recognition in Germany: Central Service Center for Professional Recognition (ZSBA)
  4. Recognition in Germany: financial support
  5. Recognition in Germany: counselling search
  6. Service Berlin: applying for the Approbation (third country) as a doctor – with application, medical certificate and checklist of training documents (PDF)
  7. Berlin Chamber of Physicians: Fachsprachprüfung
  8. Hamburg Social Authority, Landesprüfungsamt für Heilberufe: notes on the Approbation – third countries (01/2026, PDF)
  9. Landesdirektion Sachsen: Approbation application – documents, certifications, translations
  10. Hessian State Office for Health and Care (HLfGP): Approbation/temporary licence, training in third countries (PDF)
  11. SHIBB Schleswig-Holstein: FAQ for doctors with a foreign degree
  12. Saxony-Anhalt Chamber of Physicians: German language test
  13. Federal Office of Justice: certificate of good conduct and online application
  14. Interpreter and translator database of the state justice administrations
  15. Federal Foreign Office: international recognition and legalisation of documents and FAQ on the apostille (German)
  16. Hague Conference on Private International Law: competent apostille authorities
  17. Federal Foreign Office: Hague apostille – states for which the Convention applies in relation to Germany (with objections, German) and states where the conditions for legalisation are not met (German)
  18. LAGeSo Berlin: checklist for the Approbation/temporary licence with training in a third country (March 2024, PDF)
  19. Landesdirektion Sachsen: language skills · Saxony-Anhalt: application for the Approbation/temporary licence (PDF) · NiZzA Lower Saxony: checklist, third country (PDF)
  20. KMK: assessment of foreign qualifications (ZAB, Gutachtenstelle für Gesundheitsberufe)
  21. BAMF: language courses for people in the recognition procedure (academic health professions)
  22. BAMF: job-related German language courses – entitlement
  23. Federal Employment Agency: search for job-related language courses and BAMF-NAvI
  24. Federal Ministry of Health: FAQ on professional recognition in the health professions
  25. Key points of the 87th Health Ministers’ Conference 2014 on German language skills (quoted by the Saxon State Chamber of Physicians)

Not legal advice. All information without guarantee, summarised from official sources (as of 22 October 2026; state information on the state pages: as of 2 October 2026). Only the information provided by the responsible authorities is binding.

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