Office of Health and Consumer Protection State Examination Board Contacts: State Examination Board for Health Ms Brigitte Wagner (A-H) Room: 0.05 (only Mondays and Thursdays) Care Professionals Billstraße 80, D-20539 Hamburg Telephone: + 49 4042837-3796 Email: brigitte.wagner@bgv.hamburg.de Office hours: Monday, Tuesday: 9am-12pm Mr Heinz Gründken (I-Z) Thursday: 1pm-4pm Room: 0.07 Telephone: + 49 4042837-3226 Email: heinz.gruendken@bgv.hamburg.de INFORMATION SHEET on the issuance of a practising certificate for refugees Refugees who have trained as doctors, and are able to prove this through relevant documentation, may apply for a practising certificate even without level B 2/C1 German language skills if they can demonstrate that they have worked at a refugee facility, and can be understood on site. This practising certificate is initially only issued for 6 months, with the option of a three-month extension. It is always limited to treating refugees at a refugee accommodation facility under the supervision and responsibility of a licensed doctor. Fees amounting to 100 are incurred, which may be paid in instalments. To pay in instalments, an application must be made. Anyone applying for this practising certificate must submit the following documents: 1. Application with a declaration regarding pending criminal proceedings and investigations (Form 1) 2. Short, complete curriculum vitae, dated and signed 3. Proof of identity, e.g. identification card, passport, travel document 4. If applicable, official certificate of good conduct, document type 0, which must not have been issued more than one month prior to the practising certificate s date of issue Note: The official certificate of good conduct must be applied for at the district office (Bezirksamt) and sent directly to the Office of Health and Consumer Protection, State Examination Board for Health-Care Professionals, G 1136 / G 1137, Billstraße 80, 20539 Hamburg. In the case of applicants who have arrived in Germany less than three months prior, the corresponding certification from the country of origin / home country may be submitted as an alternative. Valid as of: Sept. 2015
5. Medical certificate (Form 2), from a doctor admitted to practice in Germany which must not have been issued more than three months prior to the certificate s date of issue. Medical certificates issued by family members and domestic partners will not be accepted. 6. Proof of education and training, Proof of completed training in dentistry/medicine (e.g. degree) 7. Licence certificate (if available) Proof of entitlement to unconditionally practise the profession of dentist/doctor in the holder s home country, issued by the relevant local authorities 8. Proof of other subject-specific courses (if available) Certificates of dentistry/medical work performed in the home country or other countries, documenting the type and duration of the activities in detail 9. Proof of previous professional work (if applicable) 10. Proof of employment Proof of employment at a refugee facility within the Free Hanseatic City of Hamburg
- 2 - Information on professional qualifications Studies in dentistry/human medicine from to in Exact name of specialised field Exact name of university Degree obtained on in Post-study practical training (internship etc.) Doctorate on in Board certification on in Professional work as a dentist/doctor Abroad In Germany Application information At which hospital or other facility, and with which doctor/dentist, is the profession of doctor/dentist to be practised? Address In which position do you wish to work? Resident doctor/dentist Visiting doctor/dentist Locum Relief assistant Training assistant Other position Purpose of practising medicine/dentistry in Germany Further training Scholarship Acquisition of special skills/continued education Other purpose Period for which the permit is requested?
- 3 - Residence information Residing in Germany since Information on marital status Single Married, please provide the following information about your spouse Family name: Given name: Date of birth: Address:
Behörde für Gesundheit und Verbraucherschutz (Form 2) Landesprüfungsamt für Heilberufe G 1136 / G 1137 Billstraße 80 20539 Hamburg Auszustellen von einem in Deutschland niedergelassenen Arzt Bitte vollständig in Blockschrift ausfüllen! Ärztliche Bescheinigung zur Vorlage beim Landesprüfungsamt für Heilberufe für die Erteilung der Approbation als Ärztin/Arzt Zahnärztin/Zahnarzt Frau / Herr Name, Vorname: Geburtsdatum: Straße, Nr.: PLZ, Ort: ist von mir heute ärztlich untersucht worden. Hierbei ist festgestellt worden, dass sie/er nicht in gesundheitlicher Hinsicht zur Ausübung des Berufes ungeeignet ist. Insbesondere wird bestätigt, dass weder psychische Einschränkungen noch akute oder chronische Erkrankungen (Infektionserkrankungen wie z. B. Hepatitis B und C) oder Suchterkrankungen vorliegen. in gesundheitlicher Hinsicht zur Ausübung des Berufes ungeeignet ist. Die Untersuchung wurde nicht von einem Familienangehörigen oder Lebensgefährten der untersuchten Person durchgeführt. Ort, Datum (Praxisstempel) Unterschrift der/des Ärztin/Arztes