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Medical treatment visa

  1. Visa application form (click here)
  2. Recent passport size photo For details…
  3. Passport or travel document valid for at least three months after visa expiry date.
  4. Return-trip booking or ticket or proof of available means of personal transport. If travelling by car the following documents are required:
    • original and a copy of the Vehicle Registration Certificate;
    • original and a copy of the International Insurance Policy with civil responsibility (“green card”);
    • original and a copy of driving license;
    • original and a copy of the car rent voucher if the car is rented. If an applicant is going to visit other Schengen countries the applicant should submit a complete itinerary of the trip;
    • if the driver with whom the trip is planned has a valid Schengen visa, to submit documents the applicant should provide a hotel reservation with the driver’s name and surname, a copy of the passport page with a photo and personal data, a copy of the valid Schengen visa.
      If you plan to visit several countries in Schengen Area, you should provide a whole route of your trip.
  5. Medical/health documentation comprised of:
    • medical documentation issued by the country of residence attesting to applicant’s illness;
    • declaration by a public or private Italian health care facility (private clinic must be accredited by the national health service) indicating type of treatment, date initiated, estimated duration and costs;
    • document from the Italian healthcare facility confirming the deposit of at least 30% of the estimated costs of the treatment requested or, alternatively, a specific administrative act passed by an Italian Region or specific authorization issued by the Ministry of Health within the framework of humanitarian programs.
  6. Documentation proving the availability in Italy of resources sufficient for payment of remaining healthcare expenses, food and lodging outside the healthcare facility, and repatriation of the patient and eventual companion.
  7. For the patient’s eventual companion: minimum health insurance coverage of €30,000 to cover repatriation and medical treatment and/or emergency hospitalization expenses.
  8. Domestic passport For details…
  9. Consent for processing the personal data.  For details…

The Diplomatic or Consular Representation reserves the right to request further documentation.