Your treatment in our hospital will only be covered if you have a referral.

Referral letter

In most cases you will be referred by your GP, but other healthcare providers or medical specialists can also provide you with a referral letter. The referral letter is sometimes sent directly to the hospital. In this case, check whether the hospital has received the letter. Check with your health insurer about which referring clinicians they accept. A referral letter is not required for emergency care.


A referral letter is a valid for a year, and includes the name and signature of the referrer. The referral letter is only valid if the letter is dated before the first appointment at the outpatient clinic. It is therefore essential to have a referral letter that meets all applicable conditions.
Receiving treatment without a referral letter

Treatment will only be provided after a valid referral letter has been presented. Without a referral letter you will have to pay all the medical costs yourself. If you wish to receive treatment without a valid referral letter, you can request a cost estimate. You will then need to pay the estimated costs before the start of treatment/examinations. The actual costs will depend on the care actually given. This can be higher or lower than the estimated costs. You will receive a bill for the costs of the medical care received.

What if your GP or medical specialist refuses to provide a referral?

If your GP, medical specialist, or other healthcare provider does not wish to provide you with a referral letter, you can contact your health insurer. They can negotiate on your behalf or give you permission to go ahead with the appointment and any necessary examinations/treatment. In this case, always ensure that you receive written permission and take this document with you to your appointment at the outpatient clinic.

Follow-up appointments

Follow-up appointments for the same healthcare need (condition) will not require a new referral letter. This is also the case if your physician recommends a check-up after more than a year and has noted this in your patient records.

If you do not require a follow-up appointment, your healthcare file will be closed (end of treatment). If you wish to make a new appointment with your attending physician after the ‘end of treatment’, you will require a new referral letter.

A referral letter is required for each separate healthcare need (condition). If you visit the hospital for another condition during your treatment, you will require a separate referral letter for this visit.

Read more about medical care costs and payment here.

Costs of medical care and payment