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LIVING IN FRANCE

Explained: How to register with a doctor in France

If you're here for the long term you will want to register with a doctor who can be your regular point of contact for all health-related matters - here's how the system works.

Explained: How to register with a doctor in France
Photo by FRANCOIS NASCIMBENI / AFP

First things first, is registration compulsory?

If you’re applying for a carte vitale – the French state medical cover that all residents are entitled to after living here for three months – then you will need to register a medecin traitant (treating doctor) as part of the application process.

For more on how to register for a carte vitale, click HERE.

This is a fairly simple process of taking a form to any medecin généraliste (GP or family doctor) and asking them to sign it.

They are then registered as ‘your’ doctor, but unlike in the UK you’re not limited to seeing only that doctor or their colleagues.

If you want to, you can make an appointment with any medecin généraliste and it’s pretty common for French people to have a couple of ‘regular’ doctors – one near home, one near their workplace and maybe even one near their second home in the country.

If you want a doctor who speaks English, check out the medical app Doctolib – as part of its service it lists the languages spoken by each doctor. More info HERE. 

Payment

If you’re using a carte vitale, however, check the level of reimbursement as it’s usually lower with a doctor that you’re not registered with. 

In France you pay your doctor upfront at the appointment – the standard fee is €25 but some doctors can and do charge more – and the the cost is reimbursed through your carte vitale, if you have one, or through health insurance if you have it.

READ ALSO 5 things to know about visiting a doctor in France

In addition to your généraliste, if you need to see a specialist you can make an appointment with them directly, there is no need to be referred by your GP.

If you prefer not to register in the French state system, you can make an appointment with any doctor you like, and either cover the cost yourself, or pay for private health insurance.

Medical deserts

In most parts of France, finding a doctor is as simple as asking friends/family for a recommendation and then calling for an appointment, or getting online to find someone with the relevant qualifications near you.

However, if you are unfortunate enough to live in one of the country’s déserts médicaux (medical deserts), things may be more complicated.

Medical deserts are areas where there are not enough doctors to cater for the local population – most of them are in rural areas but some urban areas are affected too, especially the Seine-Saint-Denis area on the outskirts of Paris.

If you live in one of these areas there is not a simple solution – you may need to simply shop around until you find a doctor who will register you, who might be further away than you would like. If you’re in an urban area that is a medical desert, some health centres will only register you after several appointments.

You can check here to see whether your neighbourhood is a medical desert.

READ ALSO The French towns that do not have enough doctors

Children

If you have children they will be covered by your carte vitale until they turn 16 but if you register with a généraliste then you should register the children too, separately.

Généralistes will see children for appointments, but there are also pédiatres (paediatricians) who you can register with to take you through the usual illnesses and scrapes of childhood. 

You might prefer to see the same person so that you can build up a relationship, but as with other doctors you are not limited to your own pédiatre so you can make an appointment with someone else if they are busy. 

Non-residents

If you’re not a full-time resident in France you’re not entitled to be registered within the French state medical system, but you can still see a doctor if you need to.

You can make an appointment directly with a doctor’s office and you will need to pay for the appointment – €25 is the standard fee. If you have health insurance or travel insurance you may be able to claim back the cost, depending on the terms of your policy.

If you are using an EHIC (European health insurance card) or the UK version GHIC you might be able to claim back the cost depending on the reason – these cards are intended to cover emergency medical treatment and people are advised to have extra travel insurance.

Emergency

If you have a medical emergency in France you are entitled to go to hospital or call an ambulance whether you are a resident or not.

French hospitals are legally obliged to treat you if it is an emergency, but if you’re not resident in France and registered in the health system, you are likely to be presented with a bill for treatment.

If you visit a hospital Emergency department and have on-the-spot treatment but are not admitted, a flat fee of €18 applies.

READ ALSO What to do if you have a medical emergency in France

Member comments

  1. So what is the form I need to get my doctor to sign? I can never work it out (and what doi say when I ask them to sign it?!). Its been three years and so now I’m a little embarrassed to ask! 😹

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HEALTH

REVEALED: How long does it take to get a doctor’s appointment in France?

When it comes to seeing a doctor in France, you can wait as little as three days to as long as 42 to get an appointment, according to new data. But waiting times depend heavily on the different specialties and where you live.

REVEALED: How long does it take to get a doctor's appointment in France?

In France, half of all GP appointments are available within three days from the time of booking, according to a study carried out by French booking website Doctolib, using data from its platform.

But patients have to wait longer to see specialist doctors, Docotlib reveals.

Half of all appointments with pediatricians are available in less than a week.

This is followed by dentists and midwives, with an average period of 11 days before the first available appointment. Next, there were psychiatrists (16 days), gynecologists (22 days), and ophthalmologists (25 days).

The Doctolib site allows patients in France to book the next available appointments with most GPs and other medical specialists via its easy to use booking platform.

READ MORE: How to use: French medical website Doctolib

As for the specialties where patients have to wait the longest to see a doctor – dermatologists were second to last – with the average person waiting 36 days. The longest waits were to see cardiologists with patients often having to wait at least 42 days for an appointment.

The medical platform said there was an explanation for the significant differences in wait times: “Dermatology typically requires less urgent care, while most emergencies related to cardiology are referred to the hospital.”

As for physiotherapists, the only para-medical profession looked into within the study, half of all appointments were available within less than six days.

What about video consultations?

The study also looked at the use of the ‘tele-consultation’ (video appointments) tool, and it found that opting for this can significantly speed up appointment wait times.

When using the tele-consultation option, the median wait times for GP and pediatrician appointments dropped to just one day. For midwives, it went down to two days, and then four days for gynecologists, seven days for cardiologists, eight days for dermatologists, and 17 days for psychiatrists.

What about regional disparities?

According to OECD data, France has 32 doctors for every 10,000 people, slightly below the OECD average of 37.

However, they are not equally distributed – about a third of France is considered to be a ‘medical desert’, meaning there is a shortage of doctors . It’s usually used to mean places that have a shortage of GPs or family doctors, which can make it hard for patients to find a regular doctor to register with.

READ MORE: MAP: Where in France has the best access to healthcare?

The Docotlib study noted that their findings do not reveal the disparities between France’s départements, and even within départements themselves.

“About 15 départements across France were found to be in a particularly challenging position regarding wait times in comparison to the rest of the country.

“[These areas] saw median waiting times at least twice as long as the average for at least three of the different specialties,” Doctolib noted.

These départements with the longest wait times were Gers, Saône-et-Loire, Nièvre and Territoire de Belfort, Loiret, Cher, Deux-Sèvres, Ardèche, Eure, Calvados, Manche, Loire-Atlantique and Côtes d’Armor, Pas-de-Calais.

Have things got better or worse?

In terms of whether the situation has improved in recent years, well the data shows there has not been much of change.

Between 2021 and 2023, “the median appointment wait times for different specialties either only slightly changed or did not change at all, which is an encouraging sign given the increase in demand for post-Covid care and the decline in the number of doctors available,” Doctolib wrote.

Doctolib carried out the study using data from appointments made using its platform. It is important to note that medical appointments in France can be secured a number of different ways, with other websites available, as well as the possibility to request appointments in person or on the phone.

As a result, GP consultations made via Doctolib accounted for a little under half of the total GP visits in France.

The platform recorded 87.6 million GP visits in 2023 via its website, out of more than 200 million total GP consultations in France.

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