1. Residence permit card, also known as Permesso di Soggiorno (for non-European students).

   
   

• If you have it, then have the original and a copy.
• If you do not have it, use the receipt you were given and include your passport with your personal data page and your visa page.

• If you do not have it at all, click here to have a step-by-step guide on how to get your residence permit card.

  
  

2. Valid ID/Passport data page (scan and original).
3. Tax code (card or certificate)
4. Enrolment of university
5. Receipt of contribution payment: You will need to pay the national health system contribution via the F24 form before enrolling into the NHS. To understand how to pay, refer to our FAQ. To understand how to fill in the F24 form, refer to our FAQ.
6. Self-certification of home address in Milano: here is a template for you to use.
7. (only if you apply in person) Voluntary Registration Module (Scheda Iscrizione Volontaria): check the FAQ section.

Pro-tip: Here is the website to see the general practitioner you can choose from: https://www.ats-milano.it/trova-medico

We suggest creating a list of three general practitioners with the website. A red dot next to the doctor's name means they have too many patients and will not be able to have more. There is no official way of knowing if the doctors speak English, but usually, the younger they are, the higher the probability that they speak English.

Disclaimer

• If you are a student with dependents, a Researcher or a PhD student, have a special case or you are an Italian student from abroad, you will have to do the process in-person.
• If you are a student but want someone to help you fill in the form, you will want to do the process in-person or schedule a call with us to help you.

Online process:

1. Go to the application platform.

   
   
2. When you open the platform, click on “PROSEGUI” on the bottom right.

• If it is your first time enrolling, select “Iscrizione al Servizio Sanitario Regionale - Studenti Stranieri”.
• If you wish to renew your subscription, select “Rinnovo al Servizio Sanitario Regionale - Studenti Stranieri”.

3. Once you selected the relevant option for you, click on “APRI RICHIESTA”. In this page, you will be asked if you already have a permit of stay/residence permit card.

   
   

• If you are a non-EU and you have your residence permit card OR a EU student, select "Sì, ho un nuovo permesso di soggiorno per motivi di studio o sono cittadino comunitario”.
• If you are still waiting for your residence permit card and have your receipt from the post office, select the other option “No, non sono ancora in possesso del permesso di soggiorno per motivi di studio
  
  

4. Fill in the your personal information.

   
   

5. Place your Italian phone number in “Cellulare” and click on “INVIAMI SMS CODICE DI CONFERMA”. You will receive a message on your phone with a code that you are going to put in the following field: “Inserisci Codice di Conferma ricevuto via SMS”.
   
   
6. In the following part of the form, you will be asked to upload these documents (make a good pdf scan of each, front and back if applicable):
   
   

• If you have your permit of stay /residence permit card already, please upload a scan of it. If not, you’ll be asked to upload a scan of your passport personal data page and visa.
• A scan of your Tax Code certificate or Tax Code card.
• Certificate of enrolment into your university.
• The receipt of payment of your contribution.
• Self-certification of your domicile in Milano (template).
• In the section, "Carica Altra Documentazione" you will be asked to upload the Voluntary Registration Module (Scheda Iscrizione Volontaria). You can find how to fill in the module in FAQ at the end of this page.
  
  

7. By clicking on “CLICCA QUI PER CONSULTARE L’ELENCO MEDICI DAL SITO ATS MILANO”, you will be able to see which doctors are available in your area. Choose 3 preferred doctors and place their name and last name in “Inserisci Nome e Cognome del Medico”.

   
   

8. Accept the privacy policy and click on “INVIA PRATICA” to submit your application.

   
   

9. You will get a reply via e-mail in days from the Scelta e Revoca office.

   
   

NB: For people that applied to the process without having their physical residence permit card, the voluntary registration is set as valid for 3 months and can be extended by providing the same documentation (via e-mail) to the Scelta e Revoca office, until obtaining the residence permit for study. Once in possession of the actual residence permit card, you may send to the Scelta e Revoca office a scan of the residence permit and the documentation and have it registered: the deadline for your coverage, then, will be set for 31 December of the current year.

In person process:

1. Make an appointment with any Local Health Care Service Center also known as the Scelta e Revoca using this website: Zero Coda.
   

• Click on “Cosa vuoi prenotare” and select “Scelta/Revoca/Cambio del medico”.
• Click on “Dove” and write Milano.
• Now you can choose the most convenient date for you. You can filter the results either by proximity or by earliest availability.

• Finally, fill in your email, and your Italian phone number to receive your booking confirmation.

  
  

2. Head to the Scelta e Revoca appointment with all the documents (see the above paragraph). An officer will assist you in choosing a local general practitioner in your area.

   
   
3. As a result of the registration process, the officer will give you a paper document which must be shown as a health card at the time to request any health service.

4. A plastic health card - not valid for outside Italy - will arrive via private ordinary mail one month later

NB: For people that applied to the process without having their physical residence permit card, the voluntary registration is set as valid for 3 months and can be extended by providing the same documentation (via e-mail) to the Scelta e Revoca office, until obtaining the residence permit for study. Once in possession of the actual residence permit, you may send to the Scelta e Revoca office a scan of the residence permit and the documentation and have it registered: the deadline for your coverage, then, will be set for 31 December of the current year.

If you have the EHIC (European Health Insurance Card), you can visit any doctor who is part of the public healthcare system by presenting your card along with your ID. You will receive free healthcare or pay only a small contribution — the same amount as those enrolled in the Italian Health System.

You can find a doctor using the “Trova Medico” platform by ATS: https://www.ats-milano.it/trova-medico. This tool allows you to check which doctors are closest to you and see their specializations.

• In the field “Comune – Comincia a digitare”, type Milano.
• In the field “Distretto”, select the Municipio where you live to find doctors nearby.

If you’re unsure which Municipio you live in, you can check it here. Simply enter your address and zoom out on the map to see your Municipio.

Since 'Scelta e Revoca' officers pick up your domicile data (address) from the revenue office tax code database, many students, who have got their tax code from the Consular office or through their university, need to update this record.

It is fundamental that you update the address "tax domicile" on tax records and that the address you give on the enrollment form and the address on your tax records are the same.

You can do it by getting appointment at the revenue agency, see how here. 

1. What if I am an Italian from abroad, how can I enroll in the NHS?

If you are an Italian citizen and register your residency in Milano, you will be enrolled mandatorily (with full coverage and you do not have to pay contribution) to the NHS. Use the application platform and select Prima iscrizione al servizio sanitario regionale, click on Apri richiesta, select Cittadinanza Italiana, Maggiorenne, Residente. Click on Apri richiesta, fill out your personal details, attach a clear pdf scan of your ID, Tax code, certificate or self-certification of residence and a shortlist of 3 general practitioners.

If you are an Italian citizen living abroad and if you do not wish to register your residence in Milano, you can enroll voluntarily (follow the steps for international students described above).

If you are Italian citizen living abroad in a state with a bilateral agreement and you do not wish to register your residence in Milano, you will make use of the bilateral agreement according to its regulations.

If you are an Italian citizen living abroad in an EU country and if you do not wish to register your residence in Milano, but you have S1 form, you can register with Ufficio Estero.

2. What happens after I graduate?

   
   

You will get free membership with in attesa occupazione + DID or voluntary membership based on income.

If you graduate and apply for/get the residence permit in attesa occupazione with DID (Declaration of availability to work), you will be enrolled mandatorily (with full coverage and you do not have to pay contribution) to the NHS for one year.

In all other cases, if you are no longer a student, e.g., you are in a research position which does not pay IRPEF contributions and it is not exempt by law, you are entitled to voluntary registration. In this case the contribution is calculated on the previous year's income (7.50% with minimum of 2000€). As for students, voluntary registration, regardless of when it is activated, lasts until 31/12 of the year. You will need to make an appointment in-person at the Ufficio Scelta e Revoca competent for your area closer to you. They will assess your situation and tell you how to proceed with your registration.

3. How do I pay the fee for the NHS?

To pay for the fee to receive the National Health Service of Italy, you need to see where your case falls. If you are a student, your fee is 700.00 euros. If you are working as an au pair, your fee is 1200.00 euros and if you are in none of these cases, your fee is 2000.00 euros. Contribution to the NHS must be paid to Regione Lombardia using the universal tax payment form F24. You can pay F24 at the post office, at a bank counter or at tobacconist enabled to receive the payment, or at 'Agenzia delle Entrate Riscossione' counters or - if you have an Italian bank account - via online banking.

4. How do I fill the F24 form?

Download and fill out the form. (Sample of pre-filled out form at the bottom of this page)

In the section "Contribuente", you fill in your personal data:

• Tax code / codice fiscale
• Surname / cognome, name/ nome
• Date of birth / data di nascita (dd/mm/yyyy) sex/ sesso country of birth / Stato estero di nascita
• Municipality of residence / comune (e.g.Milano) province /prov. (e.g. MI) street and number / via e numero civico

Skip to “sezione regioni” and fill out:

• Region code/ Codice regione: 10
• Fee code/ Codice tributo: 8846
• Year of reference/ Anno di riferimento:2024
• Amount paid / Importi a debito versati: 700,00*
• Total / Totale 700,00 To be paid / Saldo 700,00*

Skip to Firma and sign - in the Saldo Finale section write Euro 700,00 if you are a student and pay 700,00 euros.

5. How do I fill out the Voluntary Registration Module (Scheda Iscrizione Volontaria)?

Download and fill out the module (you can find an attachment at the end of the section).

In the first section you need to insert your personal information. If you are applying for the first time, you need to check "PRIMA ISCRIZIONE", while if you are renewing your subscription - "CONFERMA ISCRIZIONE".

FAMILIARI A CARICO refers to any family members who you take care of and who need your financial support in ITALY. If this does not apply to your situation, you can leave the fields blank.

DATI RELATIVI AL REDDITO is a section for declared income and can be left blank since you are applying as a student.

TIPO CONTRIBUTO refers to the amount paid on F24 form. Students need to check the box CONTRIBUTO FORFETTARIO and then write the amount paid (700 euros) in the section CONTRIBUTO ANNUALE VERSATO EURO and also indicate the date on which the amount has been paid (it is written on F24 form).

Write the date and sign the document.

6. What countries are in the bilateral agreement?

Brazil, Australia are the main countries in the bilateral agreement.

The following details are very specific to some situations; however, it is good to know:

Additional protocol to the immigration agreement between Brazil and Italy. Form IB-2 covers only emergencies (first aid) during a temporary stay of a Brazilian citizen in Italy. If a student wants full coverage, they must enroll voluntarily.

There is a Bilateral Social Security Agreement between Italy and Australia that covers only for 6 months and only for urgent benefits assisted nationals in the respective State. If a student wants full coverage, they must enroll voluntarily.

7. I am a European student staying in Milano for a few months and using my EHIC. Which doctor can I go to for medical care?


As a European student, you can visit any doctor within the public healthcare system using your European Health Insurance Card (EHIC) and a valid ID for medically necessary treatment. To find available doctors in your area or municipality, you can use the platform TROVA MEDICO.

If you still have questions or doubts about this administrative procedure or anything else related to living in Milano, you can always contact our International Student Desk.

Send us an email at welcomestudents@yesmilano.it and If you’d like to explore the details further, we can schedule a one-on-one online meeting.

We will be happy to answer all your questions!