Updated 19th November 2025
Family Reunification Guidelines
All Third Country Nationals (TCNs) entering Malta under the Family Reunification Scheme (FRS) are required to undergo health screening. This applies to children born in Malta and additionally, includes applicants who are applying for the renewal of their resident permit but who have never undergone screening before.
Health screening is only carried out once, so please keep a copy of your approval for future reference, as this remains valid for future renewals. If you have previously received health screening approval for a work permit application, you are not required to undergo health screening again.
If eligible, an approval email will be issued. Present this to Identità.
This page outlines the steps that applicants must follow to complete the health screening process. Requirements are different for individuals coming from high /very high TB risk countries and low TB risk countries. Low TB risk countries refer to those countries that are not included in the high / very high list. So please refer to the relevant section.
Individuals from High-Risk countries
The screening process for individuals is carried out at the Health Screening Unit, Floriana (which is next to the Floriana Health Centre) by appointment.
Appointment Booking for those coming from High-risk countries
Before Booking an appointment
Adults: Before booking an appointment, adults need to go to a private doctor / clinic to fill in the Health Screening Form. Please note that anyone 18 years of age and above are considered as adults.
Children: Any screening requirements for children, will be organised by the Floriana Heath Screening Unit during the health screening appointment. This includes tests such as Tuberculin Test (Mantoux test) and a Chest X-Ray for children aged 11-17 years of age.
Booking an appointment
To book a health screening appointment, send an email to: hsu.hpdp@gov.mt and always include the applicant’s country of birth (in the case of children please also include the country of birth of both parents), nationality and number of family members applying for an appointment.
Please include:
• Complete Health Screening Form with all the required information. This is required for adults only. This form needs to be filled in by a private doctor / clinic in Malta as does the Chest X-Ray which is required for all adults coming from high / very high-risk TB countries.
• A scanned copy of Vaccination Records of both adults and children arriving in Malta. These records need to be translated into English. For vaccination requirements please refer to vaccination requirement below.
• A scanned copy of Chest X-ray report for those who are 18+ years of age. For chest x-ray guidelines please refer below.
Vaccination Requirements
Adults
All required / missing vaccines are to be done in a private clinic:
• Mandatory:
o Diphtheria, Tetanus, Polio
o Rubella is mandatory for all females
Important notes
DTP vaccine is safe for pregnant females.
If no DTP vaccination records are available, a booster dose is required.
Children up to 17 years of age
• Must have age-appropriate vaccination records.
• Mandatory: Diphtheria, Tetanus, Polio.
• Rubella vaccine is mandatory for girls by age 13. MMR vaccine is given as the Rubella vaccine is not available on its own.
• MMR vaccine is given according to the Malta’s National Immunization schedule.
• BCG vaccine may be required if this has never been taken.
• Other vaccines should follow Malta’s National Immunisation Schedule.
Any missing vaccinations will be organised by the Floriana Health Screening Unit during the Health Screening Appointment.
Chest X-Ray Guidelines
Required only for individuals from high/very high TB risk countries
• Mandatory for all children aged 10+ and all adults
• Adults aged 18+ need to get the Chest X-Ray done at a private clinic.
• Those under 18 will have their Chest X-Ray done at the Health Screening Unit.
• The Chest X-Ray must be done in Malta – foreign X-ray reports are not accepted
Pregnant women who cannot do their Chest X-Ray are referred to the TB specialist and if medically cleared will be given a temporary approval until they are able to take a Chest X-Ray.
Going to the Appointment
On the day of the Health Screening Appointment at the Floriana Health Screening Unit, please bring:
• Passports and Identity Cards
• Vaccination Records. All vaccination records of applicants must be translated into English. Please ensure that you bring a hard copy of the vaccination book. Digital/mobile versions will not be accepted.
• Chest X-Ray report. Please refer to the Chest X-Ray guidelines above to see if/when this is required.
• Typed and printed Excel sheet, which is to be handed to the nurse.
• The applicant must print out the appointment confirmation form (which includes contact email address) and bring a hard copy when they come for their appointment. Digital/mobile versions will not be accepted
• For those of you who do not understand/speak English or Maltese, please bring someone who can help with the translation.
Individuals from low-risk countries
TCN Adults coming from both low and high TB risk countries need to go to a private doctor/clinic for the required health screening (Please note that anyone 18 years of age and above are considered as adults).
For applicants to obtain health screening approval, please send an email to: hsu.hpdp@gov.mt and always include the applicants’ country of birth, and nationality. In the case of children, please include the country of birth of both parents.
Please include:
• Complete Health Screening Form with all the required information. Please note that this is required for adults only. This needs to be filled in by a private doctor / clinic.
• A scanned copy of Vaccination Records. These records need to be translated into English.
Vaccination Requirements
Adults
All required vaccines are to be done in a private clinic:
• Mandatory:
o Diphtheria, Tetanus, Polio
o Rubella is mandatory for all females
Important notes
DTP vaccine is safe for pregnant females.
If no DTP vaccination records are available, a booster dose is required.
Children up to 17 years of age
All required vaccines are to be done at the Immunisation Clinic.
For appointments, call the immunisation nurses at 21 2312321, or send an email to immunisation@gov.mt
• Must have age-appropriate vaccination records.
• Mandatory: Diphtheria, Tetanus, Polio.
• Rubella vaccine is mandatory for girls by age 13. MMR vaccine is given as the Rubella vaccine is not available on its own.
• MMR vaccine is given according to the Malta’s National Immunisation schedule
• Other vaccines should follow Malta’s National Immunisation Schedule.
For any queries, kindly write to: hsu.hpdp@gov.mt