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Health

Výmenný lístok

Referral to a specialist doctor

What does “Výmenný lístok” mean in Slovakia?

Výmenný lístok (referral slip) is a document your family doctor (všeobecný lekár) gives you to see a specialist doctor (odborný lekár). This is a Slovak custom you should know about: without this paper, the specialist might refuse you or the insurance company will not cover the visit.

When it is needed

  • For most specialists — the general practitioner first examines you and gives you a referral.
  • You can see some doctors without it — usually, these are a gynecologist (gynekológ), dermatologist, ophthalmologist, psychiatrist, and dentist.
  • In an emergency, a referral is not needed — an ambulance will take you without one.

A referral is usually valid for a limited time, so do not delay your visit for too long. Bring the výmenný lístok with you to your appointment — the specialist's reception desk will ask for it. Today, doctors often issue an electronic referral (eVýmenný lístok), and then a paper form may not be needed, but it is best to check beforehand.

Important. The referral has a limited time. If you delay with the registration, it can "expire" — then you will have to get a new one from your family doctor.

Examples of use

SK
A specialist will not see you without a referral.
A specialist will not see you without a referral.
SK
Ask your local doctor for a referral.
Ask your family doctor for a referral.
SK
You do not need a referral for the dermatology department.
You do not need a referral to see a dermatologist.

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Frequently asked questions

Why is an exchange slip needed?
It confirms that your family doctor referred you to a specialist. Without it, the visit may cost money or you may be refused an appointment.
Which doctors can you see without a referral?
Usually, a Gynekológ (gynecologist), dermatologist, ophthalmologist, psychiatrist, and dentist accept patients without it. In other cases, it is better to check in advance.
How long is the referral valid?
It is usually valid for a limited time. The exact period depends on the situation, so do not wait to see a specialist.

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