These guidelines are valid as from 22 January 2026.
As a rule, a medical statement T must be based on a physical appointment with a physician, and the medical statement must indicate whether it is based on a statement issued as a result of a face-to-face or a remote appointment. It may be in the applicant’s interests to have a face-to-face appointment to get the medical statement. A medical statement issued as a result of a remote appointment may prolong the clarification phase of the matter if the information in the statement is not sufficient.
The adoption application must always be appended with a medical certificate on the prospective adopter's health (T-certificate). The T-certificate must be complete, i.e. all information entered on it must be submitted for inspection. The T-certificate must not be older than one year when it arrives at the Board.
The prospective adopter must confirm the information in the T-certificate with their signature.
If the prospective adopter has a chronic illness or an illness or injury that restricts their ability to care for a child or the prognosis of which is poor, they must submit a specialist’s statement on their health to the Adoption Board.
The specialist’s statement should include at least the following:
- Effect of health status on operating capacity.
- Current general situation and operating capacity, and what kind of symptoms the disease causes, if any.
- Any medication related to the disease.
- The physician’s comprehensive assessment of the health status and symptoms as well as the development of possible comorbidities in the future. An assessment of how the disease may affect the raising and taking care of the adopted child until adulthood.
- An estimate of how the disease possibly affects life expectancy.
- An assessment of how the disease reacts to intense stress and how a potential crisis related to the adopted child’s arrival may affect the health status.
The specialist’s statement submitted to the Board may not be more than six months old when the application is received by the Board. In their statement, the specialist must take a position on the effect of the disease on adoptive parenthood. If the physician has not commented on adoptive parenthood, the Board must request further clarification
The Board assesses the impact of the applicants’ health status in relation to the benefit of the adoptee. It is important that the applicants are physically and mentally stable and able to provide the adoptee with good care until adulthood. The Adoption Board’s decision-making is always based on the child’s best interests, and the assessment of health is case-specific.