Who is entitled to a General Practitioner?
Everyone who is registered in the National Population Register as a resident in a Norwegian municipality is entitled to have a General Practitioner (GP; "fastlege" in Norwegian).
Persons who have D-numbers are not entitled to a GP, the only exceptions are the following groups, who are entitled to a GP:
- Asylum seekers with D-numbers, and their families
- NATO personnel with D-numbers and their families
- Foreign personnel sent as representatives to Norway and their families
A D-number is an identity number assigned to people who do not meet the criteria for a standard Norwegian national identification number.
Other persons with a D-number are not entitled to a GP, but are entitled necessary medical treatment. The municipality is responsible to providing this kind of healthcare.
If you move to another municipality within Norway and later move back to your original municipality within three years, you may be reassigned to your original GP if you register this move in the National Population Register within 6 months.
If you are unsure whether you are entitled to a GP, call the user service (Veiledning helsenorge.no) at +47 23 32 70 00.
When your GP cancels or reduces their patient list
If your GP leaves their practice, the patients on their list will always be transferred to another GP’s list. In some cases, you may be transferred to a list without a specific GP. If this happens, you will be seen by a substitute doctor or another doctor from that practice.
When a GP decides to reduce the number of patients on their list, the selection of patients to be transferred to another list is random. A computer system makes the selection, and neither the GP nor any other person has the right to decide who shall be transferred and who shall remain on the list. Section 35 of the Regulation relating to a municipal regular GP scheme specifies that a GP’s list shall be reduced through a random selection. The Regulation also stipulates a limitation on random selection – family members registered at the same address shall be on the same list in the event of such a change.
The legal age of majority for Norwegian health care is 16. Children older than 16 are therefore not classified as family in the event of a transfer from one list to another.
General Practitioner for children under the age of 16
Children under the age of 16 get the same GP as their mother, assuming the parents have joint parental responsibility and share the same address. In the case of shared custody, the child will have the same GP as the parent with whom they live. Your child has the right to have the same GP as you, even when your GP does not have a place on the list.
You may choose a different GP than your own for your child. Your child does not automatically change GP when you do.
You have the right to change GP for your own children who are under the age of 16. This also applies with shared custody of children. In the case of shared custody and joint parental responsibility, the parent who does not live at the same registered address as the child must document parental responsibility. Documentation can be downloaded from skatteetaten.no and sent to Helfo.
Foster parents do not have the right to change GP for foster children.
GPs for asylum seekers
If you have received a registration certificate as an asylum seeker, and you know the municipality where you will be living, you can be assigned a GP. If you are living in an asylum centre, the centre will help you send the necessary documentation to Helfo so that you can be assigned a GP. If you have a private residence, you must send your registration certificate as an asylum seeker yourself or with the help of others, in addition to a completed form on the assignment of a GP for asylum seekers with private residence, to Helfo.
A regular GP for persons who have been sent to Norway as foreign representatives
The term foreign representatives covers persons who work at embassies, consulates and intergovernmental organisations.
Persons sent to Norway as foreign representatives are not automatically assigned a regular GP. This also applies to any family members who join such representatives in Norway.
It is optional to enrol in the GP scheme. Your representatives will help you enrol.
If you, at a later date, wish to change to a different GP, you will have to call Guidance helsenorge.no on telephone number +47 23 32 70 00.
Having a General Practitioner while you are a student
GPs associated with the health service at universities and colleges can be used by students who have paid their semester fees, as well as by their children under 16. Students who move back to their former municipality within three years are entitled to return to their GP in the municipality, even if the GP's list is full.
Students who have formally moved abroad are not entitled to return to their former GP.
Are you student connected to the student welfare organization in Oslo, SiO? Read more at SiO's own website.
Having a General Practitioner while in a nursing home
When staying in a nursing home, you are entitled to keep your regular GP, but you need to use the nursing home doctor while living there.
General Practitioner assistance in the event of acute illness
GPs are responsible for all general medical service for their patients during opening hours. GPs will prioritise patients on their patient list over others, except in the case of acute, life-threatening illness.
In the event of acute injury or illness outside of the GP's opening hours, you must contact the out-of-hours medical service, legevakten (116 117). In life-threatening emergency, call 113.
Out-of-hours medical service
Call 116 117 to contact the out-of-hours primary care call centre for your area.
General Practitioner list, common list, shared list and group practice
When you change your General Practitioner at helsenorge.no, you may encounter a few unfamiliar terms:
General Practitioners list (fastlegeliste): The GP has a maximum allowance for the number of patients on the patient list. If you are entitled to a GP, you may select the one you want if there is room on the GP's list. The GP must prioritise the patients on the list over patients not on the list.
Patient list without a permanently attached GP: Municipalities may have a list that does not have a fixed GP assigned. This list will be serviced by temporary GPs or other GPs at the surgery.
Group practice (gruppepraksis): When two or more General Practitioners share a surgery, administrative services, health personnel, waiting room and laboratories, this is called a group practice. Even if your GP is part of a group practice, it is normally only your GP who is responsible for your patient records and follow-up. But, if your GP is temporarily unavailable, one of the other GPs may substitute.
Common list (fellesliste): General Practitioners with a common list have joint responsibility for the medical services they provide to patients on the list. Nevertheless, one of the GPs will have primary responsibility for your patient records and follow-up. You can, however, be treated by another GP at the same surgery. When making your appointment, you can choose between all the GPs who have the same common list.
Shared list (deleliste): A General Practitioner who is planning to close down his/her practice may share his/her list with another doctor at the same surgery for a while.
Responsibility for the General Practitioner scheme
The municipalities manage the General Practitioner scheme and sign agreements with individual GPs. It is the responsibility of each municipality to ensure that there are enough GPs.
Each municipality has a supervisor of GPs. This is generally the municipal doctor.
Complaints about your GP or the GP scheme
If you are dissatisfied with your General Practitioner, you are entitled to submit a complaint.
Patient dissatisfaction with their GP is often due to communication problems. A useful first step may be to book an appointment with the GP to explain why you are unhappy. You may wish to bring someone along with you for support.
When booking the appointment, it is best to notify the GP that you wish to complain. This allows the doctor to reserve more time for the discussion. If you still feel the need to make a complaint, you can consult the person within the municipality who is responsible for the GP scheme (usually the head of health and care services) or send a complaint to the County Medical Officer (fylkeslege), with a copy to the chief municipal doctor (kommuneoverlege).
The municipality is responsible for the provision of GPs. If there are no GPs available in the municipality, you can complain to the municipal health department (chief municipal doctor).
Opting out of the General Practitioner scheme
To manage your registration with the GP scheme, call Guidance helsenorge.no (Veiledning helsenorge.no) at +47 23 32 70 00.