Practical
GP referral: when do you need one?
To see a medical specialist at a hospital or clinic in the Netherlands, you almost always need a referral from your GP (huisarts). What many people don’t know: with that referral, you can choose where you’re treated.
What do you need a referral for?
For medical-specialist care — an appointment with a specialist at a hospital or independent clinic — a GP referral is a condition for reimbursement from the basic insurance. Without one, you usually pay the bill yourself. Exceptions are emergency care and the GP itself. Referrals are nearly always digital nowadays, via ZorgDomein.
The referral is not tied to one hospital
Your GP often suggests a nearby hospital, but that’s a suggestion — not an obligation. With a referral for, say, orthopedics you can go to any provider that offers orthopedics. Since waits differ by months between hospitals (the rule rather than the exception), it pays to compare first and book after.
The smart way to go about it
- 1
Discuss your symptoms with your GP
They assess whether a specialist is needed and create the referral, usually digitally via ZorgDomein.
- 2
Compare the waiting times first
See which hospital or clinic has the shortest wait for your specialty — the differences are large.
- 3
Check the coverage
Verify that your insurer has a contract with the provider of your choice, so you don’t pay extra.
- 4
Book the appointment
Mention that a referral is ready when booking. Bring your insurance details and ID.
Compare the waiting times per specialty
Referral (almost) in hand? Pick your specialty and see where you can be seen soonest:
Frequently asked questions
- Can I pick a different hospital than my GP suggests?
- Yes. The referral covers the specialty, not one specific location. You choose where you’re treated — do check whether your insurer has contracted the provider.
- How long does a referral stay valid?
- There’s no legal expiry; many insurers apply roughly a year in practice. Check with your insurer if a lot of time passes.
- Do I need a referral for a second opinion?
- Usually yes. Ask your GP or treating specialist for a referral for a second opinion.
- Do I need a referral for the emergency department?
- No. In an emergency you can go straight in, no referral needed.
- What if the wait turns out far too long after my referral?
- Ask your insurer for waitlist mediation — they find a faster spot for free — or compare yourself and pick another provider. Your referral remains usable.
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