
General information and legal support within Latvia
Legal status and visa requirements for those who were forced to leave Ukraine
- Ukrainian civilians. Ukrainian civilians are citizens of Ukraine and their family members, and also persons who have received a permanent residence permit, the status of a stateless person, or the status of international protection in Ukraine and their family members.
- Latvia has adopted and is operating a special law on the status of Ukrainian civilians, so it is not necessary to apply for refugee status.
- On arrival in Latvia via the border crossing points, a border check will be carried out for persons with biometric passports.
- If a person arrives without travel documents, the identity of the person will be confirmed in cooperation with the competent Ukrainian authorities.
- All EU countries bordering Ukraine allow entry to all people fleeing the war in Ukraine on humanitarian grounds regardless of whether the person has a biometric passport. This applies also to children.
- Ukrainian citizens who have a biometric passport do not need a visa for the first 90 days. Residents without a biometric passport will be issued a visa-free of charge.
- Ukrainian citizens can apply for a long-term visa with the right to work in Latvia. The visa will be issued for one year and will give access to the labour market.
Refugee status / asylum seeker status/ temporary protection status
- A Ukrainian civilian has the right to receive State paid health care services in the same amount as persons insured in Latvia within the scope of the State mandatory health insurance.
- Not depending on the refugee /asylum seeker or temporary protection status, all Ukrainian civilians who arrive in Latvia or are already here are eligible for the same free of charge state-covered healthcare and medical services, including medicines, as are available to Latvian residents.
- For the people residing permanently in Ukraine, having left the country to escape war from 24 February 2022 onwards, the temporary protection status in any EU country can be entitled.
- The Asylum Affairs Department of the Office of Citizenship and Migration Affairs must decide on the granting of the refugee or alternative status or the refusal to grant one within three months after the personal interview with the asylum seeker, however, the decision on the granting of the refugee or alternative status must be taken no later than within a total of six months after the request of asylum was made.
The period of decision making may be extended by nine more months and, thus, the total decision-making period may reach as much as 15 months. As of December 9, the commission of the Latvian Seimas on Defense, Internal Affairs and Prevention of Corruption adopted amendments to the law, which provides for the support of Ukrainians. According to the new edition, refugees from Ukraine will be assisted until June 30, 2023. Check out for more updates
Learn more about staying in Latvia:
- https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- https://www.ukraine-latvia.com/
- https://ec.europa.eu/info/strategy/priorities-2019-2024/stronger-europe-world/eu-solidarity-ukraine/eu-assistance-ukraine/information-people-fleeing-war-ukraine_en
- https://www.pmlp.gov.lv/en/asylum-granting-procedure-latvia#:~:text=Temporary%20protection%20can%20be%20granted,by%20the%20Cabinet%20of%20Ministers
- https://visitukraine.today/uk/blog/226/latviya-pravila-vizdu-i-perebuvannya-dlya-ukrainskix-bizenciv
Find migration counselling institution in Latvia:
The Office of Citizenship and Migration Affairs
Phone +371 67209422 and +371 67209400 (Monday – Thursday 8:30 – 16:00; Friday 9:00 – 15:00) Ciekurkalna 1. linija 1, k-3, LV-1026, Riga
Find migration counselling websites in Latvia:
- https://www.ukraine-latvia.com/
- https://ec.europa.eu/info/strategy/priorities-2019-2024/stronger-europe-world/eu-solidarity-ukraine/eu-assistance-ukraine/information-people-fleeing-war-ukraine_en
- https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- https://www.pmlp.gov.lv/lv/atbalsts-ukrainai-pidtrimka-ukraini-0
Find migration counselling websites in Latvia:
- https://www.ukraine-latvia.com/
- https://ec.europa.eu/info/strategy/priorities-2019-2024/stronger-europe-world/eu-solidarity-ukraine/eu-assistance-ukraine/information-people-fleeing-war-ukraine_en
- https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- https://www.pmlp.gov.lv/lv/atbalsts-ukrainai-pidtrimka-ukraini-0
Interpretation services (local NGOs, volunteers, reception centres)
A single information telephone number “Assistance to Ukrainians in Latvia” 27 380 380 can help Ukrainians to find an interpreter https://www.patverums-dm.lv/en/-attention–unified-information-phone-assistance-to-ukrainians-in-latvia/1386

Access to the healthcare services
Fees
|
Where can the Ukrainians who were forced to leave Ukraine go for the following healthcare services?
Information about healthcare in Latvia: 8000 1234 (accessible from Latvia only). If calling from abroad, please use: +371 67045005 (Monday-Thursday 8:30 – 17:00; Friday 8:30 – 15:00).
The website of the Ministry of Health is www.vm.gov.lv.
The website of the National Health Service is www.vmnvd.gov.lv.
More information here https://www.ukraine-latvia.com/
Before receipt of healthcare service, passport/visa or permanent residence permit is needed
If no documents are held, please call 80001234
https://www.vmnvd.gov.lv/lv/information-ukrainian-citizens-about-health-care-services-latvia
Acute treatment
Urgent medical aid point and hospital admission unit. Information about available urgent medical aid points at https://www.vmnvd.gov.lv/lv/emergency-medical-help-points
Information about hospital admission units at https://www.vmnvd.gov.lv/en/hospital-admission-wards
Chronic/long-term treatment
Is available to the general practitioner.
Information: nvd@vmnvd.gov.lv, 80001234
Visiting family doctors
Ukrainian civilians do not have to register with health services and family doctors to receive care. The state-funded healthcare services can be accessed freely:
- https://www.vmnvd.gov.lv/lv/information-ukrainian-citizens-about-health-care-services-latvia
- https://www.vmnvd.gov.lv/lv/media/16255/download
Other services
- Other services (screening, testing, vaccination): via general practitioner. Information: nvd@vmnvd.gov.lv, 80001234
Can third-country nationals who are also fleeing Ukraine access these services?
Stateless persons and nationals of other third countries who benefited from international protection or equivalent protection in Ukraine before 24 February 2022, as well as their family members, and have been displaced from Ukraine on or after 24 February 2022 and Non-Ukrainian nationals of third countries and stateless persons who can prove that they were legally residing in Ukraine before 24 February 2022 based on a valid permanent residence permit issued by Ukrainian law, and who cannot return in safe and durable conditions to their country of origin are eligible for either EU temporary protection or adequate national protection, depending on the EU country they are in.
More information at https://ec.europa.eu/info/strategy/priorities-2019-2024/stronger-europe-world/eu-solidarity-ukraine/eu-assistance-ukraine/information-people-fleeing-war-ukraine_en
In what languages are these services available?
Latvian, English, Russian.

Services for People Living with HIV
HIV-testing
https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians https://www.spkc.gov.lv/lv/hiv-profilakses-punkti https://www.vmnvd.gov.lv/lv/laboratoriskie-izmeklejumi https://www.vmnvd.gov.lv/en/health-care-services-ukrainian-citizens
|
Antiretroviral treatment (ART)
How can minors get treatment?Minors can get ART. Nacionālā veselības dienesta 2018.gada 27. novembra rīkojums Nr.16-2/259 “RACIONĀLAS FARMAKOTERAPIJAS REKOMENDĀCIJAS no valsts budžeta līdzekļiem apmaksātai ANTIRETROVIRĀLAI TERAPIJAI HIV/AIDS INFEKCIJAS ĀRSTĒŠANAI” |
Pre-exposure prophylaxis (PrEP)
No regulation is available on pre-exposure prophylaxis in Latvia. Individual risks and benefits can be discussed with a specialist (infectiologist).
Medication used for pre-exposure prophylaxis is available in Latvia and is state covered.
www.dati.zva.gov.lv/zalu-registrs/info/
Check Latvian Centre of Infectious Diseases; HIV/Aids ward
General reception phone number +371 67000610.
Sign up for appointment
Post-exposure prophylaxis (PEP)
PEP is recommended within 48 hours of possible infection.
https://www.spkc.gov.lv/lv/hiv-profilakses-punktia
If the risk of being infected with HIV occurred while performing work responsibilities (such as medical personnel, police officers, rescuers) or in situations arising from violence (such as sexual assault ), ART medication will be free of charge: https://www.spkc.gov.lv/lv/hiv-profilakses-punkti
There is no minimum age to receive HIV post-exposure prophylaxis: https://www.spkc.gov.lv/lv/registretas-2014gada/5322e625e2a511.pdf
To get HIV post-exposure prophylaxis go to “Latvijas Infektoloģijas centres” Latvian Centre of Infectious Diseases) admission ward. Linezera street 3, Rīga, LV-1006. Phone: (+371) 67014595

Services for People Living with Hepatitis B or C
Hepatitis B or C testing, hepatitis B vaccination, and hepatitis B or C treatment availability
- A Ukrainian civilian has the right to receive state paid health care services in the same amount as persons insured in Latvia within the scope of the state mandatory health insurance.
- Hepatitis Bor C serology testing is covered by the NHS with a referral form issued by NHS family physician or other specialists.
- Free anonymous express testing for hepatitis B or C can be received at the HIV Prevention Point. A previous appointment to the prevention point is mandatory. A list of addresses and contacts can be seen at: https://www.spkc.gov.lv/lv/hiv-profilakses-punkti
- Vaccination and referrals to laboratory testing or infectiologist/ hepatologist can be received at the general practitioner – Information: nvd@vmnvd.gov.lv, 80001234.
- In the case of chronic hepatitis B or C certain medicines are included in the state reimbursable medicines the list for outpatient treatment with 100% of the amount compensated. Those can be prescribed by an infectiologist/ hepatologist with the approval of the doctor’s council.
- Patients with acute hepatitis B or C can consult a family physician and are referred to an infectologist for further testing and monitoring, if necessary. https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians https://www.vmnvd.gov.lv/en/health-care-services-ukrainian-citizens
Sources:
- https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- https://www.spkc.gov.lv/lv/ukrainas-iedzivotaju-vakcinacija-patveruma-uzturesanas-laika-un-citi-infekcijas-slimibu-profilakses-pasakumi
- https://www.spkc.gov.lv/lv/hiv-profilakses-punkti
- https://www.spkc.gov.lv/lv/b-hepatits
- https://www.spkc.gov.lv/lv/c-hepatits
- https://www.vmnvd.gov.lv/lv/kompensejamo-zalu-saraksti
Indications for hepatitis B or C testing or vaccination, hepatitis B or C treatment:
Vaccination for hepatitis B is highly recommended and covered by NHS for:
- Children according to the vaccination calendar. Unvaccinated children can be immunized using monvaccine (HB), if according to age or other circumstances, combined vaccine cannot be administered.
- Persons who have not been vaccinated against hepatitis B and are receiving chronic haemodialysis or hemodiafiltration procedures. There are no general contradictions apart from drug/vaccine specific for each manufacturer. Treatment initiation is based on indications.
- Vaccination for hepatitis B is highly recommended and covered by employers for employees, who regularly (at least once a month) while performing their work duties or during studies come into direct contact with patients or human biological materials that may contain or transfer hepatitis B, or with objects contaminated with such materials.
- Vaccination for hepatitis B is recommended for all Latvian populations, especially for travellers.
Testing for hepatitis B or C is recommended for:
- Patients with sexually transmitted diseases (gonorrhoea, syphilis), HIV infections, hepatitis C
- Injecting drug users
- Persons at risk of sexual behaviour (frequent change of sexual partners, provision or receipt of sexual services)
- Men who have sex with men
- If there has been a blood transfusion before 1970
- Patients who receive frequent injections (such as diabetics; immunosuppressants, chemotherapy or hemodialysis)
- Prior to open surgery
Treatment for hepatitis B is covered in the case of the chronic form.
Treatment of hepatitis C indications is noted by infectiologist/ hepatologist with approval of doctors´ council based on the genotype of the virus, state of hepatic fibrosis, and history of organ transplant significant clinical signs outside the hepatic system.
Sources:
- https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- https://www.spkc.gov.lv/lv/ukrainas-iedzivotaju-vakcinacija-patveruma-uzturesanas-laika-un-citi-infekcijas-slimibu-profilakses-pasakumi
- https://www.spkc.gov.lv/lv/hiv-profilakses-punkti
- https://www.spkc.gov.lv/lv/b-hepatits
- https://www.spkc.gov.lv/lv/c-hepatits
- https://www.vmnvd.gov.lv/lv/kompensejamo-zalu-saraksti
- https://likumi.lv/ta/id/11215-vakcinacijas-noteikumi
- https://www.spkc.gov.lv/lv/b-hepatits
- https://www.spkc.gov.lv/lv/c-hepatits
- https://www.vmnvd.gov.lv/lv/kompensejamo-zalu-saraksti
What to do if a medical history of hepatitis B vaccination or hepatitis B or C treatment cannot be provided
- If a person can describe when they last received a vaccination, what vaccines were given, and how many vaccines were received at the last visit, one can continue the vaccination scheme that was started. If it is doubtful whether vaccines were received at all, it is safe and necessary to administer them repeatedly. Serology testing can be performed, if the vaccination status is unknown.
- Unvaccinated children can be vaccinated using monovaccine (HB), if according to age or other circumstances combined vaccine cannot be administered.
- Persons who have not been vaccinated against hepatitis B and are receiving chronic hemodialysis or hemodiafiltration procedures will receive vaccines due to epidemiological indications.
- Compulsory vaccination against hepatitis B for employees, who regularly (at least once a month) while performing their work duties or during studies come into direct contact with patients or human biological materials that may contain or transfer hepatitis B, or with objects contaminated with such materials.
Sources:
- https://www.spkc.gov.lv/lv/ukrainas-iedzivotaju-vakcinacija-patveruma-uzturesanas-laika-un-citi-infekcijas-slimibu-profilakses-pasakumi
- https://likumi.lv/ta/en/en/id/11215
Treatment options available for hepatitis related liver diseases
There are treatment options available for liver cirrhosis and hepatocellular carcinoma. Treatment for hepatocellular carcinoma can be prescribed by an oncologist as state covered based on the doctors’ council’s decision.
Sources:
- https://www.vmnvd.gov.lv/lv/kompensejamo-zalu-saraksti
- https://aslimnica.lv/stacionari/latvijas-infektologijas-centrs/aknu-slimibu-nodala/
Support systems (harm reduction/safer use, social support or psychosocial support) are available for the Ukrainians undergoing therapy for hepatitis C or related liver diseases
In case of positive hepatitis B or C or HIV express test patienst can apply for the services of a support person.
Coordinator phone. 28632639 (Agita Sēja) or dialogs@diacentrs.lv
Services of psycho-emotional support (not specific for hepatitis C patients) are available free of charge by contacting the service provider:
- Crisis and Counselling Centre “Skalbes” 24551700 business days 9:00 – 17:00 (also available after office hours upon a prior arrangement during the office hours)
- Association “Centre MARTA”; opening hours 10:00-18.00, Tel. no. 67378539
Sources:

Tuberculosis services
If the person has TB symptoms:
Sources:
If TB was already diagnosed in Ukraine and the person needs to continue treatment:
|
Sources:
Non-medical support
Sources:
If a person has a Ukrainian prescription for TB treatment medication…
Sources:
Bacille Calmette-Guérin (BCG) vaccination for childrenVaccination with BCG is carried out until the age of 16 years. Parents should refer to a general practitioner for consultations, prescriptions, and further referral to a specialist, for analyses or vaccines. Information: nvd@vmnvd.gov.lv, 80001234 Or Children’s Clinical University Hospital (BKUS Ģimenes vakcinācijas centres) to make an appointment call +371 80708866 or write to poliklinika@bkus.lv or fill in the form at https://www.bkus.lv/lv/pieteikuma-forma Sources: |

Opioid agonist treatment (OAT) services
Medication rules
- People entering Latvia are not allowed to import narcotic analgesics, new psychoactive substances and active substances from third countries (including Ukraine) https://www.vid.gov.lv/lv/ierobezojumi-un-aizliegumi-precu-parvietosanai
- A Ukrainian civilian would be issued with the medicinal products intended for the treatment of chronic illnesses at a pharmacy, except for narcotic medicinal products or psychotropic medicinal products equivalent thereto https://likumi.lv/ta/en/en/id/330546-law-on-assistance-to-ukrainian-civilians
- Facilities for methadone/buprenorphine pharmaco-treatment can be found below:
Riga, Tvaika street 2; Ļermontova street 1; Gaiziņa street 7
Liepāja, Aldaru street 20/24;
Venspils, Inženieru street 60; Raiņa street 6,
Jūrmala, Raiņa street 98A,
Olaine, Zemgales street 57;
Salaspils, Lauku street 8
Aizpute, Atmodas street 26;
Jelgava, Filozofu street 69;
https://rpnc.lv/narkologiska-palidziba/ambulatora-arstnieciba/
https://www.spkc.gov.lv/lv/narkologiska-palidziba
- Prior visit to narcologist is advised and before receipt of service a passport/visa or permanent residence permit is needed https://www.vmnvd.gov.lv/lv/information-ukrainian-citizens-about-health-care-services-latvia
What OAT drugs are available in the country?
Methadone programme is state covered, buprenorphine is not.
For more info https://rpnc.lv/narkologiska-palidziba/ambulatora-arstnieciba/
Take-home dosages availability
It is available and is decided upon by the overseeing specialist.
Minimum age for people who use drugs to receive OAT
Usually over the age of 18 years.
Sources
General requirements and access to healthcare
-
01. Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums)
Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums). Legal acts of the republic of Latvia, 10 March 2022 (with amendments up to 12 May 2022). Available at likumi.lv
HIV
-
01. Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums)
Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums). Legal acts of the republic of Latvia, 10 March 2022 (with amendments up to 12 May 2022). Available at likumi.lv
-
04. Cabinet Regulation No. 628 “Organisational Procedures for Restriction of the Spread of Human Immunodeficiency Virus Infection (HIV) and AIDS and the Treatment of HIV-Infected Persons and AIDS Patients”
Cabinet Regulation No. 628 “Organisational Procedures for Restriction of the Spread of Human Immunodeficiency Virus Infection (HIV) and AIDS and the Treatment of HIV-Infected Persons and AIDS Patients” (Cilvēka imūndeficīta vīrusa infekcijas (HIV) un AIDS izplatības ierobežošanas un ar HIV inficētu). Republic of Latvia, adopted 4 November 2003 (with amendments up to 27 March 2012). Available at likumi.lv
-
08. Nacionālā veselības dienesta 2018.gada 27.novembra rīkojums Nr.16-2/259 “RACIONĀLAS FARMAKOTERAPIJAS REKOMENDĀCIJAS no valsts budžeta līdzekļiem apmaksātai ANTIRETROVIRĀLAI TERAPIJAI HIV/AIDS INFEKCIJAS ĀRSTĒŠANAI”
Nacionālā veselības dienesta 2018.gada 27.novembra rīkojums Nr.16-2/259 “RACIONĀLAS FARMAKOTERAPIJAS REKOMENDĀCIJAS no valsts budžeta līdzekļiem apmaksātai ANTIRETROVIRĀLAI TERAPIJAI HIV/AIDS INFEKCIJAS ĀRSTĒŠANAI”
ecuo.org/pdf
Hepatitis B/C
-
01. Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums)
Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums). Legal acts of the republic of Latvia, 10 March 2022 (with amendments up to 12 May 2022). Available at likumi.lv
-
04. Ministru kabineta noteikumi Nr. 330 “Vakcinācijas noteikumi”, Rīgā 2000.gada 26.septembrī (prot. Nr.46 36.§)
Ministru kabineta noteikumi Nr. 330 “Vakcinācijas noteikumi”, Rīgā 2000.gada 26.septembrī (prot. Nr.46 36.§). Available at likumi.lv
TB
-
01. Cabinet Regulation No. 686 “Procedures for Performing Health Examination and Sanitary Treatment of an Asylum Seeker, and also for Registering the Results Thereof” (Kārtība, kādā veic patvēruma meklētāja veselības stāvokļa pārbaudi un sanitāro apstrādi).
Cabinet Regulation No. 686 “Procedures for Performing Health Examination and Sanitary Treatment of an Asylum Seeker, and also for Registering the Results Thereof” (Kārtība, kādā veic patvēruma meklētāja veselības stāvokļa pārbaudi un sanitāro apstrādi). Republic of Latvia, Adopted 21 November 2017. Available at likumi.lv
-
05. Cabinet Regulation No. 299 “Epidemiological Safety Measures for the Limitation of the Spread of Tuberculosis” (Epidemioloģiskās drošības pasākumi tuberkulozes izplatības ierobežošanai)
Cabinet Regulation No. 299 “Epidemiological Safety Measures for the Limitation of the Spread of Tuberculosis” (Epidemioloģiskās drošības pasākumi tuberkulozes izplatības ierobežošanai). Republic of Latvia, Adopted 2 July 2019. Available at likumi.lv
-
06. Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums)
Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums). Legal acts of the republic of Latvia, 10 March 2022 (with amendments up to 12 May 2022). Available at likumi.lv
OAT
-
02. Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums)
Saeima: Law on Assistance to Ukrainian Civilians (Ukrainas civiliedzīvotāju atbalsta likums). Legal acts of the republic of Latvia, 10 March 2022 (with amendments up to 12 May 2022). Available at likumi.lv
-
06. Long-term methadone pharmacotherapy in opioid-dependent patients. Database of medical technologies used in medicin
Stirna A. Long-term methadone pharmacotherapy in opioid-dependent patients. Database of medical technologies used in medicin: Riga, March 14, 2014. Available at dati.zva.gov.lv