Embassy or employer (HR) letters to guarantee return after medical treatment
When are they required – and what should they include?
When applying for a medical treatment visa for Germany, it is not enough to prove the medical necessity of the treatment. German embassies and consulates also usually require strong guarantees that the patient and any accompanying person will return to their home country once treatment is completed.
One of the most important of these guarantees are official letters from the employer (HR letter) or letters from the applicant’s own national embassy, confirming professional, financial or social ties to the home country.
In line with the requirements of § 14 AufenthV, German missions abroad assess whether there are indications that the visa application might be used as a pretext for irregular immigration.
An employer or embassy letter helps to:
Prove strong ties to the country of origin (job, family, obligations)
Reassure the authorities that the applicant will leave Germany after treatment
Strengthen the file particularly when
the financial situation is not very strong, or
an accompanying person is travelling who is not a first-degree relative
If the patient or the accompanying person is currently employed
If the person is taking temporary leave from work due to the medical trip
Full name + ID or passport number
Job title and employment start date
Type of contract (fixed-term / permanent)
Dates of granted leave (from – to)
Explicit confirmation that the employee will return to their position after treatment
Official signature and company stamp
To whom it may concern,
This is to certify that Mr. [Full Name], holder of ID No. [123456], is currently employed at [Company Name] as a [Position], since [Start Date].
He/She has been granted a leave of absence from [Start Date] to [End Date] in order to accompany a medical patient to Germany.
We confirm that Mr./Ms. [Name] will resume duties upon completion of the medical trip.
Sincerely,
[HR Signature and Stamp]
If the patient does not have formal employment or is already retired
If the accompanying person is a minor or a patient who cannot speak for themselves
If additional legal and diplomatic support is needed to strengthen the application
Confirmation of the identity of the applicant and the purpose of travel
An explicit statement that the embassy confirms the applicant’s commitment to return after treatment
Diplomatic support for the file vis-à-vis the German mission (“state-to-state” level)
Signature of a consular officer and official stamp
Note: Some embassies issue such letters only in specific cases or upon explicit request from the German hospital.
Do not submit generic or outdated letters – they should be recently dated and case-specific.
All names and details must exactly match those in the passport and visa application.
Have the letters written or translated into German or English, and legalised or certified if required.
Ideally, submit these letters together with the visa application documents, not separately at a later stage.
Employer and embassy letters are not minor documents. They are a key pillar in building trust between the applicant and the German consulate.
Preparing these documents carefully:
significantly increases the chances of visa approval,
shows clearly that the trip is temporary and strictly medical,
and, together with a detailed cost estimate and treatment schedule, reassures the authorities that the stay is limited to medical care.
The authors and editorial team of this website strive to provide accurate information based on intensive research and multiple sources. However, errors may still occur, or some information may be incomplete or not fully confirmed. Therefore, the information in these articles should be regarded only as an initial reference. For binding and confirmed information, please always consult the competent authorities and professional institutions.
