A doctor, dental surgeon or midwife who applies to be entered on the roll of the Association to which he/she belongs shall submit his/her application or send it by registered letter with acknowledgement of receipt to the President of the Association Council of the department in which he/she wishes to establish his/her professional residence.
This application must be accompanied by the following documents
1° A photocopy of a valid identity document ;
2° Where applicable, a certificate of nationality issued by a competent authority;
3° A copy of the evidence of formal qualifications required by article L. 4111-1 , accompanied, where applicable, by a translation produced by a translator approved by the French courts or authorised to act before the judicial or administrative authorities of a Member State of the European Union or a party to the Agreement on the European Economic Area, to which the following documents are attached:
a) Where the applicant is a practitioner who is a national of a Member State of the European Union or a party to the Agreement on the European Economic Area: the certificate(s) provided for by the texts adopted in application of articles L. 4131-1, L. 4141-3 and L. 4151-5 ;
b) If the applicant holds an authorisation to practise issued pursuant to articles L. 4111-2 to L. 4111-4, L. 4131-1-1, L. 4141-3-1 and L. 4151-5-1 or an authorisation to practise issued pursuant to article L. 4002-3: a copy of this authorisation;
c) If the applicant presents a diploma issued in a foreign State, the validity of which is recognised on French territory: a copy of the qualifications to which this recognition may be subject;
4° For nationals of a foreign country, an extract from the criminal record or an equivalent document, less than three months old, issued by a competent authority in the country of origin or provenance; this document may be replaced, for nationals of Member States of the European Union or parties to the Agreement on the European Economic Area which require proof of good character or good repute for access to the activity of doctor, dental surgeon or midwife, by a certificate dated less than three months from the competent authority of the State of origin or country from which the foreign national comes certifying that these conditions of good character or good repute have been met;
5° A statement on the applicant’s honour certifying that he or she is not the subject of any proceedings that could result in a conviction or sanction that could have consequences for entry on the roll;
6° A certificate of deregistration or registration issued by the authority with which the applicant was previously registered or recorded or, failing this, a statement on the applicant’s honour certifying that he or she has never been registered or recorded or, failing this, a certificate of registration or recording in a Member State of the European Union or party to the Agreement on the European Economic Area;
7° Any evidence that the applicant has the language skills required to practise the profession.
8° A curriculum vitae.
The President of the Departmental Council acknowledges receipt of the application within one month of its receipt and, where appropriate, informs the applicant within the same period of any missing documents and information.