Beat the September Rush: A Guide to Mandatory Student Health Checks
As the school year draws to a close and families across Lithuania begin planning their summer holidays, health officials are issuing a timely reminder: now is the best time to handle mandatory student health checks. While the start of the new academic year in September may feel distant, the annual requirement for a health certificate is a task that often leads to significant bottlenecks in the healthcare system if left until the last minute.
In Lithuania, these health checks are not merely a recommendation but a legal requirement for all children in pre-school and primary education, as well as for students under 18 and adult learners following general education programs. By scheduling these appointments during the summer months, parents can avoid the inevitable queues and registration difficulties that arise when thousands of families attempt to book visits simultaneously in late August.
The Strategic Advantage of Summer Booking
The State Patient Fund (VLK) emphasizes that the rhythm of medical facilities changes during the summer. With many people away on holiday, there is often more flexibility in the schedules of family doctors and dentists. Conversely, the arrival of autumn typically sees a surge in demand, making it difficult to find convenient appointment times.

Experts suggest that the most efficient way to handle this requirement is to coordinate both the family doctor and the dentist visit on the same day. This proactive approach ensures that the student is ready for the new school year without the stress of missing documentation or rushing through medical consultations during the busy first weeks of term.
What the Mandatory Check-Up Entails
The annual health check-up is a comprehensive assessment designed to monitor a child’s growth and catch potential health issues before they become serious. It is a vital preventative measure that goes beyond a simple signature on a form. During the visit, the family doctor performs several key evaluations:
- Physical Metrics: Measurement of height, weight, and arterial blood pressure.
- Developmental Milestones: For children under the age of four, doctors specifically assess psychomotor development.
- Sensory and Physical Health: Evaluation of vision, hearing, and the musculoskeletal system (posture and movement).
- General Wellbeing: Assessment of mental health status, as well as nutrition and hygiene habits.
If any abnormalities are detected during these routine checks, the family doctor will issue a referral for a specialist consultation or further diagnostic tests. Furthermore, the health certificate serves a practical purpose within the school environment; it must include instructions for first aid measures if the student has specific allergies or chronic conditions, ensuring that teachers and school staff are prepared for emergencies.
The Essential Role of Dental Care
A separate but equally important component of the annual requirement is the dental examination. A dentist must evaluate the condition of the student’s teeth and jaw. Beyond basic checks, this visit is an opportunity for preventative care, such as professional oral hygiene or fluoride treatments.
For children under the age of 14, the national health system covers the application of silants—a protective coating for healthy permanent molars that helps prevent decay. These preventative measures are fully funded by the Compulsory Health Insurance Fund (PSD), provided the clinic has a contract with the territorial patient fund.
Accessing Your Digital Health Certificate
Lithuania has fully transitioned to a digital system for student health records. Once the examination is complete, the doctor fills out the certificate electronically. This document remains valid for one year from the date of issue.
Parents and guardians no longer need to carry paper forms to schools. Instead, they can view the completed health data and confirm the certificate’s status by logging into their personal accounts via the Electronic Government Gateway (Elektroniniai valdžios vartai). This digital integration streamlines the process for both parents and educational institutions, ensuring that health data is accurate, accessible, and securely stored.
In 2024, the scale of this public health initiative was significant, with nearly 463,000 children receiving health certificates. The Compulsory Health Insurance Fund allocated approximately €5.8 million to cover these mandatory preventative checks, underscoring the state’s commitment to maintaining student health standards across the country.
Source: BNS