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Tuberculosis (TB) Test

PostedMarch 11, 2025
UpdatedMarch 11, 2025
ByLovely

1. Do I need to take a tuberculosis (TB) test upon arrival? 

Depending on your nationality, you may be required to undergo a TB test after arriving in the Netherlands.  The Dutch Immigration and Naturalization Service (IND) requires certain nationalities to undergo a TB test as part of the residence permit process. 

  • You can check if your nationality is exempt from TB testing on the official IND website: 
  • IND TB Exemption List 
  • If your nationality is not on the exemption list, then a TB test is required: 
  • It must be scheduled within 3 months of arrival in the Netherlands.  

2. How do we book a TB test? 

The Host family should schedule and pay for the TB test with the GGD using the referral form provided by the agency. The cost is variable and can be up to €60 (2024).  

  • Link to GGD Locations and Appointments: GGD TB Test 
  • Choose the region where the host family home is located. 
  • Bring the completed referral form to the appointment and any necessary documents specified by your local GGD office. 

3. What does a positive TB test mean? 

A positive TB test indicates that the au pair may have been exposed to tuberculosis (TB). It does not necessarily mean the au pair has active TB, which is contagious and requires immediate treatment. Further evaluation is needed to determine if the infection is active or latent. 

4. What steps should be taken if the au pair’s TB test is positive? 

The au pair will be referred by the GGD (Municipal Health Service) for additional testing, which may include: 

  • A chest X-ray to check for signs of active TB. 
  • A consultation with a TB specialist to evaluate symptoms and medical history. 
  • Update the host family and the agency of all developments. 

5. Can the au pair continue their program if their TB test is positive? 

If latent TB is diagnosed (infection is present but not active or contagious): 

  • The au pair can continue their program as planned if agreed by the family and au pair together.  
  • Follow medical advice regarding treatment. 
  • Inform the host family and agency of all developments. 

If active TB is diagnosed: 

  • The au pair will need to begin immediate treatment, which may require temporary suspension of their duties to focus on recovery. 
  • The decision needs to be made by the au pair and host family about whether to continue the program. 
  • Notify the agency of any decisions immediately. 

6. Will the au pair’s residence permit be affected by a positive TB test? 

A positive TB test alone does not affect the au pair’s residence permit. However, the au pair must comply with GGD instructions and complete any required follow-up tests or treatments. 

7. Who covers the cost of follow-up testing or treatment? 

  • Dutch health insurance covers the cost of testing, specialist consultations, and treatment for TB, but not the personal deductible percentage, which is payable by the host.  
  • If the au pair has not yet arranged Dutch health insurance, Au Pair Insurance may cover interim medical costs (subject to enquiry with your au pair insurance company.)  Ensure the au pair’s insurance details are up to date. 
  • If the au pair and host did not take an au pair insurance package, it is vital to arrange Dutch basic health insurance as soon as possible after arrival, in case of unforeseen medical costs. 

8. What should the host family do if the au pair’s TB test is positive? 

  • Support the au pair in attending follow-up appointments and adhering to any treatment plan. 
  • Maintain open communication with the agency to ensure compliance with program requirements and the IND. 

9. What happens if the au pair does not follow up on a positive TB test? 

The IND may cancel the au pair’s residence permit if they fail to complete the required TB follow-up and treatment. It is crucial to cooperate fully with the GGD to avoid complications. 

10. Can the host family or others in the household be exposed to TB? 

  • If the au pair has latent TB: There is no risk of transmission to others. 
  • If the au pair has active TB: The GGD will assess and advise on preventive measures to protect household members, which may include testing and vaccination. 
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