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How to Get Your Tarjeta Sanitaria in Madrid (2026)
May 28, 2026 at 10:00 AM
Tarjeta Sanitaria - healthcare

You moved to Madrid. You need to see a doctor. But without a tarjeta sanitaria — the Spanish public health card — the system is practically inaccessible.

What Is the Tarjeta Sanitaria?

The tarjeta sanitaria individual (TSI) registers you with a GP at your local health centre and gives you access to the Spanish national health system — appointments, specialist referrals, prescriptions, and emergency care.

Who Is Entitled?

  • Employees and autónomos contributing to Social Security
  • EU citizens with NIE verde
  • Non-EU citizens with valid TIE card
  • All children under 18 registered in Spain

What Documents Do You Need?

  • Valid passport or national ID card
  • NIE verde (EU) or TIE card (non-EU)
  • Empadronamiento certificate
  • Social Security number (if working)

Where to Apply in Madrid

Go to your assigned centro de salud — the public health centre corresponding to your registered address. To find yours, check the Madrid Community health portal at comunidad.madrid.

Step-by-Step Process

  1. Make sure your empadronamiento is up to date
  2. Locate your assigned centro de salud
  3. Go in person with all your documents
  4. Ask at reception for the tarjeta sanitaria registration form

Need Help?

Get in touch and I can walk you through each step.