In short: To receive the German nursing licence you need the German language skills required for the profession – in practice the federal states generally ask for level B2, and many require a nursing-specific language exam (Fachsprachprüfung). For entry through the recognition partnership (§ 16d (3) Residence Act), German at A2 is usually enough. Rules differ between the federal states, so always check with your competent authority.
Note: This page provides general information and is not legal advice. The law and the decisions of the competent authorities are decisive; rules can change. As of October 2026.
Levels at a glance
- A2: usually the minimum for entry via the recognition partnership (§ 16d (3)).
- B1: often expected for nursing training (Ausbildung) and useful for adaptation courses.
- B2: generally required for the professional licence; some states require a nursing-specific exam at B2 level.
Accepted certificates
Commonly accepted general certificates come from providers such as Goethe-Institut, telc, ÖSD and TestDaF, but each authority decides which certificates it accepts. Nursing-specific exams (for example "telc Deutsch B1-B2 Pflege" or exams organised by state nursing chambers or authorities) are required in some states. Ask the authority handling your recognition before you book an exam.
Learning German in Germany
Once in Germany, you can attend the BAMF job-related language courses (Berufssprachkurse), which include courses for healthcare professions. See our guide on the BAMF course.
Realistic time planning
Reaching B2 from zero typically takes many months of intensive study. Start early – language is the most common reason for delays.
How Berlin Tehran helps
We help healthcare professionals prepare their documents in an orderly way and coordinate with employers in Germany, following a transparent 8-step process with up to 90 days of support after arrival. We are specialised in Iran and support healthcare professionals from all countries where private recruitment is permitted. We do not provide legal advice; authorities make all decisions.
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Related guides
- BAMF job-related language course
- Recognition partnership (§ 16d (3))
- Knowledge test or adaptation course?
- Apply with Berlin Tehran
Frequently asked questions
Can I work as a nurse in Germany without German?
No. To receive the professional licence you must prove the German language skills required for the profession, in practice generally B2.
Is B1 enough for nurses in Germany?
B1 is often enough to start nursing training or some adaptation measures, but for the full licence the states generally require B2.
What is the Fachsprachprüfung for nurses?
A language exam focusing on communication in nursing, required by some federal states for the licence. Requirements differ by state.
Which German certificate is accepted?
Goethe, telc, ÖSD and TestDaF are widely used, but the competent authority decides. Check with them before booking.