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Family · Baby

A baby’s first year in Germany: healthcare and paperwork

A chronological checklist for newborn insurance, U examinations, documents, benefits, postnatal support and childcare planning.

Reviewed · Last updated August 2026

14 min read

Einfach Germany editorial team

Quick answer

In the first days, confirm newborn examinations and birth registration. Then arrange health insurance and a paediatric practice, complete benefit and residence paperwork, attend U2–U6 in their windows, and begin childcare planning early.

Important

This is general information about navigating German services, not medical advice or a diagnosis. For symptoms or treatment decisions, contact a qualified clinician. Call 112 for a life-threatening emergency.

1. Birth to day 10

U1 happens immediately after birth and U2 is scheduled for the 3rd to 10th day. Confirm who will perform U2 if you leave the hospital early. Keep screening records and the Gelbes Heft together.

Ensure the birth notification reaches the Standesamt and contact the intended health insurer.

TaskTiming
U1Immediately after birth
U23rd–10th day
Birth notificationWithin one week
Notify health insurerPromptly after birth

Useful resource

Binding schedule and scope of statutory early-detection examinations and newborn screenings.

Federal Joint Committee (G-BA) · not a government authority

Official source

Official process and documents for registering a newborn after a hospital, birth-centre or home birth.

Federal Ministry for Family Affairs — Familienportal

2. Weeks 2 to 8

Arrange the U3 for the 4th–5th week and establish a Kinderarzt practice. Use postnatal midwife care and your own medical follow-up as arranged.

Submit Kindergeld and Elterngeld applications promptly. Elterngeld back payment is limited, and benefit applications require different evidence.

3. The rest of the first year

The standard windows are U4 in months 3–4, U5 in months 6–7 and U6 in months 10–12. Book early because practices fill up. Bring the Gelbes Heft and vaccination record.

Discuss the current STIKO vaccination schedule with the paediatric practice rather than using an old calendar. Recommendations can change.

CheckOfficial window
U34th–5th week
U43rd–4th month
U56th–7th month
U610th–12th month

Official source

The current official vaccination calendar for infants, children, adolescents and adults.

Robert Koch Institute

4. Documents and benefits

Common tasks include birth certificates, health insurance, Kindergeld, Elterngeld, employer leave notifications, nationality/residence documents where relevant, and the child’s tax ID. Requirements depend on family circumstances.

  1. Secure civil documents

    Complete Standesamt requirements and order the certificate versions you need.

  2. Confirm insurance

    Obtain membership confirmation and eGK.

  3. Apply for benefits

    Use the Kindergeld and Elterngeld guides; do not wait for every other document if the authority accepts later submission.

  4. Check residence status

    If relevant, ask the immigration authority what the child requires.

5. Postnatal and early-family support

Frühe Hilfen are voluntary and free local services available from pregnancy until a child is three. Services differ locally and can include family midwives and practical support. Seeking help is not a failure.

Official source

Free, voluntary local support from pregnancy until a child is three years old.

Federal Ministry for Family Affairs — Familienportal

6. Plan childcare early

Ask your Jugendamt or municipality when Kita registration opens, how waiting lists work and which documents are needed. In high-demand areas, start well before the intended care date.

7. Urgent care

For health concerns, contact the Kinderarzt, 116117 for urgent non-life-threatening care, or 112 for life-threatening emergencies. This page does not provide symptom thresholds.

Important

If you are worried about a baby, seek professional assessment rather than relying on a website checklist.

8. Frequently asked questions

Preferably before or soon after birth, especially if U2 or U3 will be outside the hospital.

U1, U2, U3, U4, U5 and U6, each in a defined window.

After birth and promptly, because retroactive payment is limited to three life months.

Local Frühe Hilfen are voluntary and free from pregnancy until the child is three.

Related guides

Amounts and legal requirements can change. We verify this information against official sources and show when each figure was last checked, but always confirm important requirements with the responsible authority before you apply.

Einfach Germany is an independent information platform and is not affiliated with the German government.