Starting an Ambulance Business in Ukraine

In recent years, foreign investors have increasingly turned their attention to Ukraine’s healthcare sector. One area drawing particular interest is emergency medical services. Amid war and ongoing crises, ambulance services have become not only socially vital but also a promising avenue for sustainable business development.

One example of this trend is our case, where we provided full legal support for launching an emergency medical services business in Ukraine by a Swiss citizen. We guided him through the entire journey, from concept to launch. This is more than just a business; it’s a field of heightened responsibility, where high standards, professionalism, speed, and legal precision play a central role.

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Challenges for Foreigners Starting an Emergency Medical Services Business

Entrepreneurship in the emergency medical sector involves meeting a range of strict requirements. As a result, a foreign national planning to launch such a business faces several challenges:

• A complex licensing process and approval of medical activity types
• Qualification requirements for medical personnel involved in patient care
• Compliance of facilities and vehicles with sanitary and technical standards
• The need to include medical transport (ambulances) in the licensing documentation
• Registration in the Electronic Healthcare System (EHS).

Our client, a Swiss citizen, is a healthcare expert with many years of experience, particularly in emergency response, medical transport, first aid training, and implementing innovative educational solutions within healthcare systems. By the time he contacted us, he had already completed several successful projects across Europe. However, despite his extensive background, registering a medical business in Ukraine proved to be a challenging task for him.

Expanding his operations, the client decided to establish a company in Ukraine that would focus on:

• Providing emergency medical services
• Transporting patients
• Implementing first aid training programs for the public and organizations
• Conducting certified training for medical personnel

An important requirement from the client was to operate legally, in close cooperation with government authorities, with a focus on long-term presence in Ukraine and potential expansion of activities.

When contacting our law firm, the client needed comprehensive legal support for entering the Ukrainian market, from choosing the legal form and registering the business to obtaining a medical license and registering with the Electronic Healthcare System (EHS). Additionally, it was crucial for him to delegate all bureaucratic matters to a competent professional. Our medical law attorney, who has years of experience in the field, took on this role.

Additionally, the client required legal support in English. Our firm provided an English-speaking attorney and a dedicated English-speaking client manager, who explained all details clearly and professionally in a language the client could fully understand.

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Registering a Medical Business in Ukraine

The first step involved selecting the appropriate legal structure. After analyzing the scope of activities, we determined that a Limited Liability Company (LLC) would be the optimal form for operating this medical business. Our team provided a full range of legal services, including:

• Selecting the relevant KVED codes to match all areas of activity
• Advising on the choice of taxation system
• Preparing the full set of registration documents
• Drafting a power of attorney, which allowed us to complete all procedures without the client’s personal presence
• Arranging for translation and notarization of documents
• Preparing and submitting the full document package to the state registrar
• Obtaining the Extract from the Unified State Register confirming LLC registration

This became the foundation for the following stages of the business launch.

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Medical License

The next step involved obtaining a license for conducting business activities in the field of medical practice. Our client’s scope of services covered the following specialties:

• Healthcare organization and management
• Emergency medicine
• General medical practice
• Nursing practice

In addition, we included medical transport (ambulances) in the licensing documentation, as they would be used to provide emergency care and transport patients.

At this stage, our legal team carried out the following:

• Audited the compliance of personnel and facilities with the Ministry of Health requirements
• Obtained certification confirming that the premises meet accessibility standards for people with limited mobility
• Prepared and completed the application for a medical license
• Compiled information on the material and technical base and entered data on the qualifications of medical staff
• Submitted the complete document package to the Ministry of Health
• Monitored the review process and secured the decision granting the license

We reviewed every detail thoroughly, knowing that even a minor inaccuracy could lead the Ministry of Health to return the documents for revision.

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Registration in the Electronic Healthcare System 

The final step involved connecting the company to the Electronic Healthcare System (EHCS), which is currently a mandatory requirement for legally providing medical services in Ukraine. We provided full technical and legal support throughout the process, including registration in the Medical Information System (MIS) and entry of all required data on practice locations and medical personnel.

Launching a Medical Business for a Foreign Entrepreneur

As a result of our collaboration, the client successfully launched a fully operational emergency medical business in Ukraine, significantly saving time and resources. The outcomes included:

• A registered company with the necessary areas of activity
• A Ministry of Health license for providing emergency medical care and patient transportation
• Full integration with the Electronic Healthcare System, enabling technical capacity to operate within the national healthcare framework

We didn’t just provide legal services; we laid the legal foundation for a socially important initiative that is already operating today.

It’s important to remember that healthcare is more than just a business. It’s a highly regulated field where legal mistakes come at a high cost. That’s why legal support must be precise, experienced, and forward-looking.

If you’re a foreign entrepreneur planning to launch a medical business in Ukraine, don’t waste time navigating the bureaucracy on your own. Entrust your project to us, as our team has deep expertise in medical law and knows how to guide you confidently from concept to first patient.

Submit your request, and we’ll get to work right away.