Alan Since Sweden is in the EU I believe that the student needing dialysis should be able to obtain a certificate for reciprocal health care for pre-existing conditions which mirrors the E111 most of us use when we go on holiday in the EU - which covers new conditions. Check with the Department of Health policy people, or the Central Bureau for Educational Visits and Exchanges on 0171 486 5101. Hope that this helps Debbie Gibberd City University Disability Officer Northampton Square, London EC1V0HB 020 7477 8806 voice and minicom 020 7477 8592 fax %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%