Siirry sisältöön
Wellbeing services county of Central Ostrobothnia

Student health care includes:

  • monitoring and promoting the health and well-being of students and their ability to study
  • promoting the healthiness and safety of the study environment and the well-being of the student community
  • providing health and medical services for students, including mental health and substance abuse work, sexual health promotion and oral and dental care
  • early identification of a student’s need for special support or examinations and supporting students and, if necessary, directing them to further examinations or treatment.

Health examinations and health care guidance and oral and dental health services

When it comes to students studying in a general upper secondary school and in secondary level vocational education, an examination by a public health nurse is arranged in the first year and a doctor’s examination in the first or in the second year of study. The goal with the examination is to obtain an overall understanding of the student’s health and well-being as well as to guide the student to make health-promoting choices. Attention is paid to the student’s life situation, study motivation and health risks. The student’s health status is assessed particularly in terms of coping with the studies.

Oral and dental health services are a part of student health care. Every student has the right to one oral and dental health examination during their studies. Examinations and treatments are carried out at the dental clinics at the health care centres based on individual needs. 

Client fees in social and health care services

Persons aged 15 years and older are charged a client fee for a doctor’s appointment or an appointment to oral and dental care if the appointment is not used and is not cancelled, if there are no grounds for not coming to the appointment. Cancellation must be made two days before the appointment. In school and student health care, customer visits to a public health nurse are still free of charge.

Student health care is provided for students in secondary education institutions and at universities and universities of applied sciences. A special feature of the target group is having studying both as a job and as a stage of life.

Studying requires adequate physical and mental resources, good teaching and a study environment that supports learning. Student health care must promote the student’s ability to work and study by supporting the student’s physical and mental resources, by ensuring a good physical study environment and well-functioning working arrangements, and by paying attention to the well-being of the student community.

The health checks that are carried out during the first year of study can be considered age group or life stage checks, and their content is very similar to a health check performed in occupational health services. Key principles of the health checks in student health care include customer and resource orientation, individuality, equality of the students, voluntariness, lack of urgency and an appreciation for the students.

When health checks are carried out in student health, information is required on the health requirements related to the field of study. In addition to this, labour laws and regulations must also be considered.

The aim of health checks for first-year students is to:

  1. Together with the student, discuss his/her life situation, lifestyle, social networks and study as part of their well-being as a whole.
  2. Support and strengthen the resources. Detect lifestyle risks and provide guidance and counselling to reduce them.
  3. Assess the student’s health status in terms of coping with the studies.
  4. Direct the student to services if problems that threaten or impair their functional capacity are found.
  5. Plan follow-ups, treatment and rehabilitation for the duration of study when a student has a chronic disease.
  6. Determine the rehabilitation and support services required by a student with special needs together with the educational institution and others (a student with special needs is a student who has had partial or a complete adjustment of their studies or a class transfer in primary and lower secondary education or a student who has been designated a student with special needs in postgraduate studies).
  7. Determine the need for pregnancy prevention and sexual health advice.
  8. Inform about the services provided by student health care.

In secondary level vocational education, at the conservatory and in general upper secondary school, a health check performed by a public health nurse is carried out on all first-year students. A health check by a public health nurse is also carried out for boys of conscription call-up age in Kokkola, usually in the second year.

Students who study more than six months at an institute of adult education are invited to a health appointment if necessary.

This examination is based not only on an interview with the student and an occupational health risk assessment and guidance, but also on health information from primary and lower secondary education.

At the university of applied sciences (business and technology, social and health care, music and performing arts), a first-year student’s health check consists of a health survey and, on based on that, if necessary, an individual health check carried out by a public health nurse.

According to decrees, a doctor’s examination should be organised for students studying in general upper secondary schools or in secondary level vocational education in the first or second year of study. Unfortunately, these cannot be arranged at the moment due to the shortage of doctors.

If a doctor’s examination has been carried out in connection with student selection, due to legislation regarding or the characteristics of the field of study in question, and a doctor’s statement T or equivalent has been written on it, a separate doctor’s examination does not need to be carried out at the educational institution unless a need for it is found in the public health nurse’s health examination. However, a young person’s health certificate written in conjunction with a doctor’s examination in lower secondary school does not replace a doctor’s examination.

There are grounds for a doctor’s examination in student health care for male students in the conscription call-up year. (There is regulation on doctor’s examinations connected to conscription call-up in the Conscription Act 1438/2007).

The doctor’s examination is always carried out in the first year of study for special needs students and students who have a long-term illness or disability affecting their field of study or future profession. The content of the examination should be the same as in examinations carried out in the occupational health service.

The purpose of a health check is to obtain an overall understanding of the student’s health and well-being and to guide the student to make health-promoting choices. Central parts of the examination are looking into the student’s life situation, self-esteem and resources, motivation and risks, willingness to change or the obstacles to change.

The health check also includes supporting the student as they are becoming independent and supporting the development into an adult. Individually, the student’s own issues or problems are addressed, such as neck-shoulder-back symptoms, sleep problems, dating problems, eating problems, “internet addiction,” dyslexia, special issues that immigrant students and foreign students or other students who need special support have.

For example, the following basic health examinations are carried out during a health check:

  • measurement of height and weight to establish over- or underweight (including measuring the waist circumference in adults and giving guidance about this)
  • a so called Dehko assessment for people at risk for type 2 diabetes
  • measuring blood pressure
  • haemoglobin
  • visual acuity
  • a hearing examination
  • nicotine addiction test
  • a depression/mood test to determine mental well-being
  • if necessary, the student will be sent for other necessary laboratory tests

Public health nurse’s reception

You can come to a public health nurses open reception without an appointment. Reception hours vary by school. Typical issues addressed at the reception include counselling and self-care guidance related to disease prevention or treatment, check-ups when it comes to diseases, psychosocial support, first aid after accidents, vaccinations as well as sexuality and birth control counselling.

If a student needs a sick leave certificate, they must come to the reception. A certificate is not written retroactively or based on a phone call.

The student health care services are provided for students who study at educational institutions located in the municipality regardless of the students’ municipality of residence. Student health care services are also available during internships.

Student health care is free of charge for persons under the age of 18. After that, the fee is determined in accordance with the Act on Client Charges in Healthcare and Social Welfare in some of the services (e.g. oral and dental care, doctor’s reception). Health checks are free of charge for everyone.

The customers in student health care include students who are of age as well as underage students. Guardians have a smaller role than in school health care, but cooperation with other producers of welfare services is emphasised. Key principles are customer-orientation, professionalism, expertise, equality and confidentiality.

Student health care for higher education students

Student health care for higher education students is now organised by the Social Insurance Institution of Finland, Kela, and produced by Finnish Student Health Service, FSHS. The student health care services for students at the university of applied sciences in Kokkola are provided by FSHS’ unit in Kokkola.

Please book an appointment in advance. More detailed information about the services and instructions for applying for services can be found on the FSHS’ website:

A higher education student must pay a healthcare fee to Kela for both the spring and the autumn term. The student is not sent an invoice. Instead, they must pay the fee on their own initiative.

Promoting the healthiness, safety and well-being of the student community and environment

The student health care examines the health and safety of the school community and the environment in collaboration with many others every three years. The correction of the shortcomings identified in the examination is monitored annually.

Students from abroad

  • The content of the health check is the same as for other students.
  • Other possible examinations are planned based on an interview with a public health nurse.
  • Examinations in accordance with the Communicable Diseases Act are carried out before starting an on-the-job learning period

For all students, it is checked that vaccinations according to the general vaccination programme have been given (tetanus, diphtheria, polio, measles, rubella and mumps vaccines)

When a student is going abroad to study, the vaccination recommendations of the destination country and the general risks of infectious diseases in that country are checked together with the student.


Mental health is the foundation of human well-being, health and functional capacity. Mental health is shaped throughout the life by individual growth and development.

Under favourable conditions, mental resources increase, and in adverse conditions, they may be worn out more than they are renewed. Communities where youths develop, such as schools and educational institutions, support mental health. Knowledge and skills related to mental health can also be learned.

The well-being of the mind is influenced by many factors:

  • individual factors: identity, adaptability and self-confidence
  • social factors and factors to do with interaction: family, work, communities and school
  • structural factors in society: services and social policy
  • cultural factors: prevailing societal values and social criteria for mental health
  • biological factors.

Good mental health is a resource that helps people feel their life is meaningful, to enter into and maintain social relationships and to act as productive and creative members of the community.

Sexuality is an inner characteristic of every person from birth until death. It relates to the physical, mental and social self of a person and cannot be separated from the rest of being human. Sexuality is what we are, sex is what we do.

Sexuality includes, but is not limited to, sexual development, biological sex, social gender identity and its corresponding role, sexual orientation, erotic interest, pleasure and intimacy, and reproduction. It is partly invisible and partly visible.

Sexuality is a positive resource of health and well-being and one of the most sensitive aspects of our lives. Sexual activity and desire vary greatly over the course of one’s life and at different stages of life, but they never completely disappear.

Contact by phone

Information about the service

Students in upper secondary schools, vocational institutions and higher education institutions are entitled to student health care services in the wellbeing services county where their educational institution is located.

Student health care includes two periodic health examinations at the secondary level. A health survey is organised for higher education students during their first year of study, on the basis of which a health examination can be carried out if necessary. These health examinations focus on the student’s health and wellbeing as well as other aspects that affect their studies as a whole. Student health care services monitor and promote the health and wellbeing of students and their ability to study. The services also encompass primary health care and medical care services, including mental health and substance abuse work, the promotion of sexual health, and oral health care.

The health care services for higher education students are provided by the Finnish Student Health Service (FSHS). Higher education students must pay a health care fee to Kela that covers all FSHS services. No separate fees are charged for using the services.