Procedure 10: Sanidad Adicional (Salud Pública de tu CCAA)

What you need

1. Cl@ve, certificado digital or DNIe working. Without one you must use an in-person registro or the REC.
2. Empadronamiento up to date in your CCAA (best if less than 3 months old).
3. Medical or administrative justification for the request (report, referral or requirement from another body).
4. Email and mobile active for alerts. Electronic notifications can expire if you don’t access them.

Documentation

1. DNI/NIE or passport (if TIE, upload both sides).
2. Tarjeta sanitaria de tu CCAA.
3. Certificado de empadronamiento reciente.
4. Medical report/prescription that supports the request.
5. Informed consent, if applicable.
6. Authorisation and DNI of both parties if you act for someone else.
7. Proof of residence (certificado UE/TIE and, if you lack entitlement to care, insurance or documentation proving it).

Step by step

1. Find the procedure in your sede: go to the sede electrónica of your CCAA > Salud/Salud Pública and look for “Solicitar una actuación sanitaria extra a Salud Pública de tu CCAA”. If it’s there, start with Cl@ve.
2. Fill the form: explain what you want, the reason, the reference health centre and contact details. If a doctor suggested it, cite that.
3. Attach PDFs: DNI, padrón, medical report, etc. Keep sizes reasonable (if the sede limits to 10–15 MB, split files).
4. Sign and submit: sign with Cl@ve and save the justificante de registro (PDF with entry number). Keep copies of everything.
5. Check notifications: log into DEHú (https://dehu.redsara.es) and Carpeta Ciudadana (https://carpetaciudadana.gob.es). If there’s a requerimiento, you have 10 días hábiles to reply.
6. Appointment or inspection (if required): attend with originals. If not, wait for the resolution.
7. Download the resolution: use it for the other procedure that needs it. Keep a copy.
8. Plan B if you can’t find the trámite: use the REC (https://rec.redsara.es) with a “Solicitud genérica” to your Consejería de Salud (Salud Pública). Put “Solicitar una actuación sanitaria extra a Salud Pública de tu CCAA” in the subject and attach everything.

Tips from an expert

1. Upload clear, legible files. Blurry reports earn you a subsanación request.
2. Name your files logically: 01_DNI.pdf, 02_Padron.pdf, 03_Informe.pdf.
3. Enable alerts on DEHú and check every 2–3 days. A notification you don’t open in 10 days expires and still counts as notified.
4. Don’t improvise the justification: if another body requested it, attach their requirement. “Because it’s convenient” usually gets rejected.
5. If it’s urgent, submit and then call your CCAA info line with the registration number. Sometimes they speed things up if deadlines are involved.

Common mistakes

1. Not responding to a subsanación: after 10 días hábiles they can record desistimiento and archive. You’ll have to start again.
2. Uploading huge photos: the sede chokes and you panic. Convert to PDF and compress.
3. Requesting without an updated padrón: they will require it. Get it first from your ayuntamiento.
4. Thinking they’ll call you: they won’t. They notify electronically. You must check.
5. Paying tasas “because yes”: if payment is needed they’ll give the autonómico payment form. Don’t pay without that paper.