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[Blog](https://info.onedoc.ch/en/blog/ "Go to Blog.") [Complementary therapists](https://info.onedoc.ch/en/blog/therapists/ "Go to the Complementary therapists Category archives.") 8-step checklist to get started as a self-employed therapist # 8-step checklist to get started as a self-employed therapist Last updated on 06/01/2026 [Complementary therapists](https://info.onedoc.ch/en/blog/therapists/) ![Steps into independance for therapists in Switzerland](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20700%20394'%3E%3C/svg%3E) Are you finishing your therapist training or moving from employment to self-employment? Choosing self-employed status means gaining __autonomy__ in running your practice, setting your __own hours__, and building a __direct relationship of trust__ with your patients. It also lets you build an activity that reflects who you are, using therapeutic methods that match your skills and your view of care. However, this freedom also comes with obligations! Here are the 8 key steps to set yourself up smoothly as a [complementary therapist](https://info.onedoc.ch/en/specialty/therapist/) in Switzerland. Whether you are an osteopath, reflexologist, massage therapist, naturopath, psychologist or other, this article is for you! ![✅](https://s.w.org/images/core/emoji/17.0.2/svg/2705.svg) [Discover our all-in-one software for therapists](https://info.onedoc.ch/en/specialty/therapist/) ## The 8 steps to become a self-employed therapist in Switzerland ### Step 1: Check your self-employed status In Switzerland, you are recognised as self-employed if you work __on your own account__ with __your own infrastructure__, __assume the economic risk__ of your activity, and have __several clients__. This recognition is formalised by your compensation fund (see step 3). ### Step 2: Obtain the required cantonal authorisations In Switzerland, authorisation to practise is handled by the cantons. Depending on your canton and specialty, an authorisation may be required. #### Procedure to obtain a cantonal authorisation: 1. __Submit your application__ to your canton’s health authority (cantonal physician/health office). 2. __Complete the standard file__: official cantonal form, CV, copy of diploma, criminal record extract, debt-collection register extract, and, where applicable, proof of professional liability insurance, health certificate, or evidence of suitable premises. 3. __Timelines__: from a few weeks to a few months depending on the canton and your file. 4. __Receipt of the decision__: you will receive an *authorisation decision* by post and/or via email/cantonal portal. Keep it; insurers or SASIS may request it for later applications (notably for the RCC number, see step 6). #### Foreign diploma: MEBEKO recognition If you have a foreign diploma and want to set up in Switzerland, you must request recognition from the Medical Professions Commission (MEBEKO). ### Step 3: Register with the compensation fund (AVS/AI/APG – AHV/IV/EO) When you start your self-employed therapy activity, you must __register as soon as you begin invoicing or have clients__. This helps you avoid penalties, late-payment interest, or retroactive debts. #### How to register with the compensation fund? - __Complete the application form__: fill in the self-employed affiliation form on the website of your chosen fund. You will be asked for personal data, the start date of your activity, the nature of your activity, the estimated net income, proof of invoices or client contracts, and possibly evidence of investments or premises. - __Timelines__: apply as early as possible—once your first clients/invoices are there. Processing can take several weeks depending on the fund. *Good to know*: even if your activity is “secondary” (for example if you are employed elsewhere), you must still apply if you have significant income (generally above CHF 30,000), and your income should be estimated accurately to avoid unpleasant surprises. #### Which compensation fund should you choose as a self-employed therapist? You can register either with the cantonal compensation fund of __your canton of residence__ or with the compensation fund of your professional association if it offers one. The fund checks whether your activity qualifies as self-employment. ### Step 4: Take out the right insurance as a self-employed person Not all insurances are mandatory for the self-employed. Here are the main ones to consider: - __Professional liability insurance__: strongly recommended to cover risks linked to therapeutic activity (damage to a patient, incident at the practice, etc.). - __Accident insurance__ (LAA/UVG): optional for the self-employed but strongly recommended. - __Daily sickness benefits insurance__: also optional but recommended to protect against loss of income in case of illness. - __Pension provision__ (2nd and 3rd pillars): not compulsory for the self-employed. However, you can join voluntarily or contribute to pillar 3a to prepare for retirement and complement AVS/AHV. - Note that __unemployment insurance__ (AC/ALV) does not exist for the self-employed. ![Vue d'une page profil d'une thérapeute complémentaire sur onedoc.ch](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20178'%3E%3C/svg%3E "profil-therapeute-complementaire-onedoc-ch") #### OneDoc supports your self-employed practice | | | |----------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------| | ![✅](https://s.w.org/images/core/emoji/17.0.2/svg/2705.svg) [Profile on OneDoc](https://info.onedoc.ch/en/hub/onedoc-profile/) | ![✅](https://s.w.org/images/core/emoji/17.0.2/svg/2705.svg) [Tariff 590 billing](https://info.onedoc.ch/en/invoice/tarif-590/) | | ![✅](https://s.w.org/images/core/emoji/17.0.2/svg/2705.svg) [Online appointments](https://info.onedoc.ch/en/hub/online-booking/) | ![✅](https://s.w.org/images/core/emoji/17.0.2/svg/2705.svg) [Teleconsultation](https://info.onedoc.ch/en/visio/teleconsultation-module/) | [Request a demo](https://info.onedoc.ch) ### Step 5: Choose your accreditations (ASCA / RME) To facilitate reimbursement by supplementary insurers, it is common to obtain recognition from __ASCA__ (Swiss foundation for complementary medicine) and/or __RME__ (Empirical Medicine Register). These organisations are quality labels recognised by many supplementary insurers. Note that __if you are ASCA-affiliated__ you can benefit from a __20% discount__ __on your OneDoc subscription__! ![👉](https://s.w.org/images/core/emoji/17.0.2/svg/1f449.svg) [Contact our team and get 20% off your OneDoc subscription with ASCA](https://info.onedoc.ch/en/asca-therapist/) ### Step 6: Request your RCC/ZSR number to practise as a therapist The __RCC/ZSR number__ is issued by __SASIS SA/AG__ (santésuisse). It identifies the provider when billing insurers, which is required to invoice the mandatory basic health insurance (LAMal/KVG) and obtain official recognition of your professional status. Depending on the case, a cantonal authorisation and/or method recognition (ASCA/RME) may be required. ![⚠️](https://s.w.org/images/core/emoji/17.0.2/svg/26a0.svg) Note that you will need an RCC/ZSR number to use OneDoc. ### Step 7: Find billing software for Tariff 590) that fits your needs Complementary therapy services are billed according to [__Tariff 590__](https://info.onedoc.ch/en/invoice/tarif-590/). To save time and reduce errors, adopt __practice management software__ that meets your needs (integrated calendar, billing, [sending invoices to insurers](https://info.onedoc.ch/en/invoice/third-party-payment/), [payment tracking and reminders](https://info.onedoc.ch/en/invoice/payment-reminders/), …) ![👉](https://s.w.org/images/core/emoji/17.0.2/svg/1f449.svg) [Discover our Tariff 590 billing software integrated into your OneDoc calendar](https://info.onedoc.ch/en/invoice/tarif-590/) ### Step 8: Boost your visibility and attract patients Choose channels that can increase your visibility (website, [Google Business Profile](https://info.onedoc.ch/en/blog/all-specialties/4-benefits-of-google-business-profile-in-the-healthcare-sector/), directories, social media). A clear online presence with your specialties, fees, cancellation policy and the option to [book appointments online](https://info.onedoc.ch/en/hub/online-booking/) reassures patients! #### Calculate your additional revenue thanks to increased visibility ![👇](https://s.w.org/images/core/emoji/17.0.2/svg/1f447.svg) Try our revenue calculator and find out how much more you can earn each month with OneDoc. [Calculate now](https://info.onedoc.ch/en/profitability-calculator/) ## Ready to get started as a self-employed therapist? Becoming a self-employed therapist in Switzerland involves several steps: obtain the cantonal authorisations, register with the compensation fund, set up your insurance, obtain recognition (ASCA/RME), then request your RCC/ZSR number to bill under Tariff 590. __With the right management tools and a clear online presence,__ you secure your start and save time to focus on what matters most: your patients. In short, __prepare your documents, choose your insurance, structure your billing and invest in visibility__. This way, you maximise your chances of launching a solid, recognised independent activity. We wish you every success in your therapy practice! ## Useful resources for self-employed therapists - [Swiss Confederation website](https://www.kmu.admin.ch/kmu/en/home/concrete-know-how/setting-up-sme/starting-business/first-step/self-employment-guidelines.html): step-by-step guide to becoming self-employed in Switzerland - [SASIS SA/AG](https://www.sasis.ch/): request your RCC/ZSR number - [MEBEKO](https://www.bag.admin.ch/de/gesuch-einreichen-fuer-ein-diplom-der-medizinalberufe-aus-einem-drittstaat-nicht-eu-efta-staat): recognition of foreign diplomas (FOPH) - [ASCA](https://asca.ch/de/asca-therapeutinnen/): Swiss foundation for complementary medicine - [RME](https://emr.ch/therapeuten): Empirical Medicine Register [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Ftherapists%2Fget-started-self-employed-therapist%2F "Share on Facebook")[](https://x.com/intent/post?url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Ftherapists%2Fget-started-self-employed-therapist%2F "Share on X")[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Ftherapists%2Fget-started-self-employed-therapist%2F "Share on LinkedIn") ### On the same topic [![Computer screen displaying Bing Places for Business results](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20400%20250'%3E%3C/svg%3E)](https://info.onedoc.ch/en/blog/all-specialties/bing-places-for-business-medical-practice/ "Bing Places for Business: An underrated tool to boost your medical practice’s online visibility") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [Bing Places for Business: An underrated tool to boost your medical practice’s online visibility](https://info.onedoc.ch/en/blog/all-specialties/bing-places-for-business-medical-practice/ "Bing Places for Business: An underrated tool to boost your medical practice’s online visibility") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/bing-places-for-business-medical-practice/) [![7 steps to opening your own psychotherapy practice in Switzerland](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20400%20250'%3E%3C/svg%3E)](https://info.onedoc.ch/en/blog/psychologists/open-psychotherapy-practice/ "7 steps to opening your own psychotherapy practice in Switzerland") - [Psychologists](https://info.onedoc.ch/en/blog/psychologists/) ##### [7 steps to opening your own psychotherapy practice in Switzerland](https://info.onedoc.ch/en/blog/psychologists/open-psychotherapy-practice/ "7 steps to opening your own psychotherapy practice in Switzerland") [Read the article](https://info.onedoc.ch/en/blog/psychologists/open-psychotherapy-practice/) [![Smiling physical therapist with a patient sitting with her back to the camera in the background](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20400%20250'%3E%3C/svg%3E)](https://info.onedoc.ch/en/blog/physiotherapists/open-physiotherapy-practice/ "The 7 key steps to opening a physiotherapy clinic") - [Physiotherapists](https://info.onedoc.ch/en/blog/physiotherapists/) ##### [The 7 key steps to opening a physiotherapy clinic](https://info.onedoc.ch/en/blog/physiotherapists/open-physiotherapy-practice/ "The 7 key steps to opening a physiotherapy clinic") [Read the article](https://info.onedoc.ch/en/blog/physiotherapists/open-physiotherapy-practice/) [![Quelle forme juridique choisir pour un cabinet médical ou dentaire?](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20400%20250'%3E%3C/svg%3E)](https://info.onedoc.ch/en/blog/all-specialties/legal-form-medical-practice/ "What legal form should you choose for a medical or dental practice?") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [What legal form should you choose for a medical or dental practice?](https://info.onedoc.ch/en/blog/all-specialties/legal-form-medical-practice/ "What legal form should you choose for a medical or dental practice?") 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And how?](https://info.onedoc.ch/en/blog/all-specialties/ai-medical-practitioners/) - [3 methods to effectively prioritize tasks in your medical practice](https://info.onedoc.ch/en/blog/all-specialties/prioritizing-tasks-medical-practice/) - [Teledentistry in Switzerland: in which cases is it truly useful for your practice?](https://info.onedoc.ch/en/blog/dentists/teledentistry-switzerland/) - [No-shows in pediatrics: strategies and measures applicable to pediatric practices in Switzerland](https://info.onedoc.ch/en/blog/pediatricians/no-shows-pediatrics-strategies/) - [Fake news in paediatrics – Prevention between self-diagnosis and medical advice](https://info.onedoc.ch/en/blog/pediatricians/fake-news-in-paediatrics/) - [Shortage of paediatricians in Switzerland: strategies for paediatricians facing growing patient demand](https://info.onedoc.ch/en/blog/pediatricians/shortage-paediatricians-switzerland/) - [How to design a waiting room in a medical practice?](https://info.onedoc.ch/en/blog/all-specialties/waiting-room-medical-practice/) - [How to manage emergencies in your dermatology practice and keep your schedule under control](https://info.onedoc.ch/en/blog/dermatologists/manage-dermatology-emergencies/) © 2026 OneDoc SA - Made with ![❤️](https://s.w.org/images/core/emoji/17.0.2/svg/2764.svg) in Switzerland Close