Updated 7 October 2026

EET 2.0 for doctors and dentists: which payments must be recorded?

EET 2.0 starts on 1 January 2027. Healthcare is not automatically exempt as a sector. In private business practice, the particular income, payment method and statutory exemptions determine the obligation. Patients’ cash and contact card or QR payments in the practice typically have to be recorded; remote payments are assessed differently.

Payment in the practice Cash and contact card or QR payments typically have to be recorded.
Remote payment A bank transfer made later remotely is typically not a contact payment.
No patient data The EET message covers sale data, not the patient, diagnosis or an itemised description of treatment.

Does EET 2.0 apply to doctors and dentists?

Being a doctor or dentist does not itself determine the obligation. A provider must check whether they receive qualifying business income, whether payment is cash or a contact payment, and whether a statutory exemption applies.

Patients’ direct payments for services in a private practice typically have to be recorded when these conditions are met. This does not mean that every doctor must record all their income.

Assess the income and payment

The basic conditions and exemptions for taxpayers or types of income also apply in healthcare.

Who EET applies to

Patients’ payments in the practice

Cash

A patient’s cash payment for a business service typically has to be recorded unless exempt by law.

Payment card

A card payment during personal contact with practice staff is a contact payment.

QR and on-the-spot transfers

A QR payment or bank transfer made during a visit to the practice can meet the contact condition just like a card payment.

EET 2.0 payment guide

Health insurer payments and remote transfers

Assess a health insurer’s payment using the general rules for qualifying income and payment methods. A transfer sent to the provider remotely without personal contact and outside their premises or vehicle is typically not a contact payment.

The same distinction applies when a patient pays an invoice later from home. The different treatment results from how payment occurs, not from an automatic exemption for all insurer payments.

Assess the particular payment. The payer’s name or the existence of an invoice does not replace the EET rules.

Practical examples from a medical practice

These examples concern qualifying business income with no statutory exemption.

SituationEET 2.0Explanation
A patient pays cash in the practiceTypically yesA business sale paid in cash.
A patient pays by card in the practiceTypically yesA contact payment during a visit to the practice.
A patient pays using QR during a visitTypically yesUsing a QR code does not change the contact nature of the payment.
A patient pays an invoice later by bank transfer from homeTypically noPayment is made remotely outside the premises and vehicle.
A health insurer sends a bank transfer without personal contactTypically not a contact paymentApply the general rules rather than a blanket exemption for insurers.
A patient pays for a service entirely online in advanceTypically noNon-cash payment is made entirely remotely, outside the premises and without personal contact.

What data is sent to the Financial Administration?

The official list includes identification of the taxpayer, recording unit and till, the sale sequence number, date and time, total amount in Czech currency and data message identification. Further specified data applies when drawing on earlier payments or recording on someone else’s behalf.

This scope of the EET message does not include patient data, a diagnosis, medical documentation or an itemised description of treatment. Information needed for the practice’s own records is separate from transmitting a sale to EET.

  • The entrepreneur and their device are identified, not the patient.
  • The amount and time of the sale are sent, not a medical record.
  • Configure the transmitted data according to the official EET 2.0 specification.

Must a practice print an EET receipt?

The EET 2.0 legislation itself does not require issuing or printing a special EET receipt. Obligations to issue accounting, tax or consumer documents under other legislation remain unaffected. The confirmation code POK is not a mandatory item on such a document.

Does a doctor or dentist need a new till?

Not automatically. You can use a till, computer, tablet or phone with software that meets EET 2.0 requirements, securely sends a message signed with a till certificate and receives the system’s response.

You can keep your current solution if the supplier provides the necessary support. Check the software update, internet connection and the practice’s recording unit settings.

Frequently asked questions

It may apply from 1 January 2027. Business income, cash or contact payments and any statutory exemption determine the obligation, not the sector alone.

The same rules apply as for other businesses. Direct patient payments in a private dental practice typically have to be recorded when the statutory conditions are met.

Typically yes, if it is qualifying business income and is not exempt. The cash rule also applies without personal contact.

Typically yes. A card payment during personal contact with the doctor or staff is a contact payment.

Typically yes, if it occurs during a visit to the practice as a contact payment.

Typically no, if the patient pays later remotely, without personal contact and outside the provider’s premises or vehicle.

The general rules apply. A remote bank transfer without personal contact is typically not a contact payment. There is no automatic exemption for every payment made by an insurer.

These are not part of the officially defined EET message scope. It contains data about the entrepreneur, device and sale, not medical documentation or an itemised description of treatment.

EET 2.0 itself does not require it. Obligations to issue documents under other legislation remain in place.

Not automatically. An existing device may suffice if its software supports EET 2.0, a certificate and secure communication with the system.

Official sources

Information checked on 7 October 2026 against current Czech Financial Administration guidance. The examples assume business income in the Czech Republic; any statutory exemption must be assessed separately.

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