OBJECTIVES: Chile is Latin American country prone to natural disasters (NDs). Despite efforts to improve knowledge and effective strategies for prevention and control of NDs in this population, little has been explored related to international migrants (2.5% total population, N=550.000). We explored healthcare related needs of international migrants towards NDs in Chile. METHODS: Qualitative case study of the city of Valparaíso, one of the immigrant-densest cities in Chile and with one of the highest rates of NDs. We conducted 23 individual semi-structured interviews (12 women/11 men), until data saturation was reached. We transcribed interviews verbatim and conducted thematic analysis in NVivo Software. Ethical approve from UDD Ethics-Committee. RESULTS: We found two types of participants, those who had not had a NDs experience before (immigrants from bordering countries) and those who did (Central American/Caribbean countries). In both cases there was little knowledge around this topic. Healthcare needs towards NDs were: being trained on how to safely evacuate, how to cope with owns and relative´s distress, understand the location of safe zones, and what the exact role of the healthcare system is, especially given that the largest response comes from unprepared community members and not experts/authorities. They request for official communication channels with authorities/healthcare experts at all times. CONCLUSIONS: International migrants have clear and urgent healthcare related needs in relation to NDs in Chile. This data should be integrated with ongoing strategies in the country, in order to protect the life and health of all residents in the country, including immigrants.