Where do you get a medical certificate? How to get a personal medical record and how much will it cost? What is “medical record extension”

18.05.2022 Recipes
You can officially obtain a medical record in Moscow in several places. Sometimes you need to go through a series of doctors in clinics, and this lasts for several days. Previously, medical books were issued only through Rospotrebnadzor. Several options are now available, as well as through the SES, in the branches of the Center for Hygiene and Epidemiology and licensed companies providing medical services.

Where can I get a medical record officially?

If you don’t want to spend extra money, the question arises: is it possible to get a medical record at a clinic? Yes, but there is a certain algorithm of actions. Medical books vary depending on the profession. For people working with food products, involved in production, performing work at heights, etc. How to properly issue a medical record in a clinic:

· purchase a medical book (available at the Centers for Hygiene and Epidemiology);

· take two 3x4 photos and contact the reception desk or your local physician;

· you need to have a passport, a medical insurance policy and an outpatient card with you (if the examination will be carried out in the clinic at the place of attachment);

· write an application for a medical examination;

· fill out a bypass sheet (obtained from the reception desk);

· make an appointment with the specified specialists;

· get tested.

Then the book is submitted to the Epidemiology Center, where it is certified with signatures and seals. In some cases (for example, when further working with food groups of goods), it is required to listen to the sanitary minimum, and be sure to undergo an examination at the Internal Control Department. After the lectures, certifications are carried out. A hologram about the passed sanitary minimum is pasted only into the SES. Then the medical record is certified with signatures and seals.

How to obtain a medical record for working through private medical centers:

1. Register at the clinic and fill out a short questionnaire.

2. Pay for services.

3. Visit all prescribed doctors and get tested.

4. Receive a certificate indicating that the medical book is already being issued.

5. As soon as all the tests are ready, receive the document in your hands.

The advantages of undergoing a medical examination at paid medical centers are that you can do it without standing in queues. For example, an examination by all doctors will take no more than half an hour. There you can get a medical record in 1 day. Maximum – 5 working days. Where can I get an official medical card:

· "Sanmedservice" on the street. Dovatora, 15a;

· “Medical and Health League” on 3rd Mytishchinskaya, 16, building 3;

· MDC "Special" on the street. Malaya Semenovskaya, 15/17, building 4;

· "SanMedVostok" on the street. Stromynka, 13a;

· "Med-Alpha" on the street. 1st Spinning, 5;

· "Mobil-Med" on Rezervny proezd, 11a, building 1;

· "Oris Prof" on the lane. Drum, 3;

· "Firm Oris" on the street. Profsoyuznaya, 154, building 1;

· "Erisman" on St. Tolmachevsky Lane, 3;

· "Delis-Media" on the street. Novoslobodskaya, 36/1, building 3;

· "Taganka Med" on the street. Verkhnyaya Radishchevskaya, 15, building 3;

· “Sanmedical Expert” on Demidovsky Lane, 17/1;

· “Alternative MC” on the street. Teatralnaya, 1b;

· “Panacea Clinic” on the street. Academician Chelomeya, 10 b;

· "Son-Med" on the street. Berzarina, 17, building 2;

· "Health" on the street. Tverskoy, 20, building 3;

· "SkoroMed" on the first Tverskaya-Yamskaya, 29/66, building 2, building 1;

· “Crede Experto” at Tovarishchesky Lane, 10, building 1;

· "ProfMedLab" in the first Krasnogvardeisky passage, 12, building 3;

· “NV-medica” on Petrovsky Boulevard, 12, building 2;

· “Medinkom” on Volgogradsky Prospekt, 32, building 12;

· "Vita Design" in the first Basmanny lane, 2a;

· "Doctrine" on the street. Perovskaya, 20;

· “Biospets” on Slavyanskaya Square, 2/5/4, building 3;

· “Regional trade union center” on the street. B. Tulskaya, 56;

· "Outpatient clinic" on Simferopol Boulevard, 24, building 5;

· “Medical Club Consilium” at Prospekt Mira, 211, building 27;

· MC “Health Capital” on the street. Lyublinskaya, 104;

· "NAKFF" on the street. Ugreshskaya, 2, building 7;

· "Research Institute of MT" on Budyonny Avenue, 31;

· "Asteri" on the street. Velozavodskaya, 13, building 2;

· “Medkom” on Kronstadt Boulevard, 7;

· "Dental Center" on the street. Yakornaya, 7, building 1;

· “Center Gomo89” on Khoroshevskoye Shosse, 21;

· “SpetsMedProf” on the street. Skladochnaya, 1b;

· "ALLMED PLUS" in Beringov Proezd, 3;

· "Economy Clinic" on the street. Krasnodarskaya, 57a;

· “Medical House” on the street. Bratislavskaya, 18, building 1;

· "Alpha" on Filevsky Boulevard, 40.

And you can also get a medical record in Moscow through the Epidemiology Centers, whose branches are located in almost all clinics in the city.

How much does it cost to get a medical record?

The cost of the document will depend on its type. Most professions require a ration book. But sometimes a document is issued for work in industrial enterprises. Basically, the list of doctors and tests are the same, but in each category they can be supplemented by other specialists.

It costs approximately 700 rubles to pay for lectures. This amount is calculated separately from the medical examination fee. The cost of obtaining a medical record can vary from 1 thousand to 3500 rubles. This depends on the tests and vaccinations that need to be done, as well as the doctors who need to be examined. The price may include small amount for urgency (on average 500 rubles).

Detailed instructions will tell you how to obtain a medical record with minimal waste of time and money.

Medical book: how to distinguish a fake?

When figuring out where to get a medical record, many are faced with the offer to correct the document without unnecessary hassle: without going to the doctors, without visiting a medical examination, without passing an exam. You should be wary of such “Cheese in the Trap” - it is quite possible that these are scammers. Having received a “symbolic amount” from you, they will either disappear or give you a fake document.

Signs of a real medical book - an official document on a strict reporting form:

    dark blue cover;

    dimensions: width 9.7 cm, height 13.5 cm;

    a hologram in the form of a square, confirming the results of certification;

    paper with watermarks - on all pages and the inside cover there is a pale blue grid with half rings;

    a round seal of the Federal State Institution “Center for Hygiene and Epidemiology (regional)” that appears on a personal photo;

    a hologram in the form of a circle extending to the upper right corner of a personal photo;

    flashing the book with special thread;

    a unique number of 7 digits (entered in the LMK register).

On a note! To understand whether this is a fake or an original, find the seven-digit number in the register of personal medical records (PMR).

Sequencing

Step-by-step instructions will help you understand how to obtain a medical record for work.

    Buy a medical book form.

    Prepare the necessary documents.

    Take the required tests and receive their results.

    Go through specialists and get an opinion from each one.

    Attend an educational medical course and successfully pass the exam.

    Pick up the completed medical book.

On a note! A medical book is required for employment in professions related to food products (food seller, catering worker, etc.), medical services, work in the pedagogical field, etc. – full list placed in Chapter 34 of the Labor Code, Order 302 of the Ministry of Health and the Law “On the Sanitary and Epidemiological Welfare of the Population.”

If you are figuring out how to get a medical record at a clinic for free, keep in mind that this procedure will take longer than going to a private clinic. However, you won’t be able to spend any money at all. The minimum cost is the purchase of a medical book form and a lecture on the medical minimum with confirmation of certification.

Learn more about each step

In order to avoid unnecessary actions and save money, it is important to learn a little more about each step and understand where to formally obtain a medical record.

Where to go?

Registration of a medical record is possible both in a municipal clinic and in a private one. In the first case, you won’t have to spend extra money, but the procedure can take several weeks (from 3 to 6). In a commercial clinic, everything will take at most a few days, but you will have to pay on average:

    for tests - from 2500 to 5000 rubles (one analysis costs 200-300 rubles);

    for a course of medical lectures for admission to the exam - from 700 to 1500 rubles.

Important! According to Article 214 Labor Code The costs of correcting the medical record must be borne by the employer, but in practice, unfortunately, the costs usually fall on the shoulders of the employees.

Taking this into account, everyone independently decides where they can get a medical record: quickly, but for money from private owners, or for free, but in a city clinic. On average, a medical book costs 3.5 thousand rubles:

    cost of crusts (120 rub.);

    course of lectures (500 rub.) + passing the certification exam (200 rub.);

    photographs (150 rub.);

    tests (RUB 2,500).

In addition to clinics, you can contact the branch of the Center for Hygiene and Epidemiology in your city. For example, obtaining a medical record for those who live in Moscow is officially and free of charge offered by the Moscow Federal Budgetary Healthcare Institution TsGiE. On the official website of the institution http://www.mossanexpert.ru Can:

    check the completed medical book;

    issue it in paper or electronic form;

    undergo hygiene training.

On a note! The initial registration and issuance of personal medical records at the Federal Budgetary Healthcare Institution Central State Hygiene and Epidemiology Center in Moscow will cost 186 rubles at the end of 2017. (paper version), 104 rub. (electronic).

Purchasing a form

You can purchase an empty medical book in special sections of book or stationery stores. The average price is 100-120 rubles.

Collection of documents

To pass the medical examination, you must prepare the following documents:

  • health insurance policy;

  • personal statement;

    a completed medical book (we’ll talk about obtaining it below);

    2 photos 3x4;

    direction from the employer (if available).

It’s worth looking at the statement in a little more detail. It is filled out on a ready-made form at the clinic ( private clinic, TsGiE). Its goal is not only to declare a desire to receive a medical book, but also to give consent to the so-called medical intervention.

Taking tests

To be allowed to work and receive a medical certificate, you need to undergo a number of examinations and tests:

    blood (general);

    urine (general);

    smear (STD) for the presence of sexually transmitted diseases;

    tests for hepatitis, syphilis and AIDS are taken separately;

    one of the tests for the presence of helminths in the body: feces, smear, blood test for antibodies;

    fluorography (done once a year, so if you have the results of an unexpired previous examination, they will do);

    electrocardiography;

    mucosal smear for staphylococcus.

On a note! This list of standard tests and examinations may be expanded at the request of the employer.

The results must demonstrate that the applicant does not have contagious diseases, and is healthy enough to perform professional tasks at work. After employment, some specialists will have to undergo regular examinations, and each application is entered into the LMC.

If the tests show any problems, then you will not be able to pass the commission, and therefore, you will have to forget about the medical book. What to do in this case? You need to make sure that you have prepared correctly for tests and examinations. The donation of most of them has special features, for example, blood is donated on an empty stomach. If suspicions of a particular pathology are justified, then you need to undergo treatment.

Important! All diseases that interfere with employment are published in Order of the Ministry of Health No. 302-n dated April 12, 2011.

Pass a medical examination

After receiving the results of all tests and examinations and preparing a complete package of documents, we go to the commission. It includes examinations by the following doctors:

    therapist;

    ophthalmologist;

    otolaryngologist;

    orthopedic surgeon;

    neurologist;

    psychiatrist;

    dentist;

    dermatologist and venereologist (often this is the same specialist);

    expert in narcology;

    gynecologist.

Each doctor makes notes in the book, thereby confirming that the person who applied is healthy or has certain pathologies.

On a note! For the conclusion of a psychiatrist and narcologist, they are often sent to specialized medical institutions– dispensaries.

Typically, women over 40 years old have to make an additional appointment with a mammologist. And many organizations today ask for a cardiologist’s opinion. That is why the exact list of required doctors should be clarified during employment.

Pass the exam

Before taking the general medical course exam, you must sign up for lectures at the city Center for Hygiene and Epidemiology. They talk about current sanitary standards and hygiene rules in the workplace. The training ends with an exam test. Based on its results, a finished document is issued.

On a note! If the certification exam is failed, then the next attempt is given no earlier than in a month.

Now you know how to quickly obtain a medical record. Choose a method that is convenient for you and do not believe false promises to get your medical record done “officially and quickly” without your participation.

Having a medical record is an indispensable requirement for a number of specialties related to:

This document certifies that the person does not have dangerous diseases, which he can infect other people while performing his professional duties.

Is it possible to get a health card for free?

Of course, you don’t want to pay extra money to get a health card, so a logical question arises: “How to apply for and get a medical book for free”? Let's try to figure it out.

Before you make a health book for free or on a self-supporting basis, you need to know that those who receive the document for the first time will still pay a certain amount for its issuance. Is it possible to get a medical record at a clinic for free if you have one? medical policy? Regional clinics have their own tariffs for consultations with specialists and tests for medical records. They are, of course, significantly lower than in private clinics, but the process will take a little longer. At the clinic you will be given a list of specialists whose marks are required in accordance with the declared specialty. Without a medical record, an employee simply will not be hired for a position that requires it.

Free registration of a medical record

But there is still an option to apply for and receive a medical book for free. The book is needed to perform a specific job, so it is assumed that the person will work in some organization. Most organizations reissue medical records for their employees at their own expense. Thus, a health book in a clinic is issued to an employee free of charge at the expense of the employer. When applying for a job where a health certificate is required, check with the employer about this issue. Will he pay you for the renewal and re-issuance of the document or will you be required to do this on your own? Large organizations even carry out specialist visits to the site for a centralized mass renewal of medical records for employees. Naturally, all this is free for employees.

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How to get a medical card yourself? The need for a personal medical record for the listed decreed population groups is regulated by a number of documents. First of all, this is Federal Law No. 52 “On the sanitary and epidemiological welfare of the population”, the federal law No. 29 “On the quality and safety of food products.” These issues are also spelled out in detail in Order of the Ministry of Health of Russia No. 229 dated June 29, 2000 “On professional hygienic training and certification of officials and employees of organizations”, Order of the Ministry of Health of Russia No. 122 dated April 14, 2000 “On personal medical records and sanitary passports for vehicles for the transportation of food products,” Moscow Government Decree No. 1228 dated December 28, 1999 “On mandatory preventive medical examinations and hygienic certification.”

A personal medical record is issued only by Rospotrebnadzor authorities at the employee’s place of residence or work with mandatory registration in the register.

To apply for a medical record, you must have with you:
- passport
- photo 3x4 cm (color or black and white)
- application from the employer for hygiene training
- for non-resident citizens a certificate of registration in Moscow and the Moscow region is required
- receipt of payment for the form of a personal medical record and for hygienic training.

Citizens of other states (except Belarus) receive a personal medical record at the Central State Medical Examination Center in Moscow (Grafsky Lane, 4/9).

In order to obtain a personal medical record, you must go through a complex medical examinations,hygiene training(listen to the lecture) and certification acquired knowledge.

Duration of medical examination and hygienic training – no more than 1 month from the date of filing an application for a personal medical record. In organizations accredited for this type of activity, which have their own outpatient clinic and laboratory facilities, personal medical records can be issued and in a shorter time. However, this is at least 5-7 days for workers in public catering and food trade enterprises, and at least 3-4 days for workers selling industrial goods and for employees of public utility facilities. The timing is objectively determined by the analysis methodology. If any organization or individual offers to issue a personal medical book in 1-2 days, this means that this book will contain falsified data and is considered invalid. Such a medical record will not be registered in the relevant register of state sanitary and epidemiological inspection centers.

Persons whose activities are related to production, storage, transportation and sale of food products and drinking water You must undergo a preliminary medical examination, which includes:




- testing for carriage of intestinal pathogens
- serological examination for typhoid fever

- scraping for enterobiasis.
Then a medical examination is carried out periodically 2 times per year:
- examination by a dermatovenerologist
- blood test for syphilis
- bacteriological examination for gonorrhea and trichomoniasis.
1 time per year:
- examination by a therapist
- fluorographic examination of the chest organs
- test for helminth eggs
- scraping for enterobiasis.

List of medical examinations for persons whose activities involve trading in industrial goods; for passenger transport workers; for managers, teaching staff, technical staff of secondary schools when entering work and in the future annually next:
- examination by a therapist and dermatovenerologist
- blood test for syphilis
- bacteriological examination for gonorrhea and trichomoniasis
- fluorographic examination of the chest organs.

All employees from decreed groups of the population must be vaccinated against diphtheria.

All foreign citizens are required to undergo an HIV test before entering work.

The results of the examinations must be entered on the appropriate page of the personal medical record. The name of the examination, the date of its conduct and the result, which is certified by the seal of the doctor and the stamp of the medical institution, are also indicated here.

The completeness and accuracy of the medical examination is checked by employees of the Center for State Sanitary and Epidemiological Surveillance before conducting hygienic training and certification. Without the results of all necessary examinations in the medical record, an employee is not allowed to train.

At the center of state sanitary and epidemiological supervision in the South-Eastern Administrative District hygiene training takes place in the form of lectures. For workers related with food, training is carried out on Tuesday from 14:00 and in Friday from 10 o'clock.

with raising and teaching children lectures are held on Tuesday from 10 a.m. (for kindergartens) and in Thursday from 10 o'clock (for schools).

For employees whose nature of activity involves with public utilities and consumer services, and also for sellers of industrial goods, training is taking place on Wednesday from 14:00 and on Thursday from 14:00.

For employees medical institutions and pharmacies training takes place in Monday from 10 a.m. and Friday from 2 p.m.

After the lecture ends certification(in the form of testing or interview). An attestation stamp is entered into the personal medical record (PMR), after which the PMR is holographed. A personal medical record is assigned a registration number (together with passport data, it is entered into the register of the Center for State Sanitary and Epidemiological Surveillance). Only a fully completed medical record gives permission to work for decreed groups.

For staff state (budgetary) institutions provide benefits when paying for hygiene training and certification. To receive the benefit, you must submit to the State Sanitary and Epidemiological Supervision Center a referral for hygienic training, certified by the signature of the head and the seal of the institution. Also, benefits when obtaining a personal medical record are provided to students of state educational institutions when undergoing educational or industrial practice; to unemployed citizens in the direction of the Moscow Department of Labor and Employment.

According to Appendix 3 to Moscow Government Decree No. 1228 preliminary and periodic medical examinations workers budgetary organizations Department of Education, Department of Health, Department social protection of the population insured under compulsory health insurance in the capital are carried out at the expense of the city budget.

For those who already have a personal medical record, It is necessary to pay attention to the timing of the medical examination. The results of medical examinations entered in the personal medical record should not be expired. Otherwise, the applicant will not be allowed to attend the next hygiene training.

Responsibility for the admission to work of persons who have not undergone a medical examination, hygienic training and certification within the prescribed period, and who do not have a personal medical book of the established form, lies with the enterprise administration.

They do not issue a personal medical record and do not undergo hygienic training and certification the following categories of workers:
- managers of enterprises trading industrial goods,
- employees of the accounting department, personnel department, legal and economic planning departments of all enterprises with the exception of food enterprises,
- medical workers (doctors and nurses) of medical institutions.

Medical workers undergo preventive medical examinations in accordance with current orders, and the results of the examinations are entered into the outpatient card.

The procedure for undergoing medical examinations for employees is regulated, which came into force on January 1, 2012.

Who should apply for a medical card?

Its design is not necessarily for everyone. First of all, citizens who want to work in education, food production and consumer services will not be hired without a medical book. Therefore, the question of how to make a health record is a priority for representatives of these professions. An exhaustive list of those who need this document can be found in Letter of the Ministry of Health of the Russian Federation dated 08/07/2000 N 1100/2196-0-117 “On the direction of the list of professions”.

How to get a health certificate?

In this section we will look at how to make an official medical record. employee is the responsibility of the employer. The procedure for obtaining a medical record consists of several stages: visiting a medical examination, taking tests, and in some cases, passing hygienic certification.

You can undergo a medical examination:

    in the clinic with which the employer has an agreement;

    at the Regional Center for Hygiene and Epidemiology.

The list of necessary tests and the list of doctors who will have to undergo are reflected in. There is one for every profession.

The process of obtaining a medical record for an applicant consists of the following stages:

    contacting the Hygiene Center or a clinic with which an agreement has been concluded to obtain a book (a copy of the passport is attached to the application if the employee issues a book for himself, or a list of employees signed by the employer indicating their personal data).

    payment for services medical institution, which include hygienic training, personal medical record form, holograms, teaching materials(don't forget to take two 3x4 photos).

    issuance of the finished document.

How to make a honey book in one day?

Many citizens, wanting to quickly find a job, are interested in how to get a medical record, for example, in Moscow, officially and in the shortest possible time. Everyone knows that going to doctors and taking tests takes a lot of time. And it is not always possible to see all doctors in one day. Many companies that can be found on the Internet promise. Here you should be vigilant so as not to fall for scammers. The proposal to complete the document in one day looks very doubtful.

How to extend the validity of a medical book?

During the initial registration, an initial medical examination and certification is carried out. Periodically. Extension means re-passing a medical examination and passing laboratory tests after a specified period. The frequency of this extension directly depends on the field of activity. For example, employees of educational institutions are examined once every three months. And sellers of non-food products - once a year.

Is there any liability for not having a medical card?

Every citizen working in the field of education, medicine, Food Industry, must know how to get a medical book, because without this document he will not be allowed to work.

To avoid punishment, the employer must monitor the availability of medical books for its employees. If during the inspection Rospotrebnadzor reveals the absence of this document, the violating employer faces a fine in accordance with Art. 6.3. Code of Administrative Offenses of the Russian Federation:

    For citizens - from 100 to 500 rubles.

    For officials - from 500 to 1,000 rubles.

    For individual entrepreneurs - from 500 to 1,000 rubles, or closure of the organization for 90 days.

    For legal entities - from 10,000 to 20,000 rubles, or closure of the organization for 90 days.

The legislation also provides for disciplinary or criminal liability under Art. 236 of the Criminal Code of the Russian Federation.