In the article, we will consider how to write an application for attachment to the clinic. A sample filling will also be provided.
If a person needs medical help or advice, he usually visits the clinic. To apply to this medical institution, you must first attach to it. This can be done at the place of residence to the district clinic. If, for some reason, the patient does not like this organization, you can refuse its services and attach documents to another institution.
How to do it?
You can apply for attachment to a polyclinic during a personal visit to this institution or via the Internet. Online attachment is not yet possible everywhere, since in some localities and regions there are hightechnology is just getting started. In certain situations, it may happen that a person was sure that he was attached to a medical institution via the Internet, but this fact is not confirmed in the clinic.
A sample of filling out an application for attachment to a polyclinic will be considered below.
Attachment at registration and at the place of residence?
Today, compulsory medical insurance policies are not issued by registration, so you can use medical care not only at the clinic at the place of residence. According to the old rules, you need to be attached to a district medical institution according to the area of \u200b\u200bresidence or registration. However, it is often observed that a person is registered in one locality, but lives in another. In this case, he does not lose the right to be attached to a medical institution, and no one can refuse him this.
In the event that we are talking about one locality and the patient wants to detach himself from one clinic, for example, his district one, and attach himself to the one located in another district of the city, he also has no right to refuse. True, registering in this way, you need to prepare for certain nuances. For example, if a person lives far away and wants to call a doctor at home, then this will not be possible, since the medical institution serves only a specific territory. You will have to get to the clinic on your own. Otherwise, all the rules and principles of service are no different. There is no need to detach from the old clinic. It is enough to write an application in the selected medical organization, where employees will independently makea request to the previous polyclinic to pick up the documentation of a particular patient.
How to write an application for attachment to the clinic, many people are interested.
List of documents
In order to attach to the clinic, you must provide a certain list of documents and fill out an appropriate application. If a child under 14 years old is attached, the following papers should be provided:
- birth certificate;
- passport of parent or guardian;
- compulsory medical insurance policy.
Adult patients and children over 14 years of age must provide a compulsory medical insurance policy and a passport.
Foreigners, refugees permanently or temporarily residing in Russia will need to provide a more detailed list of documents.
A sample of filling out an application for attachment to a polyclinic will help you do everything right.
Application for attachment to a medical institution
In order to attach to the clinic, in addition to the main list of documents, you must provide an appropriate application. It can be made according to a special sample or in free form. However, the most commonly used fill pattern is:
- address and name of the clinic to which the application is submitted;
- F. Acting head of the medical institution;
- basic information about the citizen who wishes to attach himself (sex, full name, citizenship, place of registration,date of birth, place of actual residence, contact information);
- MHI policy number;
- name of the insurance company chosen by the patient;
- address and name of the clinic in which he was registered at the time of application.
If a child is attached to the clinic, the provision of his birth certificate when applying is a prerequisite.
The sample application for attaching to a child's clinic, presented below, will help you do everything right.
Online
If you attach to a medical organization online, you just need to fill in all the fields in a special form. The application usually includes the following items:
- in the left menu of the portal "Public Services" you must select "He alth and Medicine";
- on the new page in the menu that opens, select the item "Attachment to the clinic";
- then you need to read the general information and click on the "Get service" button;
- followed by a careful study of the introductory information, after which you must click the "Continue" button;
- then you need to enter the number of the CHI policy, press the "Continue" button, after which a window will open on the screen containing information about which clinic the particular user is currently assigned to;
- press the "Continue" button again;
- next - the "Change Attachment" button, and all fields are filled in the appearedshape;
- introduction of information data and the "Continue" button;
- then you need to select a specific clinic from the list, click "Continue";
- next, a window should appear with introductory information about the new clinic and user data that should be checked, and next to "I have read" put a tick;
- press the "Submit" button.
Track status
While the application for attachment to the clinic is being processed, you can track the status of this document in your personal account. Information that the task has been successfully completed and the transfer to another medical organization has been completed can be sent to your email.
The sample application for attaching to a children's clinic presented in this article will be useful to those who decide to carry out this operation.
Temporary attachment to the clinic
This is possible if, for example, a person goes on vacation or on a long business trip. In order to be attached to a medical institution temporarily, you need to take an outpatient card in your main clinic and go on a business trip with it. A birth certificate (if a child is attached), an outpatient card, a passport should be provided to an employee of a temporary clinic and an application should be made. The list of medical services that can be obtained during such a period is almost the same as in the main clinic. If necessary, doctors will come to your home, you can also vaccinate andmuch more.
According to Russian law, any citizen, regardless of place of registration and residence, can be attached to any medical organization in the country on a permanent basis. To do this, you should submit an application in which, in addition to the MHI policy number, personal information, the data of the previous clinic are indicated. This is necessary in order for the new clinic to contact the old one, make the necessary inquiries and receive the recipient's documents.
After everything is ready, the application for attaching to a doctor in the clinic is written, the client will be called and informed about the successful completion of the procedure. There is one limitation, which is that you can only join a new place of treatment once a year. If you need to do this again, you will need to provide the insurance company that issued the CHI policy with documents confirming the change in place of residence.
Application for attachment to a dental clinic
In order to join the dental clinic, you will need:
- compulsory medical insurance policy (permanent or temporary);
- citizen's passport or temporary identity card, birth certificate (for a child);
- SNILS (if available);
- document confirming the place of residence;
- document of the legal representative (if available, for children);
- attachment application.
Attending to a dental clinic is no different from being in a regular general clinic. You can also do it online.
No permanent registration - what to do?
A citizen who does not have a permanent registration can be attached to a medical organization in the same manner as those patients who have one. However, situations often arise when employees of polyclinics, ignorant of the law, refuse to register a person. This is an illegal act. In this case, the same documents should be provided as in case of permanent or temporary residence permit.
Is it legal to require additional documentation?
Demand additionally other documents, for example, a tenancy agreement, etc., employees of a medical institution do not have the right. The main difference is that a patient without registration is attached to the institution for a period of 1 year, after which it will be necessary to re-submit documents if necessary.
We looked at how to apply for attachment to the clinic. The sample filling presented in the article will allow you to quickly and easily submit documents to the selected institution.
