In the article, we will consider how to write an application for attaching to a clinic. A sample fill will also be provided.
If a person needs medical attention or counseling, he usually visits the clinic. To contact this medical institution, you should initially attach to it. This can be done at the place of residence to the district clinic. If for some reason the organization does not like this organization, the patient can refuse its services and attach documents to another institution.
How to do it?
You can apply for attachment to the clinic with a personal visit to this institution or via the Internet. Online attachment is far from possible everywhere, because in some localities and regions high technologies are just beginning to be introduced. In certain situations, it may happen that a person was sure that he had attached himself to the medical institution via the Internet, but this fact is not confirmed in the clinic.
We will consider a sample of filling out an application for attaching to a clinic below.
Attachment for registration and at the place of residence?
To date, MHI policies are not issued by registration, therefore, you can use medical care not only in the clinic at the place of residence. According to the old rules, you need to attach to the district medical institution at the site of residence 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 join the medical institution, and no one can refuse him.
If it is a question of one settlement and the patient wants to disconnect from one clinic, for example, his district, and attach to 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 to his house, then this will not be possible, since the medical institution serves only a specific territory. You have to get to the clinic yourself. Otherwise, all the rules and principles of service are no different. It is not necessary to detach from the old clinic. It is enough to write a statement in the selected medical organization, where employees will independently make a request to the previous clinic to collect the documentation for a particular patient.
How to write an application for attaching to a clinic is interesting to many.
List of documents
In order to attach to the clinic, you must provide a certain list of documents and issue an appropriate application. If a child under 14 years old is attached, the following papers should be provided:
- birth certificate;
- passport of a parent or guardian;
- MHI policy.
Adult patients and children after 14 years of age must be provided with a compulsory medical insurance policy and a passport.
Foreigners, refugees, permanently or temporarily living in Russia will need to provide a more detailed list of documents.
A sample of filling out an application for attaching to a clinic will help to 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 issued according to a special model or in a free form. However, the following fill pattern is most commonly used:
- the address and name of the clinic to which the application is submitted;
- F. I. O. the head of the medical institution;
- basic information about the citizen who wishes to be attached (gender, full name, nationality, place of registration, date of birth, place of actual residence, contact information);
- MHI policy number;
- Name of insurance company chosen by the patient;
- the address and name of the clinic in which it was registered at the time of application.
If a child attaches to the clinic, the provision of his birth certificate upon application is a prerequisite.
The sample application for attaching to the child's clinic, presented below, will help to do everything right.
Through the Internet
If you attach to a medical organization online, you just need to fill out all the fields in a special form. A statement usually includes the following points:
- in the left menu of the portal "Public services" you must select "Health and medicine";
- on the new page in the menu that opens, select the item "Attachment to the clinic";
- then you need to familiarize yourself with the general information and click on the button "Get the service";
- then follows a careful study of the fact-finding information, after which you must click the “Continue” button;
- then you need to enter the MHI policy number, click on the “Continue” button, after which a window will open on the screen containing information about which clinic at the moment a particular user is attached to;
- press the “Continue” button again;
- further - the “Change attachment” key, and all fields are filled in the form that appears;
- entering information data and the “Continue” button;
- then you need to select a specific clinic from the list, click "Continue";
- then a window should appear with familiarization information about the new clinic and the user data that should be checked, and check the box next to “I’m Acquainted”;
- Click the "Submit" button.
Track status
While the application for attaching to the clinic will be processed, you can track the status of this document in your account. Information that the task has been successfully completed, and the transfer to another medical organization has been completed, may come by e-mail.
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 attach to a medical institution temporarily, you need to take an outpatient card in your main clinic and go on a business trip with it. Birth certificate (if a child is attached), an outpatient card, passport should be provided to an employee of the temporary clinic and make an application. The list of medical services that can be obtained in such a period is almost the same as in the main clinic. If necessary, doctors will come to your home, you can also vaccinate and much more.
According to Russian law, any citizen, regardless of place of registration and residence, can attach to any medical organization in the country on an ongoing 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 requests and receive the documents of the recipient of services.
After everything is ready, the application for attaching to the 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 attach to a new treatment site once a year. If you want to do this again, it will be necessary to provide the insurance organization that issued the MHI policy with documents confirming the change of place of residence.
Application for attaching to a dental clinic
In order to attach to a dental clinic, you will need:
- MHI policy (permanent or temporary);
- citizen's passport or temporary identification card, birth certificate (for a child);
- SNILS (if available);
- proof of residence;
- document of the legal representative (if available, for children);
- application for attachment.
Attaching to a dental clinic is no different from this event in a regular general clinic. In addition, this can be done online.
No permanent registration - what to do?
A citizen who does not have a permanent registration can attach to a medical organization in the same manner as those patients who have it. However, situations often arise when employees of polyclinics, because of their ignorance of laws, refuse to register a person. This is an unlawful act. In this case, the same documents should be provided as in the presence of a permanent or temporary residence permit.
Is the requirement for additional documentation legal?
In addition to require other documents, for example, an agreement on the rental of premises, etc., employees of a medical institution are not entitled. 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 submit documents again if necessary.
We examined how to apply for attaching to a clinic. The sample form presented in the article will allow you to quickly and easily submit documents to the selected institution.