Attach to any clinic. Non-registration clinic: how to register, what documents are needed

Everyone sooner or later has to seek help from a doctor. Sometimes it is necessary to go to a municipal clinic. In order for doctors to accept you, you need to be attached to their medical institution.

Why do you need to join a clinic?

We all get sick, and it is not always possible to visit a private clinic. Therefore, if you feel unwell, you have to go to the municipal office. In addition, sick leave certificates and other similar documents necessary to receive various social benefits are issued at municipal medical institutions. In order to make an appointment at a public clinic, you must be registered with it. In principle, you can choose any one, but the best option would be a clinic at your home address. Why? Because sometimes you need to call a doctor to your home, but the doctor will not agree to come to the neighboring area, he is busy enough in his own area.

How to attach to a clinic in Moscow without registration?

In principle, according to the law, you can be assigned to a clinic without having registration, either permanent or temporary. Unfortunately, registration staff often violate this legal norm and refuse registration to people who do not have a residence permit.

How can a nonresident citizen register with a clinic in Moscow?

Not everyone knows that it is quite possible to receive treatment in a Moscow clinic without registering in the city. A nonresident citizen living in Moscow must definitely visit a clinic close to his place of actual residence and register with it. This should be done, if only because many are possible for those people who only have temporary registration. Nonresidents can join the clinic on the same basis as people who have permanent registration. Registry employees may require you to provide documents, including even a copy of the passport of a citizen who has a non-resident resident. Many clinics even do not hesitate to post the list on their official website, although it often contains “extra” documents. These demands are illegal. This is how clinics are trying to deal with overcrowding without having the legal right to do so. There is only one difference in the procedure for attaching to a clinic for citizens registered in other cities. They are assigned to the clinic for a period of one year. Then they will have to repeat the procedure again.

What should nonresident citizens do if they are denied medical care without registration or require additional documents?

A nonresident citizen against whom such illegal actions are being carried out can recall the law, which outlines the procedure for providing medical care or clarify whether it should be assigned through the health department. It is extremely unlikely that the reception staff will send an out-of-town patient there. Their demands are illegal, and municipal clinics are very afraid of complaints from this department. If the reception staff in this case also refused to assign you to the clinic after providing the documents required by law, you should go to the chief doctor or the head of the clinic. They have no right to refuse. If an ambulance refuses to provide emergency assistance without registration, then this is already a criminal offense and you need to contact law enforcement agencies.

How can citizens who have a residence permit register with a clinic in Moscow?

Those citizens who have permanent registration need to do the following:

1. Find where your local clinic is located at your residential address and visit it.
2. Find out at the reception desk whether you are automatically assigned to the clinic. This happens sometimes.
3. Provide a passport, policy, TIN, insurance certificate in the pension insurance system, photocopies of all these documents. Of course, the originals will not need to be returned. They are needed for presentation only.
4. Fill out the application according to the established form. The reception staff should present it to you.

According to the law, Moscow district clinics must independently deal with the attachment and detachment of citizens. However, in reality this process can take up to two weeks. If you need to quickly register with another clinic (for example, if you move), it is advisable to independently come to the district office at your place of residence, fill out an application for attachment and visit all the authorities that are necessary to obtain the necessary documents. Many clinics give their patients the opportunity to register online, on their official website on the Internet.

How to attach to a clinic in Moscow if it is specialized?

If you want to be assigned to a dental clinic, you need to go through the same procedure as in a regular one. If you need to register with clinics that treat sexually transmitted diseases, cancer, and other truly serious diseases, this can only be done with a referral from a doctor, which indicates the appropriate diagnosis.

How to attach to a children's clinic?

The child is assigned to a children's clinic, which is located at the place of residence of the parents, and all necessary actions are also performed by the parent. If the parents are not registered in the city of residence, the child is served by the clinic at the actual place of residence for up to three months. The maternity hospital employees call the doctors, and they go to the child’s home. Then the child must be registered in the city, because without registration, he will not be issued a policy, and this document is mandatory for performing many actions. Or you can go there and get a policy for it there. In addition, you can only consult in paid clinics, but this is not available to everyone.

If we talk about the fine for late registration of a child, then completely different situations occur in different cities, but in fact, the sooner the child is registered, the better.

How can I unsubscribe from the clinic and how often can I do this?

In accordance with the law, you can change the medical organization that provides primary medical care no more than once a year. You need to think carefully before doing this. As already mentioned, home care, if there are medical indications, will be provided by the old clinic, not the new one. The new clinic will only be available for visits. In addition, to be assigned to a clinic other than your actual place of residence, you need to contact its administration and perform a number of other actions. They are presented below:

1. You must send an application for attachment indicating your full name, date and place of birth, insurance policy number, full name and address of the clinic to which you are attached at the time of submitting the application, and the reason for choosing a clinic other than your place of residence.
2. When submitting an application, you must provide original passports and
3. Then you need to wait for an answer. There can be only one reason for refusal - overcrowding of the clinic.
4. If you receive a notification of acceptance for medical care at the selected clinic, you need to contact its registry. They must issue an absentee coupon.
5. Next, you need to fill out this form and take it to the head doctor for signature.
6. Then you should go to the old clinic so that they can remove you from their register.
7. From there, the administration will send a copy to the clinic that accepted the application.

After completing these steps, you can visit the municipal clinic, which is not located at your place of residence, but where it is simply more convenient to go. For example, near your place of work or study.

Citizens of the Russian Federation have the right to receive free medical care in any government institution in the capital if they have a passport, registration and insurance policy. But not all medical cases are included in the free compulsory medical insurance program. To have access to all services, you must be attached to a clinic in Moscow.

Why attach to any hospital?

To receive the full range of services under the compulsory health insurance policy, Russians need to either be in Moscow.

According to the law “On the fundamentals of protecting the health of citizens in the Russian Federation” dated November 21, 2011 N 323-FZ, Attachment to a clinic can be carried out no more than once a year. Russians have the right to be assigned to a medical institution both if they have registration and not at their place of registration. Service to a patient without registration, for example, if registered in the Moscow region, is carried out under the same conditions.

The exception is when a doctor is called to your home: without registration in the region, in which the organization is located, upon arrival only emergency medical care is provided. It is better for non-residents and residents of the Moscow region to register with a medical institution.

What documents are needed to register with the clinic?

To be served under the compulsory medical insurance program in the capital, you must submit the following documents:

1. Passport- for a citizen over 14 years old, and a birth certificate - for a child.
2. Compulsory medical insurance policy. If it is being re-registered, you must present a temporary form.
3. SNILS.
4. If you change your place of residence, confirm your new address. Nonresidents from the Moscow region are allowed to submit temporary registration.
5. When registering for a newborn and a child, you must present document confirming rights.
6. or ).

If it is necessary to apply for a compulsory medical insurance policy, citizens should contact the insurance company at their place of registration, or submit an application via the Internet in Moscow. Receipt time - up to 14 working days.

How to attach to an adult clinic?

Moscow residents can be assigned to the clinic in 2 ways:

1. On a personal visit.
2. Through “Government Services” on mos.ru.

When choosing the first option, you must contact the registry of your clinic to write an application for the provision of permanent medical services under the compulsory medical insurance program in this institution. Without registration in Moscow, patients will also be able to receive any assistance, except for specialists visiting their home.

You cannot submit an application online in such cases.:

• your residential address New Moscow (TiNAO);
• You have a temporary, not permanent, compulsory medical insurance policy in your hands.

Online registration is carried out on the Moscow State Services website. Electronic registration is only possible ( SNILS required). It is allowed to select only those medical organizations that are departmental structures of the Regional Health Department.

The online service does not work if you are affiliated with a dental clinic, antenatal clinic or children's hospital.

How to attach a child to a children's hospital?

Registration of medical care for children is also possible during a personal visit and online. When visiting the department, you must take with you the documents of the representative and the child. It is correct when the application is made by a legal representative, acting in the interests of a minor resident.

In the online version, it is impossible to select an organization if the birth certificate was not issued in the capital and the representative has not passed the rights check on the Department of Health website. The service for choosing children's dentistry in the online version of the capital's State Services is temporarily unavailable, but parents can familiarize themselves with the list of dental clinics on the website.

Deadlines for joining a medical institution

When sending an application, online attachment is carried out within three days. If residents personally contacted the reception desk of a medical institution, then the period can be extended to 6 working days(4 - for data verification, and 2 - for registration of service at the selected address).

How to choose a hospital, dentistry or antenatal clinic to attach to?

As part of the compulsory medical insurance program, Russians can choose any institution. If the policy is issued in the city, service will be provided within the framework of the territorial program. When receiving a document outside the city, the patient will be offered only basic compulsory medical insurance services.

To attach to another clinic or branch, you need to contact the registry at the new address.

You can choose a suitable medical facility at:

How to unsubscribe from the hospital or antenatal clinic?

To detach from the clinic, the client must submit an application to a new medical institution. The change of organization occurs automatically. The citizen is not required to re-submit documents to the previous company. Submitting an application online is a good opportunity to reduce the time when applying for services.

Muscovites who decided to join a clinic or change a medical institution were advised to do so before December 1, 2014. The site has collected information about where you will need to apply and what documents you will need for this. We would like to add that those who are already assigned to the clinic do not have to re-register, but if they do not do this, they will only be able to make an appointment with a doctor at the reception desk - remote appointment services will not be available to them. In this case, you can attach on any day and after December 1.

Why do you need to join a clinic?

Starting next month, the City Compulsory Health Insurance Fund begins to compile the budget for 2015; for this purpose, all patients are planned to be included in a single electronic database. Therefore, residents of the capital need to come to their clinic before December 1, pick up a form from the reception desk and fill it out, indicating, among other things, their pension account number and passport details.

If the patient does not have time to fill out the paperwork before December 1, he will still be served, although he will only be able to make an appointment with a doctor through the reception desk. Muscovites will be able to use remote recording services - via the Internet, terminals or by telephone - immediately after they are assigned to the clinic. This can be done on any day and after December 1

According to the law “On Compulsory Health Insurance”, all insured citizens can choose the medical organization in which they will be treated.

The city needs to know the exact number of patients assigned to a particular clinic in order to clearly calculate funding, the necessary equipment and the number of specialists.

“Out of 11 million insured Muscovites, only 6 million regularly go to clinics. The rest remain so-called “silent” for the compulsory medical insurance system. They are simply assigned to clinics on a territorial basis. However, people often change their place of residence and do not inform their insurance company,” - said Vladimir Zelensky, director of the Moscow City Compulsory Medical Insurance Fund.

In addition, the financing is structured so that the clinic receives a certain amount of money per year for each citizen. If the clinic does not have the necessary specialists and equipment, the patient is redirected to the medical institution where they are. That is why it is more useful and convenient to immediately attach yourself to a clinic that satisfies all your needs.

“Non-residents can also be assigned to clinics and receive help, but the technical calculation scheme will be different,” added Vladimir Zelensky, “if for Muscovites the clinic receives funding based on the number of attached people, then for non-residents the region where the person is insured will pay. And the policies everyone has the same ones."

Zelensky also said that there is usually no oversupply of patients in clinics, because it is possible to “maneuver” between areas. The flow of patients is controlled using electronic recording. “So the waiting time for a doctor is immediately clear. According to the state guarantee, this period is equal to a week,” said the director of the Moscow State Compulsory Compulsory Medical Insurance Fund.

In addition, he said that if the patient is not assigned to a place of residence, the ambulance and the local doctor will still travel to the patient from the nearest clinic.

How to join a clinic e

If you do not yet have a new type of compulsory medical insurance policy, then before you get one, it is better to check the list of insurance organizations at the clinic. It is usually posted next to the register. But in order to be assigned to a medical institution, you need to have the following documents with you:

• application addressed to the chief physician of the organization (the form must be issued at the reception);
• compulsory medical insurance policy + copy;
• copy of the passport;

List of documents for attaching a child to the clinic:

• a copy of the child’s birth certificate (it is better to have the original with you);
• a copy of the passport of the parent submitting the application (with the original);
• the child’s compulsory medical insurance policy and its copy;
• photocopy of registration in Moscow;
• statement.

Concerning voluntary health insurance(VHI), then it has its advantages. Firstly, this is the opportunity to independently form your own insurance program, determine the volume and types of services and also choose the medical institution where you will be treated.

In addition, under this policy you can call a doctor at home at any time necessary, be it a weekend or a holiday. In turn, the insurer will refer you to the best specialists in their field.

Commercial medical institutions operating in the field of voluntary health insurance invest in the development of their medical facilities, purchasing the latest imported equipment and attracting the best doctors. Thus, having a VHI policy, you can receive a set of medical services additional to compulsory medical insurance.

Innovations

Starting from 2015, Muscovites will have the opportunity to change clinics once a month. Deputy Mayor for Social Development Leonid Pechatnikov reported this to the site. According to him, in this case, chief doctors will better monitor the quality of services provided in medical institutions.

“Across Russia, you can change a clinic once a year,” explained Pechatnikov. “In Moscow, we plan to lift this restriction and give residents the opportunity to be assigned to medical institutions at least once a month. The main thing is that they notify the health department about the transfer, so that funding also moved to a new clinic." This way, residents of the capital will be able to quickly respond to any changes in the clinic, including the reduction of specialists whom patients trust.

The opportunity for Muscovites to frequently change clinics will be the key to objective decisions by chief doctors in the event of a possible staff reduction. “If the chief doctor lays off good specialists, then patients will be able to simply leave this clinic and go to another. Along with the departure of patients, the funding of the institution will be reduced,” said the deputy mayor.

As Alexey Khripun, head of the Department of Health, explained, the capital’s authorities are considering amending the federal law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation,” which will allow people to be assigned to a new clinic more often than once a year.

Today the legislation does not provide for such a possibility. The official could not specify when the project would be ready. Now, according to Khripun, Muscovites can go to a clinic to which they are not attached only in one case: if their medical institution cannot provide them with some type of assistance. “But these are isolated cases - most clinics have approximately the same equipment and range of services provided,” Khripun added.

Deputy director of the capital's compulsory health insurance fund, Yulia Bulavskaya, said that the draft amendments to the federal law were not discussed with the fund. “In my opinion, it will be difficult for clinics to plan their business activities if patients can change clinics once a month,” Bulavskaya noted. At the same time, she added that payments for per capita financing are received by clinics on a monthly basis. Thus, it is technically possible to redistribute financial resources from one clinic to another once a month.

Member of the Moscow City Duma Health Commission Vera Shastina believes that lifting the restriction on changing clinics will help patients. “If a Muscovite has the opportunity to be assigned to different clinics, then through trial and error he will find a suitable attending physician,” the deputy noted.

In addition, next year the authorities plan to extend the compulsory medical insurance system to all types of city clinics. 398 medical institutions have already announced their participation, half of which are private and departmental clinics, said Vladimir Zelensky, director of the Moscow Compulsory Health Insurance Fund.

“This year we had 367 institutions, there will be almost 400. The increase is serious, because the system becomes more profitable when there is a certain volume of patients. In addition, tariffs are increasing from year to year,” Zelensky noted.

To receive planned non-urgent medical care, every citizen is required to be assigned to a clinic.

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Otherwise, admission will be denied. This article will discuss the main features of the procedure for attaching citizens to clinics in the capital.

What you need to know

Every citizen of the Russian Federation, as well as representatives of other states living in our country, have the right to receive qualified medical care.

To be able to visit a doctor, you must undergo the procedure of being assigned to a clinic. Otherwise, the registry office of the medical institution will refuse to issue the citizen a referral for an appointment.

It is worth considering in detail the main features and subtleties of the described procedure in Moscow clinics. A detailed analysis can be found in the information below.

The legislative framework

In accordance with the provisions of the federal law, number 326-FZ, “On Compulsory Medical Insurance,” every citizen of the Russian Federation who has a compulsory medical insurance policy has the right to choose the state clinic to which he will be attached.

According to the rules prescribed in the mentioned legislative act, it is allowed to change medical institutions more than once a calendar year.

The exception is when a person is assigned to another medical institution for the following reasons:

• change of place of residence (on the scale of settlements);
• change of place of stay;
• reaching the age of majority (the children's clinic is changing to an adult clinic);
• change of registration or residence address within the territory of one locality.

Registration at the clinic does not require renewal. It is valid without urgency, with the exception of children's medical institutions.

Children, upon reaching adulthood, are discharged from children's clinics and registered as adults.

Why is this necessary?

What justifies the need for mandatory registration in public medical institutions? Firstly, receiving only assigned citizens can significantly relieve the burden on the clinic and its staff.

For the citizens themselves, this is reflected in a reduction in waiting time in queues, the speed of laboratory tests, etc. Secondly, the obligation to register is due to the distribution of funds between medical institutions.

Photo: steps to join the clinic

State clinics are financed by the budget of the Russian Federation. Availability of information on the number of citizens assigned to a specific medical institution allows us to determine the amount of funds required to be allocated to support the work of the clinic, modernize equipment, etc.

Of course, there are private medical organizations. However, not every citizen’s budget allows him to use the services of commercial medical centers.

Also, it is in state medical institutions that certificates of incapacity for work are issued, various certificates required for registration of state social assistance and benefits, etc.

How to join a clinic

The main condition that must be met in order to be assigned to a clinic is the availability of a compulsory health insurance policy.

This document can be completed independently by contacting any insurance company that provides such services, or obtained through the employing organization.

The standard set of documents for obtaining a compulsory medical insurance policy is presented below:

• passport or any other document identifying the applicant;
• SNILS card;
• birth certificate (if the policy is issued for a child under 14 years of age);
• residence permit (for representatives of other countries).

The procedure for registering at the clinic is as follows:

List of documents

The application is filled out using the standard form. Application form is available. To compile it, you must use a specialized form, which can be obtained directly from the clinic itself.

A sample application is presented below:

Photo: sample application for admission to a medical institution

Is it possible to do it via the Internet?

It is not at all necessary to personally visit the clinic to apply for attachments. This can be done through the Internet portal of Moscow government services www.mos.ru.

The algorithm of actions is presented below:

Photo: submitting an application for attachment to a clinic through the Internet portal of Moscow public services (step 3)

What to do if you live in another city

How can nonresidents register with a clinic in Moscow? According to the legislation of our state, every citizen of the Russian Federation who has a permanent place of registration and a compulsory health insurance policy can receive medical care, regardless of whether he goes to a medical institution at his place of registration or stay.

A one-time visit to the clinic does not require temporary registration. However, if a citizen plans to stay in Moscow for a long period of time, then he will need to attach his compulsory health insurance policy to the Moscow Territorial Fund, and this cannot be done without a temporary registration.

Otherwise, the registration procedure at the clinic is no different from the standard algorithm. Accordingly, a citizen with a residence permit near Moscow will be able to be assigned to a clinic in the capital without any problems.

The only difference from people with Moscow registration is that such a person will not be able to call a doctor to their home at their place of registration.

Where to go if you are not registered

The legislation of the Russian Federation clearly regulates the provision of medical care. According to the regulated rules, persons who do not have Russian registration will be denied admission to the clinic.

Those citizens who arrived in Moscow for a short-term period will receive medical care only if they have registration in any region of Russia.

If the period of stay exceeds ninety days, then in order to receive medical care you will additionally need to obtain temporary registration. In all other cases, you can receive medical care without registration only in commercial medical centers.

However, this does not apply to emergency medical care. If a citizen requires emergency or planned care, then he has the full right to visit any clinic, regardless of its location.

At the same time, in such a situation it is enough to have a passport with you. Compulsory medical insurance policy is not required. Quite often, clinic staff and ambulance workers refuse to provide emergency or routine care to a citizen who does not have a compulsory medical insurance policy.

It is important to understand that such a refusal is unlawful, since clinic employees can find out the policy number themselves using the FFOMS database.

In case of unlawful refusal, a citizen may send a complaint to one of the following institutions:

• territorial branch of the compulsory health insurance fund;
• the insurance company with which the compulsory medical insurance policy was issued.

Thus, the procedure for attaching to Moscow clinics for citizens with and without registration in the capital differs only in that the latter must have a temporary residence permit.

Attachment to the clinic is carried out on the basis of a submitted application within five working days. Documentation can be downloaded electronically online through the Moscow Internet portal mos.ru. Persons without registration can only receive help in commercial medical centers.

Video: how to get assigned to a hospital

APPLICATIONS AND CALLS ARE ACCEPTED 24/7 and 7 days a week.

It happens that observation in the clinic to which a citizen is assigned becomes impossible for him. The reason may be a move or temporary stay in another area of ​​the city or country.

In addition, a citizen may be dissatisfied with the quality of services provided in a medical organization at his place of residence.

This situation is regulated by law:

1. 326-FZ “On compulsory health insurance in the Russian Federation”, article 16.
2. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, article 21.

The application form is taken from the reception desk or the chief physician's office and filled out at the clinic. In the application, in addition to passport and compulsory medical insurance data, information about the previous medical institution is shown. In the future, the presence of an application will be a fact of voluntary attachment to the institution.

After submitting the application, the management of both clinics has two days to resolve the issue of changing registration.

The consent of the attending physician of the receiving organization and the workload of the institution itself are taken into account. It will take several days to transfer documents from the old clinic to the new one. It is better to take care of this in advance, taking the medical card yourself. And, of course, you should take care of changing medical institutions in advance.

Similar actions are carried out in the case of registration at a clinic not at the place of registration. The refusal in this case is unlawful.

Registration to a medical organization at the place of residence or temporary stay is valid for a year, then The service period can be extended. Citizens without registration can only rely on paid medical care.

You cannot be assigned to two medical institutions at the same time.

It is also worth considering that if you register at a clinic not at your place of residence, it will most likely be impossible to call a doctor at home.

Is it possible to register for an appointment with a clinic online?

Registration at a medical institution can be done through an interactive procedure. The procedure is not complicated and significantly saves citizens’ time. However, the service is not yet available in all regions.