The procedure for medical selection and referral to sanatorium-resort treatment. Sanatorium-resort treatment: regulatory documents, indications and contraindications, scope of examination, registration

Note. To provide services for receiving applications and documents between the authority social protection population and the territorial body of the Fund must conclude an agreement on joint work to provide citizens with vouchers to sanatorium- spa treatment.

1) railway transport(trains of all categories, including branded trains, in cases where it is not possible to travel to the place of treatment and back on trains of other categories; carriages of all categories, with the exception of sleeping cars with double compartments and luxury carriages);

Benefits for spa treatment in 2019

1. Visit your doctor and express your desire to go to a sanatorium. The doctor will send you for examination. Based on its results, a special document is issued - form No. 070/u-04.
2. With a certificate and passport, you should go to the social security or military commissariat at your place of residence.
3. There you write a statement about your desire to get a ticket.
4. Wait for a response about queuing.
5. As soon as everyone who has previously made a claim to the privilege is satisfied, receive a document and go for treatment.

Hint: form No. 070/у-04 loses its relevance after six months. If during this period the queue has not yet arrived, you will have to update the certificate.

1. Wellness activities, as well as stays in medical institution, are financed from the federal budget.
2. It follows that each subsidy must be justified with documentary evidence:
   • preferential category;
   • the need for health benefits (doctor's certificate).
3. A report on the use of funds for the intended purpose (tear-off coupon) is also required.

Important: the recipient of the privilege is required to provide a document proving his stay in the medical institution.

In the “Identity document of the applicant” block, you must select the type of document and indicate its attributes. All fields in this block are required. In the “Select from saved” field, you can select passport data entered and saved in “ Personal account" In this case, the data on the Russian passport will be entered on the form automatically from the previously entered data. When selecting another document, data in the fields is entered manually. The “Issue date” field is filled in using an interactive calendar or manually.

If you are registered with the social security authorities, then you must further indicate the actual address indicated when registering. To do this, in the “Street” field, enter several letters of the street name. Select the required street from the drop-down list. In the “Home” field, select a number from the list provided. In the “Apartment” field, enter the apartment number. The “County” and “District” fields will be filled in automatically.

What documents are needed to stay in a sanatorium?

The health resort card is medical document, which must be included with the voucher when going for treatment to a sanatorium. You can apply for it either in your clinic at your place of residence with your local doctor, or by contacting private clinic or in the resort itself. Take your travel ticket with you if you already have one, or tell your doctor where you are going.

To take a health treatment course in a sanatorium, you must have a sanatorium-resort card with you, but if you don’t have one, then an extract from your medical history will do. Based on the data noted in these documents, you will be prescribed a set of medical and health procedures. Often sanatoriums offer their services for issuing a sanatorium-resort card; it is convenient and fast, but costs money. A sanatorium that has a certain specialization has everything necessary equipment for diagnosis and treatment of a specific group of diseases. Until the sanatorium-resort card is issued, the doctor cannot prescribe the necessary treatment to the vacationer.

Documents for spa treatment

Complaints against decisions of the head of the Department of Labor and Social Protection of the Population of the City of Moscow, including decisions of the head (authorized deputy head) of the Department of Labor and Social Protection of the Population of the City of Moscow, adopted on complaints received in a pre-trial (extrajudicial) manner, are submitted by applicants to the Government of Moscow and are considered by the Main Control Department of the city of Moscow.

Complaints against the decisions and (or) actions (inaction) of the head of the OSZN district of the USZN AO of the city of Moscow, including decisions made by him or his deputy on complaints received in a pre-trial (extrajudicial) manner, are considered by the Department of Labor and Social Protection of the Population of the City of Moscow.

What documents are needed for the sanatorium?

Based on the voucher received, you issue a sanatorium-resort card. This must be done at a local clinic, or use paid services, no earlier than 2 months before the date of arrival (this is the validity period of the TFR), but no later than 10 days. Definitely needed general tests blood and urine, ECG, fluorography (valid for a year).

You may have to do special tests (for example, if you have diabetes, donate blood for sugar) or undergo special examinations(x-ray, ultrasonography, endoscopy, etc.), obtain an opinion from some specialized doctors (depending on your underlying or concomitant disease), and women must undergo an examination by a gynecologist.

Documents for registration in the sanatorium

The card contains information about the patient’s previous treatments (inpatient, outpatient), radiological, functional, laboratory tests and other studies, and also contains possible contraindications during sanatorium-resort treatment.

The presence of such information makes the treatment process as effective as possible when using climatic treatment factors in sanatoriums. At the end of the treatment carried out in the sanatorium, a return coupon for the sanatorium-resort card is issued, which describes the course of treatment carried out in the sanatorium and makes medical recommendations.

Documents for spa treatment

• Application addressed to the head of the medical unit of the Ministry of Internal Affairs of Russia for the Komi Republic.
• A certificate from the relevant unit of the Russian Ministry of Internal Affairs, in which they belong to pension provision, indicating the place of service at the time of dismissal, the grounds for dismissal, length of service (including in preferential terms), and the presence of disability.
• A certificate for obtaining a voucher in form 070/у, including for each family member reflected in the application.

• Basic identification document (passport)
• Pensioner's ID
• Documents (certificates, certificates) confirming the right to benefits (certificate from the relevant unit of the Ministry of Internal Affairs of Russia in which they are on pension benefits, indicating the place of service at the time of dismissal, the grounds for dismissal, length of service (including in preferential terms), availability disability)
• Mandatory policy health insurance
• Sanatorium-resort card

Rules for receiving free vouchers to the sanatorium

Duration sanatorium-resort voucher varies from 18 to 24 days. The sanatorium must be located on the territory of the Russian Federation, and the voucher includes free travel in both directions. Details can be found at the territorial FSS office at your place of registration.

• Federal Law No. 178, which clearly defines the time frame for staying in a sanatorium, as well as possible reasons refusal for various categories of citizens;
• Order of the Ministry of Health, which regulates the procedure for obtaining this benefit;
• Decree of the Government of the Russian Federation, which provides guarantees of receiving free treatment For individual categories population.

Sanatorium-resort card for children and adults

Another important nuance, which should not be forgotten - the validity of the sanatorium-resort card is only two months. Do not delay the medical examination and take into account the factors that may interfere with you, i.e. you need to go for the coveted form no earlier than a couple of months in advance. The deadline for obtaining a certificate is 10 days before the trip, otherwise you risk being left at home. There is also quick way make a document, but it’s better not to risk it and go through the examination yourself. Don't lose the return coupon you receive. It must be attached to the outpatient card.

In order to improve their overall health, children are often sent to sanatoriums. A voucher for a child can be issued on the recommendation of a local therapist in the presence of chronic diseases. The main thing is that the disease is not in acute stage at the time of the trip, and the diagnosis was accurate. If a minor who is registered goes on vacation, a sanatorium-resort card for children is filled out by a specific specialist.

A certificate for obtaining a voucher (form 070/у-04) is a medical document that is preliminary, informational in nature and represents a list medical recommendations for getting sanatorium voucher.

A certificate for obtaining a voucher (form 070/u-04) is a medical document that is of a preliminary informational nature and is a list of medical recommendations for obtaining a sanatorium voucher. The Federal Law “On the procedure for medical recruitment and referral of patients for sanatorium-resort treatment” (Article 256 of November 22, 2004) states that a certificate for obtaining a voucher does not replace a sanatorium-resort card and does not give the right to enter sanatorium-resort organizations for spa treatment, which can also be provided on an outpatient basis. In other words, a certificate for obtaining a voucher indicates that the patient needs sanatorium treatment, but does not give any rights to receive a sanatorium voucher.

The purpose of the certificate for obtaining a voucher (form 070/u-04) may be a little lost in this formulation of the law and may not be entirely clear to a patient in need of sanatorium-resort treatment. Let’s try to find out: “Why do you need a certificate to get a permit?”

Let's start with the fact that any trips to a sanatorium are always paid. Almost all sanatoriums are self-supporting organizations and someone must pay for the accommodation and treatment of patients. The whole question is: “Who will pay?” Often, for months or even years, participants in the Great Patriotic War (WWII), combat veterans, disabled people and other beneficiaries wait for a free sanatorium voucher. They wait a long time, not because there are no places in the sanatoriums, but because they wait until the Fund social insurance will allocate funds to pay for this sanatorium voucher. Sometimes, large and wealthy enterprises can assume the functions of social protection for their employees, paying them in whole or in part for sanatorium-resort treatment from internal funds or at the expense of the trade union. A trip to the sanatorium can also be purchased privately with 100% payment of the cost.

So why do you need a medical certificate to get a permit? Here's what it's for! In order for a patient not to receive a ticket to a sanatorium, the profile of which does not correspond to his diseases, and in order to be sure that the sanatorium is not located in an unsuitable natural and climatic zone, it is necessary to know what diseases the patient suffers from, what is indicated for him and what is contraindicated! Those. certificate form 070/u-04 (certificate for obtaining a voucher) will accurately inform everyone involved in the allocation of sanatorium vouchers, which sanatorium voucher is suitable and which is not suitable for a particular patient in need of sanatorium-resort treatment.

Usually, medical certificate Form 070/u-04 is issued by the medical treatment and preventive commission of the local clinic represented by the local general practitioner. This certificate must be provided to social security services (SOBES), or at the place of work, or presented to the agency in person (if independent purchase vouchers to the sanatorium). Although, when purchasing a trip to a sanatorium on your own, you may not be asked for a certificate to obtain a trip, it is still better to provide it, so that later it does not turn out that you will pay money for a trip to a sanatorium, where you will be contraindicated.

The validity period of a medical certificate form 070/u-04 for obtaining a voucher is six months from the date of issue. The certificate for obtaining a voucher must contain accurate information on the profile group of the sanatorium and the time of year (season) favorable for treatment. The main and accompanying diagnoses must be coded in accordance with the International Classification of Diseases (ICD-10). Before purchasing a trip to a sanatorium, check to see if you belong to the category of citizens to whom sanatorium-resort treatment should be provided on preferential terms (free of charge or with partial payment of the cost).

According to Article 125 federal law(dated August 22, 2004), the right to preferential receipt The following categories of citizens have vouchers to the sanatorium:

1) participants, disabled people and veterans of the Great Patriotic War;

2) people, medal recipients"Resident of besieged Leningrad";

3) people who worked in the rear during the Great Patriotic War;

4) family members of participants, disabled people and veterans of the Great Patriotic War and family members of deceased hospital workers in besieged Leningrad;

5) disabled people;

6) disabled children.

To have a complete idea of ​​what a correctly executed certificate for obtaining a voucher should look like, let’s look at a typical example of filling out form 070/у from a clinic.

How to fill out form 070/u-04 from the clinic?

Form 070/у-04 is filled out according to the approved instructions, according to the patient and on the basis outpatient card. Disease codes according to ICD-10 must be written legibly.

In accordance with the instructions for filling out form 072/u-04, on front side form:

In the OGRN field: the OGRN code of the clinic must be entered (this number must correspond to the number on round stamp clinic indicated at the bottom of the form).

Help for obtaining a voucher: there must be the date of issue of the certificate (for example, March 18, 2010) and a number with a fraction indicating the year of issue of the certificate followed by a fraction (for example, 143/10).

1. Issued: The patient's full name must be entered.

2. Gender: The gender of the patient must be checked.

3. Date of birth: The patient's date of birth must be entered.

4. Address: The patient's permanent address and telephone number must be indicated.

5. Identification number in the compulsory medical insurance system: The patient identification number must be entered in the compulsory medical insurance, if available. (eg 777005 0043122251)

6. Region of residence: information is available at back side document (for the city of Moscow code 77)

7. Nearest region: may not be filled.

8. Climate in the place of residence: information is on the back of the document (for the city of Moscow and M.O. 02)

9. Climatic factors in the place of residence: information is on the back of the document (for Moscow and M.O. 04)

10. Benefit code: the benefit code must be indicated if the patient has this benefit. (this point is relevant only for disabled people: 081 - 3rd group, 082 - 2nd group, 083 - 1st group)

11. Document certifying the right to receive a set of social services: The corresponding document (series number and date) must be entered, if available. (This item is relevant only for disabled people)

12. SNILS: The insurance number of the individual personal account (SNILS) of the patient must be entered, if available. (eg 024-072-886-88)

13. Escort: It should be checked if the patient needs accompaniment (this item is only relevant for disabled people).

14. No. of medical history or outpatient card: a four-digit number must be entered (e.g. 1234)

15. Diagnosis: see what diagnosis codes should be below*.

16. Attending physician: must be signed for the attending physician

18. Preferred place of treatment: If the patient will travel to the Moscow region, then there should be a checkmark at the top, and Moscow region should be written below. If the patient goes to the Caucasus, then the checkbox at the top should not be, and below it should be written “Sanatoriums of the Krasnodar Territory” or “Sanatoriums of the Caucasian Mineral Waters”.

20. Attending physician: must be signed by the attending physician.

21. Head of department or chairman of the VC: must be signed by the head of the department.

This is how form 070/u-04 from the clinic should be filled out.

* diagnosis codes for paragraph 15 of form 070/u-04

Let's divide patients into three conditional groups and consider separately the options for filling out paragraph 15 of form 070/u-04 for each of them:

1. Group. Young people who do not suffer from chronic diseases, purchasing a sanatorium voucher for the purpose of relaxation or to accompany sick relatives:

15. Diagnosis. 15.1 Disease for the treatment of which he is sent to a sanatorium: because In this option, there are no significant diseases, then the code for chronic gastritis (K29.3) can be indicated. This disease occurs quite often even in very young and practically healthy people, and paragraphs 15.2 and 15.3 most likely should not be filled out.

2. Group. Young people who have chronic diseases who want not only to relax, but also to receive medical treatment. In this version, the profile sanatorium-resort organization must strictly correspond to the disease. For example, the sanatoriums of the Caucasian mineral waters As a rule, they deal with gastrointestinal diseases, and therefore this should be reflected in the diagnosis:

15. Diagnosis. 15.1 Disease for the treatment of which he is sent to a sanatorium: because in this option we consider treatment in a sanatorium specializing in the treatment gastrointestinal diseases, then this paragraph, naturally, should indicate the code for chronic gastritis (K29.3). If the patient has any other chronic diseases, then their codes should be indicated in clause 15.3 (for example, chronic bronchitis J41.0) - Clause 15.2, as a rule, should not be filled out. If the patient goes to a sanatorium where bronchopulmonary diseases are treated, for treatment chronic bronchitis, the following filling option is possible: 15. Diagnosis. 15.1 Disease for the treatment of which he is sent to a sanatorium: because In this option, we are considering treatment in a sanatorium specializing in the treatment of bronchopulmonary diseases, then the code for chronic bronchitis (J41.0) should naturally be indicated in this paragraph. If the patient has any other chronic diseases, then their codes should be indicated in paragraph 15.3 (for example. chronic gastritis K29.3) - Clause 15.2 most likely should not be filled out.

3.Group. Elderly people suffering from numerous chronic diseases and in need of sanatorium-resort treatment for significant improvement of the body. Most people in this condition group go to so-called sanatoriums " general profile”, which, as a rule, specialize in the treatment of cardiovascular diseases. Therefore, we will consider this filling option:

15. Diagnosis. 15.1 Disease for the treatment of which he is sent to a sanatorium: because in this option we consider treatment in a sanatorium specializing in the treatment cardiovascular diseases, then the code for atherosclerotic heart disease (I25.1) should be indicated in this paragraph. If the patient has any other chronic diseases, then they should be indicated in paragraph 15.3 (usually these include: chronic gastritis K29.3, cerebral atherosclerosis I67.2, chronic cholecystitis K81.1, etc.). Clause 15.2: this clause must contain the code of the disease for which the patient received disability (usually I25.1). If the patient does not have a disability, then this item should be blank.

Basic disease codes for form 070/u-04:

1. I10. Essential (primary) hypertension

2. I11.9 Hypertensive (hypertensive) disease primarily affecting the heart without (congestive) heart failure.

3. I20 Angina pectoris (angina pectoris)

4. I25.10 Atherosclerotic heart disease with hypertension

5. I25.1 Atherosclerotic heart disease

6. I67.1 Cerebral atherosclerosis

7. J40.0 Simple chronic bronchitis

8. J45.0 Asthma with a predominance of the allergic component.

9. J45.1 Non-allergic asthma.

10. J45.8 Mixed asthma.

11. K29.3 Chronic superficial gastritis.

12. K29.4 Chronic atrophic gastritis.

13. K81.1 Chronic cholecystitis.

For free registration a medical certificate form 070/u-04 is enough to go to the public clinic at your place of residence. To obtain a certificate form 070/u-04 for a fee, you can use the services of any medical center.

FORMS OF MEDICAL CERTIFICATES:

The selection of persons for free sanatorium-resort treatment is carried out by doctors at the clinic. At the same time, each medical worker guided in his work current orders. They clearly define the procedure for selecting and referring patients for sanatorium treatment. The purpose of this treatment is to prevent disease. As a result, exacerbations will occur much less frequently, periods of remission will lengthen, and the progression of the disease will slow down.

Issuing a certificate at the clinic

Who is eligible for free sanatorium-resort treatment can be clarified directly from your treating doctor at the clinic. If the patient has medical indications for this and there are no contraindications, he is issued a certificate of a special form. It states:

• region of residence of the patient;
• climate;
• diagnosis that led to referral to a sanatorium;
• if there is a disability, the diagnosis in connection with which such status was assigned to the citizen is indicated;
• all concomitant diseases are listed;
• recommended therapy;
• seasons and place of treatment that is more preferable for the patient.

The certificate is valid for 6 months from the date of issue. The patient presents it to the social insurance authorities. After receiving the voucher, the patient, no earlier than 2 months before the start of its term, should contact the attending doctor. The doctor will prescribe required types examinations. In some cases, for example, if it is necessary to clarify concomitant diagnoses, consultations with specialists are prescribed. Based on the examination results, the doctor fills out and gives it to the patient. sanatorium card, which is signed, in addition to the attending physician, also by the head of the department.

Rules for obtaining vouchers to a sanatorium for a child

Thanks to the emergence of electronic service public services, it has become much easier to apply for the coveted voucher for sanatorium and resort treatment. We will look at who is entitled to free therapy below.

Legislative acts establish the right to free health care for children. Orders of the Ministry of Health establish medical conditions for which sanatorium treatment is recommended for citizens under 18 years of age. In addition, the procedure for referral, selection and list of health resorts has been determined.

Contraindications to spa treatment

These include:

• chronic pathologies in the acute stage;
• spicy infectious diseases;
• cachexia;
• malignant tumor pathologies;
• venereal diseases;
• diseases in the acute stage;
• heavy bleeding;
• all forms of tuberculosis;
• pregnancy;
• blood diseases in the acute stage or acute phase;
• echinococcus of any localization;
• diseases and conditions requiring surgical intervention.

How many days does treatment last?

A free sanatorium-resort voucher provides the right to receive treatment for a certain time:

• 24 calendar days for patients receiving treatment in sanatoriums of national importance;
• 21 - in local sanatoriums;
• 30 - at occupational diseases lungs (silicosis, pneumoconiosis);
• 36 - at inflammatory diseases kidney;
• 45 - in the treatment of certain diseases and consequences of injuries spinal cord, as well as for occupational pathologies of the respiratory organs.

Who is entitled to free sanatorium-resort treatment financed from the federal budget?

Among the child population, this right is granted:

• minors with the status of a disabled child and their legal representatives;
• children from two years of age with certain health conditions, for example, neurological or mental disorders;
• citizens aged from four to eighteen years with chronic diseases and conditions requiring serious specialized therapy;
• children from four to eight years old in postoperative period and, if necessary, rehabilitation and rehabilitation therapy;
• legal representatives of the above categories, if necessary, to accompany children, but travel compensation for parents (guardians) is not provided;
• minors who have lost one of their parents as a result of hostilities;
• if one of the parents died in the line of duty, while serving in the State Fire Service, state security agencies, the execution of punishment or the Department of Internal Affairs;
• for health problems associated with Chernobyl or another man-made disaster.

On a preferential basis, minors may well receive a voucher for sanatorium treatment if their parents are members of trade union organizations. In addition, children whose legal representatives are in the state civil service have the right to apply for free or preferential sanatorium treatment, provided that government agency has relevant departmental organizations.

Who is entitled to free sanatorium-resort treatment at the expense of the regional budget?

On free provision vouchers, children can count on sanatorium treatment:

• from a large family;
• those who have lost their parents;
• whose families receive little income;
• families who have suffered from unforeseen situations.

For getting complete information about what categories of children can apply for free receipt vouchers for sanatorium treatment, you should contact the regional social insurance authorities.

Who is eligible for sanatorium-resort treatment?

The right to free sanatorium-resort treatment is preferential categories citizens who retained the state social package to receive state social assistance. These include:

• disabled people, regardless of group, as well as children with disabled status;
• participants of the Second World War and persons equated to them;
• citizens who lived in Leningrad during the siege;
• disabled war veterans, etc.

To receive a free voucher for sanatorium treatment, in addition to benefits, there must also be medical indications. Persons with diseases of the brain or spinal cord receive sanatorium treatment for up to forty-two days, disabled minors - up to twenty-one, all others - for eighteen days.

Algorithm of actions

To get a free trip to a sanatorium-resort treatment, you first need to contact your doctor. The medical commission of the clinic decides on the need for this type of therapy for each individual patient. A certificate is issued to the patient when positive decision question. Within six months after receiving it, the citizen is obliged to write an application to the local social insurance department, which will subsequently inform the patient about the availability of the voucher and the date of arrival at the sanatorium.

How can a pensioner get to a sanatorium for free?

Are pensioners entitled to free sanatorium-resort treatment? This question interests many people who are on a well-deserved rest. Pensioners have the right to sanatorium treatment once a year, provided that the patient does not have the right to receive such a benefit on other grounds. For example, free vouchers for sanatorium treatment are available to police officers, military personnel, disabled people and other categories. In addition, the state must pay round-trip travel costs. IN exceptional cases For medical reasons, treatment in a sanatorium is possible more than once a year. To receive a free trip, you must prepare the following documents:

• pensioner's ID;
• ID card (passport);
• work book or document confirming seniority;
• medical certificate for obtaining a sanatorium voucher (issued at the clinic at the place of residence from the local doctor).

The decision to grant a voucher is communicated to the citizen within fourteen days after his application to social service and providing the required documents. Thus, any citizen who has achieved retirement age, has the right to receive a voucher for sanatorium treatment every year, completely free of charge.

Travel package for a minor

How to get a sanatorium-resort voucher for free if you have a certain pathology and medical indications to a federal sanatorium? This question arises among parents of sick children. The list of indications and contraindications for this type of treatment is enshrined in regulatory documents, which can be found in the clinic with the treating doctor. It should be remembered that free trip is provided only to the child; a legal representative accompanies him to the sanatorium at his own expense. To obtain a voucher, you must contact a pediatrician at the clinic at the minor’s place of residence and provide the following package of documents:

• a handwritten application for registration in order to receive a voucher;
• child's identity card;
• compulsory medical insurance policy;
• parent's passport;
• agreement legal representative for the processing of personal data (your own and your child’s).

The doctor of the clinic, if the child has medical indications for sanatorium-resort treatment, will issue a special certificate, which will be used to obtain a voucher, and will prepare an extract from the child’s medical record. Then you just have to wait for an answer, after receiving which you need to go back to the clinic to fill out a special card. The patient will go with her for treatment.

Where do you get vouchers to the sanatorium?

Through social insurance funds, free sanatorium and resort treatment is provided to those categories of the population who are entitled to benefits. First of all, these are disabled people. This type of therapy is also available to children from incomplete and large families who have lost one of their parents, have suffered in various disasters, have suffered or have a serious pathology that requires rehabilitation therapy in a sanatorium.

Almost all minors who need this type of therapy have the right to purchase a discounted voucher with a payment of ten to fifty percent of its cost.

According to the order of the Ministry of Health and social development Russian Federation dated November 22, 2004 No. 256 “On the procedure medical selection and referral of patients for sanatorium-resort treatment" medical selection and referral for sanatorium-resort treatment of citizens is carried out by the attending physician and the head of the department or a medical commission (for citizens entitled to receive state social assistance in the form of a set social services) medical and preventive institution at the place of residence.

If there are indications and no contraindications for referral to sanatorium-resort treatment, the patient is issued a certificate to receive a voucher for sanatorium-resort treatment" (form No. 070/u). Medical indications and contraindications for sanatorium-resort treatment are determined by Order of the Ministry of Health of Russia dated 05.05.2016 No. 281n “On approval of lists of medical indications and contraindications for sanatorium-resort treatment.” If the patient has diseases included in the list of medical indications for sanatorium-resort treatment of the child population, on the basis of a certificate for obtaining a voucher for sanatorium-resort treatment (form No. 070/u), an application is made in the sanatorium-resort treatment monitoring subsystem of the Russian Ministry of Health.

In accordance with the letter of the Ministry of Health and Social Development of the Russian Federation dated May 29, 2009 No. 14-5/10/2-4265 “On sending children for sanatorium-resort treatment to sanatorium-resort institutions under the jurisdiction of the Ministry of Health and Social Development of Russia” to sanatorium-resort Institutions under the jurisdiction of the Ministry of Health of the Russian Federation send children from 4 to 14 years of age inclusive, including accompanied by a legal representative, from 15 to 18 years of age unaccompanied, unless the need for accompaniment is due to medical indications. Children aged 2 years and older are sent to sanatorium-resort institutions with a psychoneurological profile, accompanied by a legal representative.

When contacting the Moscow City Health Department regarding referral of a child for sanatorium-resort treatment in a sanatorium under the jurisdiction of the Ministry of Health of the Russian Federation, the following documents must be provided:

• application from the legal representative of a minor to send the child to a sanatorium-resort treatment;
• statement from the legal representative of the minor regarding consent to the processing of personal data;
• a copy of the passport of the legal representative of the minor with information on registration at the place of residence;
• a copy of the child's birth certificate;
• a copy of the compulsory health insurance policy;
• a document confirming the child’s registration in the city of Moscow;
• a copy of the certificate for obtaining a voucher for sanatorium treatment (form No. 070/u);
• copy of SNILS (if available).

The structure of Moscow city healthcare includes sanatoriums for children: general, bronchopulmonary, orthopedic, cardio-rheumatological, nephrological and gastroenterological profiles. All sanatoriums provide for the stay of children throughout the year.

In accordance with the order of the Ministry of Health and Social Development of Russia dated November 22, 2004 No. 256 “On the procedure for medical selection and referral of patients for sanatorium-resort treatment,” medical selection and referral of patients in need of sanatorium-resort treatment are carried out by the attending physician and the head of the department. The presence of medical indications for sanatorium-resort treatment and the absence of contraindications for its implementation is within the competence of the attending physician and is determined in accordance with the order of the Ministry of Health of Russia dated 05.05.2016 No. 281n “On approval of lists of medical indications and contraindications for sanatorium-resort treatment.” The decision is made based on an analysis of the patient’s objective condition, the results of previous treatment (outpatient, inpatient), data from laboratory, functional, radiological and other studies. If there are indications and there are no contraindications for treatment, the following will be issued to the sanatorium: a voucher to the sanatorium; sanatorium-resort card for children (registration form N 076/u) and a certificate from a pediatrician or epidemiologist confirming the absence of contact with patients with infectious diseases (for those attending educational institutions, a certificate of no contact with patients with infectious diseases from educational institution(kindergartens, schools).

In addition, the following documents of the child must be submitted to the sanatorium: birth certificate and compulsory health insurance policy (it is advisable to provide a photocopy of these documents).

Considering individual characteristics child, as well as the profile (specialization) of the sanatorium; in some cases, the decision on the possibility of a child’s stay is decided by a commission at the sanatorium.