1) an obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but no later than 4 months from the date of its commencement;

2) a favorable clinical and labor prognosis for temporary disability lasting more than 10 months (in some cases: conditions after injuries and reconstructive operations, in the treatment of tuberculosis - more than 12 months);

3) the need to change the vocational rehabilitation program for working disabled people in the event of a deterioration in the clinical and labor prognosis, regardless of the disability group and the duration of temporary disability.

When establishing disability, the period of temporary disability ends on the date immediately preceding the day of registration of documents in the ITU institution.

For temporarily disabled persons who have not been diagnosed with disability, a certificate of incapacity for work may be issued by decision of the medical commission until the restoration of working capacity with a frequency of extension of the certificate of incapacity for work by decision of the medical commission at least 30 days later or until re-referral to the ITU.

If a citizen refuses to be sent to the ITU or his untimely appearance at the ITU for an unexcused reason, the certificate of incapacity for work is not extended from the date of refusal to send to the ITU or registration of documents in the ITU institution; information about this is indicated in the disability certificate and in the medical record of the outpatient (inpatient) patient.

The procedure for issuing a certificate of incapacity for work for the period of sanatorium treatment

When patients are sent for follow-up care to specialized sanatorium-resort institutions located on the territory of the Russian Federation, immediately after inpatient treatment, the sick leave is extended by a medical worker by decision of the medical commission of a specialized sanatorium-resort institution for the entire period of follow-up care, but not more than 24 calendar days.

The sick leave certificate is closed by the organization that sent the citizen for aftercare to a specialized sanatorium and resort institution.

When sending persons injured in connection with a severe accident at work to sanatorium-and-spa treatment during a period of temporary disability (before being sent to the ITU), a certificate of incapacity for work is issued for the entire period of treatment and travel.

The sick leave certificate is closed by the organization that sent the citizen injured in connection with a serious accident at work to a sanatorium-and-spa treatment.

When medical organizations send tuberculosis patients on vouchers to specialized (anti-tuberculosis) sanatorium-resort institutions for treatment in the case when sanatorium-resort treatment replaces inpatient treatment, as well as for follow-up care after inpatient treatment, a certificate of incapacity for work is issued by decision of the medical commission of the anti-tuberculosis dispensary and is extended by a medical commission of a specialized (anti-tuberculosis) sanatorium-resort institution for the entire period of treatment, aftercare and travel.

The sick leave certificate is closed by the organization that sent the citizen for treatment (aftercare) to a specialized (anti-tuberculosis) sanatorium-and-spa institution.

The procedure for issuing a sick leave for caring for a sick family member

A sick leave certificate for caring for a sick family member is issued by a medical worker to one of the family members (guardian, custodian, other relative) who actually cares.

A certificate of incapacity for work is issued for the care of a sick family member:

1) a child under the age of 7 years: in case of outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with the child in an inpatient medical institution - for the entire period of an acute illness or exacerbation of a chronic illness;

2) a child aged 7 to 15 years: in case of outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with the child in an inpatient medical institution - for up to 15 days for each case of the disease, if the conclusion of the medical commission does not require a longer period;

3) a disabled child under the age of 15: in case of outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with the child in an inpatient medical institution - for the entire period of an acute illness or exacerbation of a chronic illness;

4) children under the age of 15 infected with the human immunodeficiency virus - for the entire period of joint stay with the child in an inpatient medical institution;

5) children under the age of 15: in case of their illness associated with a post-vaccination complication, malignant neoplasms, including malignant neoplasms of lymphoid, hematopoietic and related tissues - for the entire period of outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with a child in an inpatient medical facility;

6) children under the age of 15 living in the resettlement zone and the zone of residence with the right to resettlement, evacuated and resettled from the zones of exclusion, resettlement, residence with the right to resettlement, including those who were in a state of intrauterine development on the day of evacuation, and also for children of the first and subsequent generations of citizens born after radiation exposure of one of the parents - for the entire duration of the disease;

7) children under the age of 15 suffering from diseases due to radiation exposure of their parents - for the entire time of illness;

8) older than 15 years: for outpatient treatment - for up to 3 days, by decision of the medical commission - up to 7 days for each case of illness.

If necessary, a certificate of disability for caring for a sick child may be issued alternately to different family members.

When two children fall ill at the same time, one certificate of incapacity for work is issued to care for them. With a simultaneous illness of more than two children, a second certificate of incapacity for work is issued.

In case of illness of the second (third) child during the period of illness of the first child, the certificate of incapacity for work issued to care for the first child is extended until the recovery of all children without offsetting the days that coincided with the days of release from work to care for the first child. At the same time, the disability certificate indicates the dates of the beginning and end of the disease, the names, ages of all children.

A certificate of incapacity for work is not issued for care:

1) for a sick family member over 15 years of age in inpatient treatment;

2) for chronic patients during remission;

3) during the period of annual paid leave and leave without pay;

4) during maternity leave;

5) during parental leave until the child reaches the age of 3 years.

If a child falls ill during a period when the mother (another family member who actually takes care of the child) does not need to be released from work (annual paid leave, maternity leave, leave to care for a child until he reaches the age of 3 years, leave without payroll), a certificate of incapacity for child care (in the case when he continues to need care) is issued from the day when the mother (another family member who actually takes care of the child) should start working.

The procedure for issuing a certificate of incapacity for work during quarantine

During quarantine, a certificate of incapacity for work for caring for a child under 7 years old attending a preschool educational institution, or for a family member recognized in accordance with the established procedure as incapacitated, is issued by the attending physician who monitors the child (for a family member recognized in accordance with the established procedure as incapacitated), one from working family members (guardian) for the entire period of quarantine established on the basis of a decision of the Government of the Russian Federation or an executive authority of a constituent entity of the Russian Federation, a local government body, as well as a decision of authorized officials, a federal executive authority or its territorial bodies in charge of the objects defense and other special purposes.

Citizens working in public catering, water supply, children's institutions, if they have helminthiasis, a certificate of incapacity for work is issued for the entire period of deworming.

The procedure for issuing a certificate of incapacity for work during prosthetics

Citizens sent by a medical organization for prosthetics to a stationary specialized institution are issued a certificate of incapacity for work by this medical organization for the duration of their journey to the place of prosthetics. The issued certificate of incapacity for work is extended by a medical worker of a stationary specialized institution for the entire period of prosthetics and the time of travel to the place of registration at the place of residence (at the place of stay, temporary residence).

The procedure for issuing a disability certificate for pregnancy and childbirth

A disability certificate for pregnancy and childbirth is issued by an obstetrician-gynecologist, in his absence - by a general practitioner (family doctor), and in the absence of a doctor - by a paramedic. The issuance of a certificate of incapacity for work for pregnancy and childbirth is carried out at 30 weeks of pregnancy at a time for 140 calendar days (70 calendar days before childbirth and 70 calendar days after childbirth).

In case of multiple pregnancy, a certificate of incapacity for work for pregnancy and childbirth is issued at 28 weeks of pregnancy at a time for 194 calendar days (84 calendar days before childbirth and 110 calendar days after childbirth).

If a woman, when applying to a medical organization within the prescribed period, refuses to receive a certificate of incapacity for work for pregnancy and childbirth for the period of maternity leave, her refusal is recorded in the medical documentation. When a woman reapplies before childbirth for a certificate of incapacity for work for pregnancy and childbirth for registration of maternity leave, a certificate of incapacity for work is issued for 140 calendar days (for 194 calendar days - in case of multiple pregnancy) from the date of the initial application for the specified document, but not earlier, established by the first or second paragraphs of this paragraph.

In the case when the diagnosis of multiple pregnancy is established during childbirth, a certificate of incapacity for work for pregnancy and childbirth is issued for an additional 54 calendar days by the medical organization where the birth took place.

In case of complicated childbirth, a disability certificate for pregnancy and childbirth is issued for an additional 16 calendar days by the medical organization where the birth took place.

In case of childbirth occurring in the period from 28 to 30 weeks of pregnancy, a certificate of incapacity for work for pregnancy and childbirth is issued by the medical organization where the birth took place, for a period of 156 calendar days.

In case of termination of pregnancy with a term of up to 27 completed weeks of pregnancy, the birth of a dead fetus or a live fetus that did not survive the first 6 full days (168 hours), a certificate of incapacity for work is issued for the entire period of incapacity for work, but for a period of at least three days. If the newborn survived the first 6 full days (168 hours), a certificate of disability for pregnancy and childbirth is issued for a period of 156 calendar days.

Upon the onset of maternity leave while a woman is on annual basic or additional paid leave, parental leave until the age of 3 years, a certificate of incapacity for work for pregnancy and childbirth is issued on a general basis.

How to successfully pass an examination in institutions of medical and social expertise?

Many patients who first apply to institutions of medical and social expertise remain dissatisfied with the decisions made and the examination procedure itself, since they are forced to complete the documentation and undergo additional clinical and laboratory examinations.
A few simple tips will help in solving such problems.

First of all, it is necessary to check the correctness of the documentation that will be submitted for examination.

A referral for a medical and social examination (your main document), drawn up in a medical institution (HCI) at the place of observation and treatment, must be certified by the seal of this institution and at least 3 signatures of doctors (including the signature of the chairman of the medical commission or the chief doctor).

Extracts from hospitals must be certified by their seals (the presence of only a corner stamp and a personal seal of a doctor is not enough).
Check the correctness of the passport data in the above documents, since an error in even one letter will invalidate them.

Make photocopies of all extracts from the hospital and attach them to the referral to the ITU, preferably in chronological order. For examination, be sure to take the originals of all extracts from the hospital and other honey. documents (ITU experts will check them with photocopies and return the originals to you).

The results of your observation and treatment in outpatient conditions are important in the examination, so the outpatient card should be with you. If there are ambulance call coupons, they must be attached to the outpatient card (it is advisable to photocopy them as well).

If you have a pathology of the musculoskeletal system (fractures, arthrosis-arthritis, pathology of the spine), you should take x-rays with you - preferably fresh ones (no more than 1 month before the date of examination). In the direction to the ITU, in this case, there should be a description of them. If there are many pictures (take everything you have - it is important to assess the dynamics of the disease) - it is advisable to add them in chronological order. If you suffer from hypertension and there are crises on the outpatient card - you can carefully make bookmarks with colored stripes (stickers) on the pages where they are recorded - this should be done for the last 12 months before the examination.

If there were sick leaves for the last year, it is advisable to write out on a separate sheet - from what date and to what date, indicating the diagnosis and duration in days. Unfortunately, doctors of healthcare facilities do not always fill out this item in detail and in a quality manner in the direction of the ITU.

If there are conclusions of narrow specialists (consultations: cardiologist, pulmonologist, nephrologist, gastroenterologist, orthopedist-traumatologist, neurosurgeon, etc.) - obtained in other medical institutions - they must also be certified by the seal of these health facilities (and not just the personal seal of the doctor - consultant). Check the dates of issue of the conclusions and passport data in them.

Information about your education may be required - for students - a certificate of education from an educational institution, for the rest (especially young people of working age) - a copy and the original (bring it with you) of a diploma of education.

The work book (or a copy certified by the personnel department) is also provided to the ITU. It is also advisable to make a photocopy of the passport (the original, of course, must be with you). For employees - a production characteristic, indicating working conditions and how the patient copes with his duties (the date of its compilation must be indicated and must be certified by the seal of the enterprise).

You must be mentally prepared for the fact that the decision made may not coincide with the one you are counting on. You should not overly rely on the opinions of medical doctors, who sometimes allow themselves to express an opinion about a specific group of disability that is assigned to you. This is the most common cause of conflict situations that arise in the process of announcing an expert decision.

The attending physicians do not have the appropriate expert training and should not "tune" the patient to a certain specific solution. They bear absolutely no responsibility for their verbal opinion about which group is appropriate for this or that patient. Unlike them, medical experts draw up an expert medical file for each patient, where they substantiate their decision in writing with reference to the relevant regulatory legal acts, certify it with their signatures and seal of the ITU institution and bear full legal responsibility for it. This important point should be very well understood.

It is advisable to take a clean sheet with you for examination, since when examining in a lying position on the couch, you will need it.

You can take an interesting book so that waiting for a call to the meeting room is not tiring. Player, radio - it is undesirable to take - you can interfere with others, and when using headphones - you will not hear how you will be invited.

The right of priority call is enjoyed by: WWII veterans, WWII invalids and liquidators of the Chernobyl accident. Therefore, if you belong to one of the above categories, you should inform the commission about this.

Take with you medicines that may come in handy if you wait for a call for a long time, first of all, this applies to patients with diabetes mellitus, hypertension and coronary artery disease. The duration of the examination in time can vary from several tens of minutes to several hours, depending on the workload of the ITU institution.

Therefore, you should be prepared for a possible long wait.

The most seriously ill patients who are unable to come for examination at the ITU institution are examined at home (very rarely and in cases of extreme remoteness of the patient, the decision can be made in absentia - according to the documents). In this case, a certificate of the VK (medical commission) is attached to the referral to the ITU stating that, for health reasons, the patient cannot appear for examination. It is advisable for elderly and seriously ill patients to come accompanied by relatives - who, if necessary, will help them get dressed and undress during the examination, supplement complaints, and control their return home.

Given the high workload of most ITU institutions, you should be prepared in advance to answer the questions that will be asked during the certification process.

Experts, as a rule, first get acquainted with your honey. documentation - therefore, in the process of communication, only the necessary clarifying questions are asked.

The answer should be exactly the question posed, avoiding, if possible, unnecessary details. As a rule, questions are asked about the onset of the disease, how it proceeded, whether (when, where and how much) inpatient treatment, operations (their dates), the effect of the treatment and your personal plans for employment (do you consider yourself completely disabled, intend to find an easier job or plan to continue treatment on sick leave). Questions are asked about outpatient treatment - what drugs, in what dosage the patient takes daily.

After questioning complaints, the patient is examined by experts, if necessary, and in the supine position on the couch. The details of the examination depend on the specific diagnoses that the patient has. In most cases, the patient is asked to undress to his underpants. After the examination, the patient is asked to wait in the corridor, at which time the specialists collectively, in the course of a joint discussion, make an expert decision. The decision is then announced to the patient.

It is possible that you will be offered an additional examination - if the experts consider that it is important to obtain additional information characterizing the state of your health in order to make a final decision.

In this situation, it is advisable, if possible, to agree, since it is in your own interests to obtain additional information about the state of your health and thereby increase the accuracy of the decision. However, you have the right to refuse additional examination - in this case, you will be asked to write a written refusal from it and the decision will be made on the basis of the available documents and objective examination data.

Do not forget that if you are recognized as disabled, pensions and other benefits will be accrued from the moment the examination begins (if you have a re-examination, that is, if you have already been recognized as disabled). The beginning of the examination is considered the day of registration in the ITU institution of your documents (application with a request for examination with a referral to the ITU attached to it).

If you are recognized as disabled for the first time, then the pension will not be accrued to you from the date the examination began, but from the date of writing the application for calculating the pension (this application is written at the Pension Fund, where you will need to come with a certificate of disability).
Therefore, you should not delay your visit to the Pension Fund after the initial recognition of you as a disabled person (the sooner you write an application to the Pension Fund, the sooner you will begin to accrue a pension).

Briefly about how to act correctly in a situation where you do not agree with the decision. In this case, firstly, one should remain calm and not offend the employees of the ITU institution who are in the performance of their official duties. You should state that you do not agree with the decision and ask for clarification on how to appeal it. You are required to provide appropriate explanations.

The decision of the ITU institution can be appealed to the higher ITU Main Bureau or to the court, in the manner prescribed by the current legislation. There is no particular point in appealing the decision immediately to the court, since there are no ITU specialists there and a competent judge will have to look for the same specialists of the higher Main Bureau as an arbitrator, just spend money on a lawyer. It is more rational to write a statement of disagreement with the decision made and with a request to conduct your examination at the higher ITU Main Bureau. This statement can be written either directly at the institution where you underwent the examination, or in person at the higher ITU Head Office (at your discretion). Within three days from the date of writing the application, your expert medical file is transferred to the ITU Head Office, whose specialists will check the validity of the decision (maximum within 1 month). You will be invited to them for an examination (or they will go to your home - if there is a certificate from the VK about the impossibility of the patient to come for examination). If there are grounds, they have the right to change the decision.

Following these simple recommendations, you will be able to feel more confident during the examination, pass the procedure of medical and social examination faster and more successfully. Believe in yourself and you will definitely feel better. Good luck in achieving your goals.

Pretty rare procedure. But there is also a second examination. It is not needed in all cases. The grounds for this are:

There is a certain list of diseases on the basis of which the group is established indefinitely. In this case, a re-examination (re-examination) is not required, all benefits remain until the end of life.

In cases of a temporary period, when an improvement occurs, a group change or deregistration is possible.

What laws govern the procedure?

The re-examination is regulated by the following Decrees associated with this group:

As well as the following regulations:

1. By order of the Ministry of Labor and Social Protection of the Russian Federation of December 17, 2015 No. 1024n, a special List was approved, which displays all types and categories of diseases, to which disability groups they belong.
2. In the Decree of the Government of the Russian Federation under No. 247, dated 07.04.2008. all diseases related to indefinite social security and benefits are taken into account.
3. Health disorders acquired after injury in a technological environment are provided for by the Decree of the Ministry of Labor No. 5 of 30.01.2002.

In addition to the above provisions, there are a lot of orders, legal acts regulating various types of documents. Official forms of acts and certificates are also provided, on the basis of which it is not allowed to conduct an examination in an arbitrary form.

Step-by-step instruction

Where to start?

The most common reason for re-passing the examination is the confirmation or deregistration of disability. Let's take this example step by step.

1. When assigning a disabled group, a certificate is issued in hand, which clearly indicates the validity period. For this period, the patient is prescribed a periodic course of treatment or rehabilitation.
2. At the end of the established period, the commission sets the date for the re-examination, in order to determine the state of health: whether there have been improvements or the disease has begun to progress more strongly. The legislation allows the passage of the ITU two months before the end of the term, if there are grounds for that. It is necessary to strictly ensure that the certificate contains all the marks about visits to the doctor, as well as outpatient and inpatient treatment procedures.
3. When the deadline has come, you should contact your local doctor, who will prepare the required extract, which must be signed by the head of the department or clinic. The initial commission fee is appointed at the clinic to prepare a referral for.
4. Five days before the date of the inspection, the entire list of documents must be submitted. at the ITU office at the place of residence.

What documents need to be collected?

The most important thing is to properly prepare the documents so that you are not sent for missing data. So, what documents are needed for MSEC again? Here is their list:

• certificate of disability;
• IPRI certificate;
• photocopy of passport (original to have with you);
• SNILS;
• all extracts from the medical history;
• if during the period of treatment an additional examination was carried out outside the clinic, on a paid basis, all the results must be attached (for example, ultrasound, MRI, computed tomography, additional tests, etc.).

If you have a job, you need to have:

1. Statement of income.
2. A copy of the work book.

In the certificate, the working conditions should be noted. For example, during shift work for disabled people of the 3rd group, most often, benefits are removed.

Additional list:

• document on education (certificate, diploma);
• for students - a certificate from the educational institution and pedagogical characteristics.

How is the process carried out?

This procedure is practically no different from. If the goal is to extend the term, then it is necessary to fully justify and prove that the patient does not really improve in health or his condition is deteriorating.

To do this, it is necessary to prepare all extracts, records of visits to the doctor, the results of current examinations and analyzes that will help create a complete picture of the course of the disease.

The commission consists of physicians from various branches of medicine. The state of health is examined collectively, taking into account all areas of the body. There are special ones, according to which the patient's condition is assessed. Based on this, they decide on the further stay of a person on social security, determine whether he needs further assistance from the state.

The decision is made by a large number of votes. If the answer is positive, the result is issued within three days in the form of a certificate, indicating the assigned group and validity period. In case of refusal, an extract is issued. If the subject believes that his rights were violated, or the decision was made illegally and unreasonably, he has the right to file a claim with the court to review the result.

Features for the child

In most cases, deviations in the health of children are visible to the naked eye. But, despite the apparent deviations, each of them has to go through a difficult path in obtaining a disability, which, like adults, must be extended after a set period of time. Violations in children can be both congenital and acquired.

A disabled child is always registered at a polyclinic, where he receives the prescribed treatment for a certain period of time. He must be under the supervision of a doctor of the profile to which his disease belongs. If a child has problems with vision, then this is an ophthalmologist, if with ENT organs, then an otolaryngologist, if there are deviations in mental development, then a psychiatrist, with neurological problems - a neurologist.

IMPORTANT! It should not be forgotten to control that all entries are made on time in the medical history.

If the podiatrist thinks you need orthopedic shoes, or the ENT says you need a hearing aid, they should put it all on the card. In the future, when these needs are considered by the commission, a decision will be made that it is necessary to provide the child with everything necessary to make his life easier free of charge.

Obtaining a conclusion

When a pink certificate is issued, which indicates the validity period of his group. When the deadline is approaching, the supervising doctor calls the patient to issue a referral for a re-examination to obtain a new conclusion. Together with the referral, a list of specialists is issued from whom it is necessary to obtain a conclusion on health grounds.

In order to get to the examination, the conclusion of one specialized doctor is not enough. Most often, in children, the course of one deviation is accompanied by the appearance of deviations in another area, since children's immunity cannot work at full strength, and other vital systems are inhibited. ECG, ultrasound and other additional examinations may also be required.

In the process of passing specialists, it is worth preparing a package of documents in parallel:

• passport of the parent (guardian) of the child accompanying the child during the period of registration of disability;
• certificate (passport if available) of the child;
• certificate of residence;
• pink certificate of disability;
• patient card, with all extracts and medical history (signed by the head physician);
• (conclusion of the children's clinic);
• (if the child is a schoolboy or student);
• from a parent/guardian.

After visiting all the doctors and passing the prescribed tests, you should go to the local pediatrician to get a stage epicrisis, which briefly describes the stage from birth to the present moment, and also indicates the diseases, diagnoses, vaccinations and treatment received.

If a child has Williams or Down syndrome, autism, or other psycho-neurological disorders, then the resulting conclusion is transferred to a psychiatrist at the place of residence. After that, the conclusion is carried to the signature of the head of the clinic, where it must be signed within three weeks.

Conducting at home

If the child cannot move independently and the parents do not have the opportunity to come to the commission with him, then there is an opportunity to pass the ITU at home.

Doctors of all medical specialties must participate. Also, the parent (guardian) has the right to require the presence of their declared doctor, with the right to vote.

If necessary, the parent (guardian) has the right to pay for the services of the required representative.

How often do you need to pass?

It is necessary to sign up for the commission in advance, given the fact that usually the registration goes a month in advance. It is important to remember that you cannot be late, otherwise they may not accept and reschedule the recording for another certain period of time ahead.

Disabled people of groups 3 and 2 are required to undergo an annual re-examination, and group 1 - only once every two years. With congenital abnormalities, children are monitored for 4 years, then they are assigned a disability up to 18 years. A complete list of all types of diseases in which a group of up to 18 years is established is provided for by Decree of the Government of the Russian Federation N 95.

Passing the examination stage, both for adults and children, is a very important process that makes it possible to have social support from the state.

One of the types of such support is for.

If you are interested in such offers and want to take part in such a state program, then be sure to read the information that our experts have prepared for you.

It is worth remembering that one should not give incorrect information, which may affect the refusal to assign a disability, if the applicant's actions are unlawful. A more complete picture of the course of the disease should be provided and then there is a chance to get a positive result.

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ITU Medical and Social Commission on Disability (VTEC) - what documents are needed?

Competence of ITU

Preparation and passage of the commission

Terms of re-examination

List of documents for passing the ITU

To determine the disability group (category "disabled child"):

); or Certificate of the medical commission in cases of refusal to send a citizen to the ITU; or the ruling of the court.
4. Medical documents (outpatient card, extracts from hospitals, R-images, etc.).
5. A copy of the work book, certified by the personnel department for working (original work book for non-working) citizens.
6. Documents on education.
7. Information about the nature and working conditions (for employees) - .
8. Pedagogical characteristics of a child attending a preschool institution.
9. Pedagogical .
10. Certificate of disability upon re-examination.
11. An individual program for the rehabilitation of a disabled person (IPR) with notes on its implementation upon re-examination.

To determine the degree of loss of professional ability to work:
1. Application of a citizen (or his legal representative), employer (insured), insurer (FSS), court ruling.

3. Referral for medical and social examination of a medical institution (); or the ruling of the court.

5. An act on an accident at work in the form of H-1, or an act on an occupational disease upon initial contact with the ITU.
6. A copy of the work book, certified by the personnel department for working (original work book for non-working) citizens.
7. Conclusion of the State Expertise of Working Conditions on the nature and working conditions of the victim during the initial application to the ITU.
8. Conclusion of the medical commission of the medical institution on the need for medical rehabilitation.
9. Rehabilitation program of the victim (PRP) with marks on its implementation during the re-examination.
10. Certificate of the results of determining the degree of loss of professional ability to work in percent during the re-examination.

For the development (correction) of the Individual Program for the Rehabilitation of the Disabled (IPR):
1. Application of a citizen (or his legal representative).
2. Passport or other identity document; passport for citizens from 14 years old (for persons under 14 years old: birth certificate and passport of one of the parents or guardian).
3. Certificate of disability.
4. Referral for a medical and social examination of a medical institution (); or Referral of a citizen to the ITU, issued by the social protection authority.
5. Medical documents (outpatient card, extracts from hospitals, R-images, etc.).
6. Information about the nature and working conditions (for employees) - production characteristics.
7. Pedagogical characteristics of a child attending a preschool institution.
8. Pedagogical characteristics for the student.
9. Individual program for the rehabilitation and habilitation of a disabled person (IPRA) upon re-examination.

For the development (correction) of the Victim Rehabilitation Program (PRP):
1. Application of a citizen (or his legal representative).
2. Passport or other identity document.
3. Direction of a medical institution ();
4. Medical documents (outpatient card, extracts from hospitals, R-images, etc.).
5. Information about the nature and working conditions (for employees) - production characteristics.
6. The conclusion of the medical commission of the medical institution on the need for medical rehabilitation.
7. Rehabilitation program of the victim (PRP) with marks on its implementation during the re-examination.

Documents required in accordance with regulatory legal acts for the provision of public services for medical and social examination

"Administrative regulations for the provision of public services for the conduct of medical and social expertise", approved (Extract)

1. For all types of expertise:
. An identity document of a citizen of the Russian Federation (stateless person).
. State service application.
. Referral for a medical and social examination issued by a medical organization providing medical and preventive care, a social protection body or a body providing pensions; certificate of refusal to send for medical and social examination.

2. To determine the degree of loss of professional ability to work by victims of an accident at work or an occupational disease (additionally):
. Act on an accident at work; act on the case of an occupational disease; a court decision establishing the fact of an accident at work or an occupational disease; the conclusion of the state inspector for labor protection, other officials (bodies) on the causes of damage to health, or a medical opinion on an occupational disease, issued before 01/06/2000.
. Employment book (for non-employed) or its certified copy (for employed).
. The conclusion of the body of state expertise of working conditions on the nature and working conditions of the victims that preceded the accident at work or occupational disease (provided by the employer or insurer).

3. To determine the need for health reasons in permanent outside care (assistance, supervision) of a close relative of a citizen called up for military service (contract serviceman) (additionally):
. Certificate of family composition from the housing maintenance authority or local government;
. An identity document of the father, mother, wife, husband, sibling, sister, grandfather, grandmother or adoptive parent, in respect of which the need for outside care is determined for health reasons.
. Birth certificate of a sibling.
. Birth certificate of the parents of a soldier or conscript (if the grandmother or grandfather needs care).
. Court decision (if the adoptive parents need care).
. Marriage certificate (if you need the care of a wife, husband).
. A certificate from the body of social protection of the population that the person in need of outside care is not fully supported by the state.

4. To determine the cause of disability (optional):
. Information from a medical organization confirming the presence of persistent disability in an applicant under the age of 16 (for students under 18) - to establish the cause of "disability since childhood due to injury (concussion, injury) associated with military operations during the Great Patriotic War" .

Information from a medical organization on the existence of grounds for attributing the onset of the disease of a former soldier to the period of stay at the front (fulfillment of international duty in Afghanistan) - to establish the cause of "military injury" without military medical documents.

The conclusion of the military medical commission on the causal relationship of injuries (injuries, wounds, concussions), diseases - to establish the causes: “military injury”, “disease received during military service”, “disease received in the performance of military service duties (official duties) in in connection with the accident at the Chernobyl nuclear power plant”, a radiation-induced disease received in the performance of duties of military service (official duties) in connection with the accident at the Chernobyl nuclear power plant”, a disease (trauma, injury, contusion, wound) received in the performance of military service duties (official duties) ) is associated with direct participation in the actions of special risk units.

Certificate of injury (wounds, injuries, contusions), diseases during military service, including in active units, issued by medical institutions, the Central Archive of the Russian Ministry of Defense, the Archive of the Military Medical Museum, the Russian State Military Archive - for reasons "military trauma”, “the disease was received during the period of military service”, “the disease was received in the performance of military service (duties) in connection with the accident at the Chernobyl nuclear power plant”, “radiation-induced disease was received in the performance of military service (duties) in connection with accident at the Chernobyl nuclear power plant”, an illness (trauma, mutilation, contusion, wound) received in the performance of military service duties (official duties) is associated with direct participation in the actions of special risk units.

Conclusions of interdepartmental expert councils on the causal relationship of developed diseases and disability with radiation exposure - for the cause of disability due to the disaster at the Chernobyl nuclear power plant, the accident at the Mayak production association, direct participation in the actions of special risk units.

5. To determine the cause of death of a disabled person, as well as a person who suffered from an accident at work, an occupational disease, the disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or disease received during military service:
. Declaration of a family member of the deceased.
. The applicant's passport or other document proving his identity.
. A copy of the medical certificate of death.
. Extract from the protocol (card) of the pathoanatomical study.
. A copy of the certificate of disability, if the deceased was recognized as disabled.
. The medical documents of the deceased, which are in the hands of the applicant.

6. To establish the permanent disability of an employee of the internal affairs bodies, employees of institutions and bodies of the penitentiary system, the federal fire service of the State Fire Service, the authorities for controlling the circulation of narcotic drugs and psychotropic substances and the customs authorities of the Russian Federation:
. An employee's statement about sending him to ITU.
. Referral for medical and social examination, issued by a medical organization of the federal executive body in the field of internal affairs.
. Certificate of illness with a conclusion about unfitness or limited suitability in military service due to a military injury.
. A copy of the sick leave order.