The work of medical and social examination. Vtek: transcript. medical labor expert commission. Which ITU office should you contact?

Job responsibilities specialists stem from the tasks of the medical bureau social expertise.

Head of the branch (primary bureau) performs primarily the functions of organizer of experts' activities and represents the bureau in relations with other institutions and with citizens undergoing examination (or their legal representatives) when discussing problems that arise during the examination.

The manager discusses the results obtained, makes a decision, and enters the decision into the medical documents. The head of the bureau can concurrently perform the functions of a medical expert in one of the specialties included in the bureau.

Traditionally in composition of medical experts included therapist, neurologist and surgeon . Responsibilities for examining citizens with various pathologies are distributed among them. As a rule, this corresponds to the classification of diseases adopted in practical medicine: nervous diseases and neurological conditions fall under the purview of a neurologist; musculoskeletal disorders and musculoskeletal system- within the competence of the surgeon; internal illnesses- within the competence of the therapist.

Expert doctors have equal rights and responsibilities, and their activities differ only in the type of client’s illness.

This division is associated with the so-called “disabling disease,” i.e., a disease, the consequences of injuries, developmental defects, which are recognized (or chosen by the client together with his attending physician) as the main ones in the occurrence of restrictions on the body’s functions.

The responsibilities of the medical expert include:

· examine the medical documents submitted by the citizen being examined,

· collect the patient’s medical history (the client’s own characteristics of the condition),

Conduct a personal inspection

· report the results at the discussion of the members of the expert commission,

· make the necessary entries in the medical documents of the commission.

If necessary, the expert doctor may request additional information or refer the client (examined) for additional examination to other institutions.

IN The expert's responsibilities also include collection and registration of statistical information about citizens who have been examined by the bureau.

An expert doctor is obliged to maintain his qualifications at a high level, engage in professional self-training and self-education. From the point of view of professional activity, expert doctors must fundamentally take a different position in working with clients than attending physicians, i.e., doctors of the healthcare system. Their efforts are aimed not so much at identifying the presence of a disease or defect, but at determining the residual capabilities of the person being examined, the persistence of his pathological abnormalities that limit life activity.

The expert doctor does not establish treatment methods, he examines the pathological condition of the citizen and, based on his observations, determines the severity and persistence of the dysfunction.

In addition to specialist doctors making expert decisions, the expert composition includes a specialist in social work, psychologist and rehabilitation specialist.

These are specialists new to the expert commissions, so their functions and job responsibilities have not yet been established. Moreover, objective contradictions have emerged between old and new specialties within the same expert commission. They stem from the fact that in previous medical labor expert commissions the role of the researcher social problems The examination of a citizen was carried out by expert doctors, therefore, with the introduction of new positions, the specialists replacing them seemed to invade the old sphere of activity of experts. Apparently, over time, the distribution of functions will become more defined, and each specialist within the bureau will occupy only his assigned place.

Some scientists see the responsibilities and work technologies of bureau specialists as follows.

Tasks of a rehabilitation specialist:

Conduct social diagnostics - assessment professional labor status(impaired, not impaired, work activity is impossible, possible with a decrease in intensity, possible in another profession, possible in specially created conditions); educational (violated, not violated, education is possible in ordinary or specially created conditions), social(self-care not lost, partially lost, completely lost; social skills not lost, partially lost, completely lost, personal safety not lost, partially lost, completely lost) and social-environmental status(violated, not violated, social independence not lost, partially lost, completely lost, social communication not lost, partially lost, completely lost, the ability to solve a range of personal problems not lost, partially lost, completely lost, the opportunity to play sports lost, partially lost, not lost), the opportunity to engage in cultural and leisure activities (not lost, partially lost, completely lost, the opportunity to engage in social activities not lost, partially lost, completely lost);

· assess rehabilitation potential and rehabilitation prognosis;

· assess the structure and degree of disability;

· determine the person’s need for rehabilitation.

Tasks of a social work specialist:

Conduct social diagnostics

· assess the structure and degree of disability,

· take part in determining the rehabilitation potential and rehabilitation prognosis;

· determine a person’s need for social protection measures, including rehabilitation;

· determine the possibility of carrying out rehabilitation measures of IPR;

· establish conditions for the provision of rehabilitation services;

· determine the range of institutions for the implementation of IPR;

· determine the place and conditions for the acquisition of technical means of rehabilitation.

Its technologies are determination of a number of social characteristics of the person being examined: analysis of income, marital status, the role of the family in helping a disabled person, availability technical means and adaptations and the need for them, the equipment of housing for a disabled person.

Social work specialist must assess the possibility of a disabled person performing social and social and environmental activities , including:

· assessing the possibility of providing personal care;

· assessment of the possibility of personal safety (use of gas, electricity, water supply, transport, medicines, etc.);

· assessment of social skills (cooking, cleaning, washing clothes, shopping, etc.);

· assessment of the possibility of ensuring social independence (the possibility of independent living, using civil rights, compliance with responsibility, participation in public activities), - assessment of the possibility of social communication;

· assessment of the possibility of solving personal problems (control of births, control of gender relations).

Psychologist's tasks:

· psychodiagnostics mental development;

· determination of the structure and severity of violations of higher mental functions;

· assessment of professionally significant mental functions, learning ability, emotional-volitional sphere, personal and socio-psychological characteristics and possibilities for correcting personality deformations;

· grade social adaptation;

· assessing socio-psychological, social and other statuses;

· assessment of rehabilitation potential and rehabilitation prognosis;

· assessing the structure and degree of disability of a disabled person;

· implementation psychological support examination procedures, development of IPR and its implementation, determination of measures of psychological rehabilitation.

The following comment can be added to this distribution of responsibilities. The psychologist is the leader in determining the rehabilitation prognosis for a given disabled person, since the rehabilitation effect depends on the desire of the citizen and his willingness to make efforts to attract his potential.

It must be said that the work of a psychologist in a bureau medical and social examination Most of all, it is aimed at establishing those personality traits of the client that will contribute to his rehabilitation. At the same time, other aspects of the personality of the person being examined must be ignored. It may be that the psychologist’s conclusions can, to a small extent, influence the fact that he is recognized as disabled and the group assigned to him, but this should not relieve him of responsibility for the collegial decision made.

A social work specialist should eventually become a key figure in the process of medical and social examination, since even the legislation emphasizes that the ultimate goal of the examination is to provide social assistance to a citizen who has applied to the bureau.

In the very general view The bureau's decision is divided into two blocks :

1. recognizing a citizen as disabled and assigning him a disability group;

2. determination of rehabilitation potential and development of rehabilitation measures (individual program).

WITH first block of solution cope better medical experts, determining the degree of disability, with the assistance of a social work specialist who determines the degree of social disability.

But second block decisions can be executed more skillfully by efforts rehabilitation therapist, psychologist and social work specialist. At the same time, the main and very important role of the psychologist is to establish, and perhaps even develop in a disabled person psychological readiness to carry out rehabilitation.

The role of the remaining employees of the medical and social examination bureau is reduced to creating necessary conditions activities of experts:

nurse- provides the material and technical basis of the expert procedure;

medical registrar- draws up all the necessary documentation, keeps minutes of commission meetings, issues relevant certificates.

To increase your chances of receiving disability, it is important to know how the VTEK commission proceeds. To do this, the patient collects the relevant documents and applies for an examination. Detailed description The sequence of actions, as well as how to behave correctly when communicating with the commission, is presented in the article.

It must be said right away that a person needs to know how the medical and social examination of the ITU, and not the VTEC, for disability is carried out. The fact is that despite the use of both terms, from a formal point of view the patient comes specifically for ITU examination, which includes passing:

doctors' commissions;
social worker;
psychologist;
other specialists (as necessary).

Therefore, despite the fact that the term “VTEK” is still used very widely, in fact we are talking about ITU. To pass the commission, you must contact the local ITU Bureau on your own initiative or (usually this way) in the direction of:

attending physician;
or the Pension Fund.

Step 1. Collection of necessary documents

Along with the application for the commission, the patient also submits his passport and medical documents:

outpatient card;
conclusion of a medical commission;
test results;
results diagnostic procedures that are associated with the disease.

Step 2. Passing the commission

On the appointed day, the patient arrives at the medical facility and undergoes a commission. Basically, the procedure takes place in the form of answers to questions from doctors, a psychologist and a social worker. To understand how the VTEC disability commission goes, it is better to prepare for it in advance - dress neatly and modestly, and also be prepared to communicate (this is described in detail below).

DEADLINE FOR MAKING A DECISION. After completing the questions and examination, the patient leaves the office, and the commission begins to discuss opinions. The decision is made by a simple majority of votes, of which the patient is notified by mail or telephone. The deadline for making a decision is 6 working days. In any case, the patient is given an examination certificate, and if the decision is positive, then of the established form.

front side

Step 3. What to do in case of refusal

In case of refusal, you must contact a higher authority (the regional Bureau, and then the federal one). IN exceptional cases draw up a statement of claim in an attempt to protect their rights in court.

Peculiarities of registration of disability for certain groups

If we talk about how VTEC is carried out, how the commission that registers a patient for disability works, in general outline, the procedure is almost always the same. However, there are also features that depend on the specific groups of some patients.

patient group	features of the procedure
children	must take place in the presence of a parent (or adoptive parent, guardian); for a schoolchild or student in mandatory a certificate and characteristics from the place of study are presented
pensioners	first you need to go to your local physician, who will definitely send you for additional examination, after which he will write out a referral; in case of a positive decision, the pensioner must go to the Pension Fund and submit documents to formalize an increase in pension and/or additional benefits
with heart attack and/or oncology	may be referred for an ITU no earlier than 4 months after the official diagnosis
with vision problems	the referral must be issued by the ophthalmologist who treats the patient

7 rules on how to behave at ITU

The patient needs to immediately understand: specific decisions are made by specific people, therefore the presence of certain documents does not always guarantee the assignment of a degree of disability (except in obvious cases severe violations health, which require registration of 1st degree).

Therefore, even before visiting the VTEC disability commission, you should have a good idea of how it goes, how best to tune in psychologically, and what questions can be asked. Here are 7 useful tips, which will certainly help you understand the features of this procedure:

The basic principle is that a person needs show your real helplessness more-less. You can take a cane with you if you usually use one, a standard set of medications that you take several times a day, and others medical supplies. That is, the commission members must receive clear idea that you really need some care and support from the state.
Another important rule– to the patient You should not clearly demonstrate your financial interest in the commission's decision. It is clear that assistance from the state is the main purpose of visiting VTEK. However, the members of the commission should not get the impression that there is quite a lot in front of them. healthy man With minor violations who simply wants to apply for benefits and other types of support without sufficient grounds.
The tone of communication with members of the commission should be neutral, correct, and fairly polite, but not too warm. Familiarity, “kinship,” and familiarity are not allowed, since this may be negatively regarded as an attempt to influence the decision.
It is better for the patient to look quite modest– for example, girls do not need to wear bright makeup or dress too attractively, as they are used to in Everyday life. The external image of a person should not attract attention, much less make a dubious impression.
At the same time appearance must be impeccable– neat, neat, clothes without specks of dirt, protruding threads, seams, clean. In addition, it is worth keeping in mind that a person may be asked to partially undress - for example, in case of diseases of the spine, bones, the back or feet are examined, etc.
Don't be too active or ask questions, the answers to which you can find out yourself (in medical institution, in open Internet sources, brochures, etc.). Aggressive tone, threats, phrases like “I will complain”, etc. are excluded. It is important to understand that there will be no second chance to make a first impression. This is a very important rule of how the VTEC disability commission proceeds.
On the other side, it's important to be prepared for uncomfortable questions from any member of the commission. Some phrases may seem incorrect because they will be too personal, but it is better to immediately tune in to this and pass the test with restraint and communicate correctly. The patient must show his interest in recovery, as well as the fact that he carefully monitors his health - for example, he keeps a diary recording blood pressure readings, regularly takes medications and follows all other doctor’s orders.

Doctors in most cases have a negative attitude when a person tries to self-medicate. Therefore, even if you use folk remedies, there is no point in talking about this - the information will not be perceived as a fact of the patient’s concern for his health.

Many people have to deal with harmful and/or hazardous conditions labor. Sooner or later this can lead to the development of chronic diseases. These are the people who are usually sent to VTEC. The definition of this term is a medical labor expert commission.

What does VTEK do?

VTEK's decoding implies that this commission is dealing with the decision expert questions concerning labor activity person and possible loss ability to implement it. VTEK is entrusted with the following functions:

Determining the patient's fitness to perform a particular job.
Determination of the degree of disability.
Determination of disability group, if indicated.
Determining the relationship between a developed chronic disease and professional activity.
Referring the patient to rehabilitation measures.

Referral to VTEC is carried out at the request of the patient himself, his employer or at the initiative of the attending physician.

Required documents

In order for VTEK members to have the opportunity to make an objective and informed decision, the following documents are required:

completed referral to VTEK;
medical documentation, extracts from the medical history, examination results, conclusions of consultant doctors);
a copy of the work book;
production characteristics for VTEK;
a disability certificate if the person already has a disability.

If necessary, additional documents may be requested to make an objective decision by VTEK. Decoding and analysis of the received materials allow specialists to determine the degree of disability, its connection with professional activity, as well as the presence of indications for determining the disability group.

Determining suitability for work in a particular profession

One of important functions VTEC is the solution difficult situations when the medical commission of the clinic for admitting a person to work cannot independently make a decision, or the patient himself or his employer does not agree with it.

To determine suitability for work, a specialized clinic specialist fills out a referral to VTEK. Deciphering this term implies inclusion in the sphere of interests of such a commission not only medical condition the patient, but also the characteristics of his work activity. Experts will try to assess whether performing work duties at a particular workplace will lead to a deterioration in the person’s condition. When making a conclusion, the medical commission will also take into account the patient’s desire to work in his current position.

Determination of the degree of disability and disability group

Patients are often referred to VTEC to determine the degree of disability and disability group. In this case, the patient will be required to:

An application with a request to send it to VTEK to resolve the issue of determining the degree of disability and/or disability group.
Medical documentation.
Production characteristics for VTEK.
Employment history.
Documents certifying receipt of a particular education.
Other documents upon request of VTEK.

The application must be completed by the patient himself. The characteristics for VTEC must contain information about all dangerous and harmful conditions labor that a person constantly encounters in his workplace. It is very important how often and for how long the employee is under their influence.

Recognition of a disease by an occupational

Many chronic diseases may arise under the influence of those unfavorable conditions that are present to a person at his workplace. If such a pathology occurs, the employee is entitled to compensation. It is paid by insurance. Also, in many companies, a clause is included in the collective agreement for additional compensation from the organization itself if a person develops an occupational disease.

Often, not only the patient himself, but also his employer and medical worker health center of the organization (if available).

The issue of recognizing a disease as an occupational one has serious legal consequences, so VTEC specialists often refer such patients for further examination to specialized institutions with inpatient stays.

Rehabilitation activities

It is very important not only to establish the fact of loss of ability to work, but also to find ways to restore it. For this purpose, the patient is drawn up. VTEC specialists also participate in its creation when making a conclusion. Control over the implementation of this program rests with both the patient himself and his attending physician. The relevant documents are sent to the clinic at the place of residence immediately after the VTEC conclusion is issued.

The conclusion of the medical labor expert commission is most often provided for 1-2 years. After this, the person is sent for re-examination.

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1. General Provisions

1. GENERAL PROVISIONS

1.1. A medical and social examination doctor (hereinafter referred to as the “Worker”) is a specialist.

1.2. This job description defines the functional responsibilities, rights, duties, responsibilities, working conditions, relationships (positional connections) of the Employee, criteria for assessing his business qualities and work results when performing work in his specialty and directly at the workplace in "____________________" (hereinafter - " Employer").

1.3. An employee is appointed to a position and dismissed from a position by order of the Employer in accordance with the current labor legislation ok.

1.4. The employee reports directly to ____________________.

1.5. The employee must know:

Constitution of the Russian Federation; laws and other regulations legal acts Russian Federation in the field of healthcare, consumer rights protection and sanitary and epidemiological welfare of the population; theoretical foundations of the chosen specialty; modern methods treatment, diagnosis and drug provision sick; basics of medical and social examination; rules of action when detecting a patient with signs of particularly dangerous infections, HIV infection; the procedure for interaction with other medical specialists, services, organizations, including insurance companies, physician associations, etc.; fundamentals of the functioning of budgetary insurance medicine and voluntary medical insurance, provision of sanitary and preventive and medicinal assistance to the population; medical ethics; psychology professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety regulations;

____________________.

1.6. The employee must comply qualification requirements to the specialty "Medical and Social Expertise", established by Order of the Ministry of Health of Russia dated October 8, 2015 N 707n "On approval of the Qualification Requirements for medical and pharmaceutical workers with higher education in the field of training "Health and Medical Sciences":

- Higher education - specialty in one of the specialties: “General Medicine”, “Pediatrics”;

- Residency training in the specialty "Medical and Social Expertise" or professional retraining in the specialty "Medical and Social Expertise" with training in internship/residency in one of the specialties: "Pediatric Surgery", "Neurology", "General" medical practice(family medicine)", "Oncology", "Otorhinolaryngology", "Ophthalmology", "Pediatrics", "Psychiatry", "Therapy", "Traumatology and Orthopedics", "Phthisiology", "Surgery", "Endocrinology";

- Advanced training at least once every 5 years throughout your career.

2. Job responsibilities

Worker:

conducts medical and social examination of citizens based on an assessment of life limitations caused by persistent disorders of body functions;

develops individual rehabilitation programs for disabled people, including determining the types, forms, timing and volumes of measures for medical, social and professional rehabilitation;

establishes the fact of the presence of disability, the group, causes, duration and time of onset of disability;

determines the degree of loss of professional ability to work (as a percentage);

determines permanent disability;

determines the need for medical, social and professional rehabilitation for victims of industrial accidents and occupational diseases and develops rehabilitation programs for victims of industrial accidents and occupational diseases;

determines the causes of death of a disabled person, as well as a person injured as a result of an industrial accident, occupational disease, or the Chernobyl disaster nuclear power plant and other radiation or man-made disasters or as a result of injury, concussion, injury or disease received during the period of passage military service, in cases where the law Russian Federation provision of social support measures to the family of the deceased is provided;

determines the need for health reasons for constant outside care (assistance, supervision) of a father, mother, wife, brother, sister, grandfather, grandmother or adoptive parent of citizens called up for military service (military personnel serving under a contract);

provides citizens undergoing medical and social examination with explanations on issues of medical and social examination;

participates in the development of programs for the rehabilitation of disabled people, disability prevention and social protection disabled people;

creates a data bank about citizens living in the serviced territory who have undergone a medical and social examination; carries out state statistical monitoring of the demographic composition of disabled people living in the serviced territory;

submits to military commissariats information on all cases of recognition of persons liable for military service and citizens of military age as disabled.

3. Employee Rights

The employee has the right to:

providing him with work stipulated by the employment contract;

a workplace that complies with state regulatory requirements for labor protection and the conditions provided for collective agreement;

Disability can be registered if there is:

health impairment with persistent impairment of body functions caused by diseases, consequences of injuries or defects;
limitation of life activity (complete or partial loss by a citizen of the ability or ability to provide self-care, move independently, navigate, communicate, control one’s behavior, study or engage in work);
the need for social protection measures, including rehabilitation and habilitation.

The decision to recognize a person as disabled is made based on the results of a medical and social examination (MSE).

Depending on their health status, adults are assigned disability group I, II or III, and children under 18 years of age are assigned the category “disabled child.”

2. How to get a referral to the Bureau of Medical and Social Expertise?

Referrals for medical and social examination are issued by medical organizations (the legal form of the medical organization and your place of residence do not matter).

When determining whether you have signs of disability, your doctor should rely on diagnostic studies, results of treatment, rehabilitation and habilitation. Therefore, it is best to contact your attending physician for a referral to MSA. But you can also go, for example, to the chief doctor of the medical organization where you are being treated.

By Decree of the Government of the Russian Federation dated February 20, 2006 No. 95 “On the procedure and conditions for recognizing a person as disabled.”

">law, if a person needs social protection, social protection authorities and pension authorities can also issue a referral to MSE, but only if they have medical documents, which confirm impairment of body functions due to diseases, consequences of injuries or defects. In practice, this means that you will still have to contact a medical organization.

If you are denied a referral, request that you receive a written refusal. With this certificate, you have the right to contact the ITU office yourself. In this case, the staff of the ITU bureau will prescribe an examination for you, and based on its results they will determine whether there is a need for a medical and social examination.

After you receive the referral, you will be scheduled for a medical and social examination at the ITU office.

3. What documents are needed to register a child for ITU?

To register your child for a medical and social examination, you will need:

application (children over 14 years of age fill out and sign the application on their own; for children under 14 years of age this must be done by legal representatives);
identification document (for children under 14 years old - birth certificate, for children over 14 years old - passport);
medical documents indicating the citizen’s state of health (outpatient card, hospital extracts, consultants’ reports, examination results - usually issued by the doctor who issued the referral for medical examination);
SNILS;
passport of the parent or guardian;
to the guardian (representative of the guardianship and trusteeship authority) - a document establishing guardianship.

4. What documents do adults need to register for ITU?

To sign up for a medical and social examination, you will need:

application (can be filled out by both the citizen himself and his representative);
identity document (original and copy);
referral to medical examination issued by the attending physician;
work book (original and copy);
professional and production characteristics from the place of work - for working citizens;
medical or military medical documents indicating the citizen’s state of health (outpatient card, hospital extracts, consultant reports, examination results, Red Army or military record book, certificate of injury, etc.);
SNILS;
if the documents are submitted by a representative - a power of attorney for the representative and his passport.

In some cases it may be necessary Additional documents (depending on the specific case):

act on an industrial accident in form N-1 (certified copy);
who occupational disease(certified copy);
conclusion of the interdepartmental expert council on the causal relationship of the disease, disability with exposure to radioactive factors (certified copy, original presented in person);
ID of a participant in the liquidation of the consequences of the accident at the Chernobyl nuclear power plant or living in the exclusion or resettlement zone (copy, original presented in person);
For foreign citizens and stateless persons permanently residing on the territory of the Russian Federation - a residence permit;
for refugees - a refugee certificate (to be presented in person);
for nonresident citizens - a certificate of registration at the place of residence;
for those discharged from military service - a certificate of illness drawn up by the Military Military Commission (a certified copy, the original must be presented in person).

">additional documents.

An application for a medical and social examination can be considered up to one month from the date of submission of the application.

5. Which ITU office should I contact?

Medical and social examination is carried out at the ITU office at the place of residence. In some cases, MSE may be carried out:

in the ITU Main Bureau - in case of appeal against the decision of the bureau, as well as in the direction of the bureau in cases requiring special types examinations;
in the ITU Federal Bureau - in case of appeal against the decision of the ITU Main Bureau, as well as in the direction of the ITU Main Bureau in cases requiring particularly complex special types of examination;
at home - if the citizen cannot come to the bureau (ITU Main Bureau, Federal Bureau ITU) for health reasons, as confirmed by the conclusion of a medical organization, or in a hospital where the citizen is being treated, or in absentia by decision of the relevant bureau.

6. How is the examination carried out?

During the examination, the bureau’s specialists will study the documents you submitted and analyze social, professional, labor, psychological and other data.

In some cases, ITU specialists may prescribe additional examination for you. You can refuse it. In this case, the decision to recognize you as disabled or to refuse to recognize you as disabled will be made based only on the data you provide. Your refusal will be reflected in the ITU protocol, which is maintained during the examination.

Representatives of state extra-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (consultants) can participate in the medical and social examination at the invitation of the head of the bureau with the right of an advisory vote. You also have the right to invite any specialist with his consent, he will have the right to an advisory vote.

The decision to recognize a person as disabled or to refuse to recognize him as a disabled person is made by a simple majority vote of the specialists who conducted the medical and social examination, based on a discussion of the results of the medical and social examination.

Based on the results, a medical and social examination report is drawn up. You have the right to request copies of both the act and the protocol.

In addition, the bureau’s specialists, after conducting a medical and social examination, will prepare an individual rehabilitation and habilitation program (IPRA) for you.

7. What documents are issued after the examination?

A citizen recognized as disabled is issued:

a certificate confirming the fact of disability, indicating the disability group;
individual rehabilitation or habilitation program (IPRA).

A citizen who is not recognized as disabled, at his request, is issued a certificate of the results of a medical and social examination.

If it is necessary to make changes (new personal data, technical errors) to the IPRA or if it is necessary to clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, there is no need to undergo a new medical and social examination. It is enough to write an application to the ITU bureau that issued the document. You will be given a new IPRA.

The date of establishment of disability is the day the application is received by the bureau. conducting ITU. Disability is established until the 1st day of the month following the month for which the next ITU (re-examination) is scheduled.

8. How to get re-examined?

Re-examination of disabled people of group I is carried out once every 2 years, disabled people of groups II and III - once a year, and disabled children - once during the period for which the category “disabled child” is established for the child.

Re-examination can be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

If disability is established without specifying the period for re-examination, or if re-examination needs to be carried out earlier than the established period, it can be carried out:

at the personal request of a disabled person (or his legal or authorized representative);
in the direction of a medical organization due to a change in health status;