The work of medical and social expertise. Vtek: decoding. medical and labor expert commission. Which ITU office to contact

The duties of specialists arise from the tasks of the Bureau of Medical and Social Expertise.

Head of branch (primary bureau) primarily performs the functions of an organizer of the activities of experts 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 head discusses the results, makes a decision, makes a decision in the medical documents. The head of the bureau may concurrently perform the functions of an expert doctor in one of the specialties included in the bureau.

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

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

This division is associated with the so-called "disabled disease", i.e. the disease, the consequences of injuries, developmental defects, which are recognized (or chosen by the client together with his doctor) as the main ones in the occurrence of restrictions on body functions.

The responsibilities of the medical examiner include:

examine the medical documents submitted by the examined citizen,

collect anamnesis of the patient (own characteristic of the client's condition),

Conduct a personal inspection

report the results to 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.

V The duties of an expert also include collection and registration of statistical information about citizens who have passed examination in the bureau.

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

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

In the expert composition, in addition to specialist doctors who make an expert decision, includes a social worker, a psychologist and a rehabilitation specialist.

These are new specialists for expert commissions, therefore their functions and duties have not yet been settled. Moreover, there were objective contradictions between the old and new specialties within the same expert commission. They follow from the fact that in the former medical and labor expert commissions, the role of a researcher of the social problems of the examined citizen was performed by expert doctors, therefore, with the introduction of new positions, the specialists replacing them, as it were, invaded the old field of activity of experts. Apparently, over time, the distribution of functions will become more defined, and each specialist within the bureau will take only the place allotted to him.

Some scientists see the duties and technologies of the bureau's specialists as follows.

Tasks of the rehabilitation specialist:

Conduct social diagnostics - assessment occupational status(violated, not violated, labor activity is impossible, possible with a decrease in intensity, possible in another profession, possible in specially created conditions); educational (disturbed, not violated, education is possible under normal or specially created conditions), social and household(self-service not lost, partially lost, completely lost; social skills not lost, partially lost, completely lost, personal safety not lost, partially lost, completely lost) and social and environmental status(violated, not violated, social independence is not lost, partially lost, completely lost, social communication is not lost, partially lost, completely lost, the possibility of solving a range of personal problems is not lost, partially lost, completely lost, the opportunity to play sports is 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 the rehabilitation potential and rehabilitation prognosis;

to assess the structure and degree of disability;

determine the person's need for rehabilitation.

Tasks of a social worker:

Conduct social diagnostics

assess the structure and degree of disability,

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

determine the person's need for social protection measures, including rehabilitation;

determine the possibility of carrying out rehabilitation activities of the 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.

His 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, the availability of technical means and devices and the need for them, the equipment of housing for a disabled person.

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

assessment of 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 (possibility of cooking, cleaning, washing clothes, shopping, etc.);

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

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

Tasks of a psychologist:

Psychodiagnostics of 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 deformities;

assessment of social adaptation;

· evaluation of socio-psychological, social and other statuses;

· assessment of rehabilitation potential and rehabilitation prognosis;

assessment of the structure and degree of disability of a disabled person;

· the implementation of psychological support for the examination procedure, the development of IPR and its implementation, the definition of measures for psychological rehabilitation.

The following commentary may be added to this division of responsibilities. The psychologist is the leader in determining the rehabilitation prognosis for this 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 the bureau of medical and social expertise is most of all aimed at establishing those qualities of the client's personality that will contribute to his rehabilitation. At the same time, other aspects of the person being examined have to be ignored. It may be that the conclusions of the psychologist to a small extent can affect the fact of recognizing him as a disabled person and the group assigned to him, but this should not remove his responsibility for the collegial decision being made.

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

In the most general way the decision of the bureau is divided into two blocks :

1. recognition of a citizen as a disabled person and the establishment of a disability group for him;

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

WITH first block solution do better medical experts, which determine the degree of disability, with the assistance of a social work specialist, who determines the degree of social insufficiency.

But second block solutions more qualified can be executed by efforts rehabilitation therapist, psychologist and social worker. At the same time, the main and very important role of the psychologist is to establish, and perhaps even form in the disabled person, psychological readiness for rehabilitation.

The role of the rest of the employees of the Bureau of Medical and Social Expertise is to create the necessary conditions for the 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 the commission meetings, writes out the relevant certificates.

To increase your chances of getting a disability, it is important to know how the VTEC commission works. To do this, the patient collects the relevant documents and applies for examination. A detailed description of the sequence of actions, as well as how to behave correctly when communicating with the commission, is presented in the article.

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

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

Therefore, despite the fact that the term "VTEC" is still used very widely, in fact, it is about the ITU. To pass the commission, you must contact the local ITU Bureau on your own initiative or (usually just like that) in the direction of:

the attending physician;
or pension fund.

Step 1. Collecting the necessary documents

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

outpatient card;
conclusion of the medical commission;
test results;
results of 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. In order to understand how the VTEK commission for disability goes, it is better to prepare for it in advance - dress neatly and modestly, and also tune in to communication (this is described in detail below).

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

front side

Step 3. What to do in case of refusal

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

Features of registration of disability for certain groups

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

group of patients	procedure features
children	takes place necessarily in the presence of a parent (or a foster parent, guardian); for a schoolchild or student, a certificate and a reference from the place of study are required
pensioners	first you need to go to your local therapist, who will definitely send you for an additional examination, after which he will write out a referral; in case of a positive decision, the pensioner must go to the Pension Fund, submit documents in order to apply for an increase in pension and / or additional benefits
with heart attack and/or cancer	can be sent to the 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 for how to behave in ITU

The patient needs to immediately understand: a specific decision is made by specific people, therefore, the presence of certain documents does not always guarantee the assignment of a degree of disability (with the exception of obvious cases of severe health disorders that require registration of 1st degree).

Therefore, even before visiting the disability commission of the VTEK, one should have a good idea of how it goes, how to better tune in the psychological sense, what questions can be asked. Here are 7 useful tips that will surely help you understand the features of this procedure:

The basic principle is that a person needs show your real helplessness more-less. You can bring a cane with you if you normally use it, a standard set of medications that you take several times a day, and other medical supplies. That is, the members of the commission should get a clear idea that you really need some care and support from the state.
Another important rule is that the patient should not clearly demonstrate their material interest in the decision of the commission. It is clear that assistance from the state is the main purpose of visiting VTEK. However, members of the commission should not get the impression that they are facing a fairly healthy person with minor disabilities who simply wants to receive benefits and other types of support without sufficient grounds.
The tone of communication with members of the commission should be neutral, correct, polite enough but not too warm. Familiarity, "kinship", familiarity are not allowed, as this can 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, let alone make a dubious impression.
However, appearance must be impeccable- neat, tidy, clothes without specks of dirt, protruding threads, seams, clean. In addition, it should be borne 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.
Do not be too active, ask questions, the answers to which you can find out on your own (in a medical institution, in open Internet sources, brochures, etc.). An aggressive tone, threats, phrases like “I will complain”, etc. are excluded. It is important to understand that there will not be a second chance to make a first impression. This is a very important rule of how the commission of the VTEK for disability passes.
On the other side, it is important to be prepared for uncomfortable questions from any member of the committee. Some phrases may seem incorrect because they will be too personal, but it is better to immediately tune in and pass the test with restraint, and communicate correctly. The patient must show their interest in recovery, as well as the fact that he carefully monitors his health - for example, he keeps a diary of pressure readings, takes medication regularly and follows all other doctor's orders.

Doctors in most cases are negative about the fact that a person is trying to self-medicate. Therefore, even if you use folk remedies, you should not talk about it - the information will not be perceived as a fact that the patient cares about his health.

Many people have to deal with harmful and / or dangerous working conditions while performing their work duties. Sooner or later, this can lead to the development of chronic diseases. It is these people who are usually sent to VTEK. The decoding of this term is a medical and labor expert commission.

What does VTEK do?

Deciphering VTEC implies that this commission is dealing with expert issues related to human labor activity and the possible loss of the ability to carry it out. The following functions are assigned to VTEK:

Determination of the degree of suitability of the patient to perform a particular job.
Determining the degree of disability.
Determination of the disability group, if there is evidence for that.
Determination of the relationship of a developed chronic disease with professional activity.
Referral of 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 be able to make an objective and balanced decision, the following documents are required:

completed referral to VTEK;
medical documentation, extracts from the medical history, results of examinations, conclusions of medical consultants);
a copy of the work book;
production characteristic for VTEK;
certificate of a disabled person, if the person already has a disability.

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

Determination of suitability for work in a particular profession

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

To determine the suitability for work, the profile specialist of the polyclinic fills out a referral to the VTEK. The interpretation of this term implies the inclusion in the sphere of interests of such a commission not only the purely medical condition of the patient, but also the features of his work activity. Specialists will try to assess whether the performance of labor duties at a particular workplace will lead to a deterioration in a person’s condition. When making an opinion, the medical commission will also take into account the desire of the patient himself to work in his current position.

Determination of the degree of disability and disability group

Patients are often referred to VTEC in order to determine the degree of disability and disability group. This will require the patient to:

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

The application must be completed by the patient himself. The characteristic for VTEK should contain information about all dangerous and harmful working conditions that a person constantly encounters at his workplace. At the same time, it is very important how often and for how long the employee is under their influence.

Recognition of the disease as a professional

Many chronic diseases can occur under the influence of the adverse conditions that a person has in his workplace. In the event of such a pathology, the employee is entitled to compensation. It is paid for by insurance. Also, in many companies, a clause on additional compensation is included in the collective agreement already on the part of the organization itself when a person develops an occupational disease.

Often, not only the patient himself, but also his employer and the medical worker of the organization's health center (if any) are invited to the meeting of the medical and labor expert commission.

The issue of recognizing the disease as professional has serious legal consequences, therefore, VTEK specialists often refer such patients for additional examination to specialized institutions with inpatient stay.

Rehabilitation activities

It is very important not only to establish the very fact of disability, but also to find ways to restore it. To do this, the patient is drawn up. Specialists of the VTEC also participate in its creation when making a conclusion. Control over the implementation of this program is assigned both to the patient himself and to his attending physician. The relevant documents are sent to the polyclinic at the place of residence immediately after the conclusion of the VTEK.

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

This form can be printed from MS Word (in page layout mode), where the viewing and printing settings are set automatically. To switch to MS Word, press the button.

For more convenient filling, the form in MS Word is presented in a revised format.

br />

1. General Provisions

1. GENERAL PROVISIONS

1.1. A doctor for medical and social expertise (hereinafter referred to as the "Employee") refers to specialists.

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

1.3. The employee is appointed to the position and dismissed from the position by the order of the Employer in accordance with the procedure established by the current labor legislation.

1.4. The employee reports directly to ____________________.

1.5. The employee must know:

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

____________________.

1.6. The employee must meet the qualification requirements for the specialty "Medical and social expertise", established by order of the Ministry of Health of Russia dated 08.10.2015 N 707n "On approval of the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and medical sciences ":

- Higher education - a specialist in one of the specialties: "Medicine", "Pediatrics";

- Residency training in the specialty "Medical and social expertise" or professional retraining in the specialty "Medical and social expertise" in the presence of 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 during the entire career.

2. Job responsibilities

Worker:

conducts a medical and social examination of citizens based on an assessment of life restrictions caused by a persistent disorder of body functions;

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

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

determines the degree of loss of professional ability to work (in percent);

determines permanent disability;

determines the need for medical, social and professional rehabilitation of victims of industrial accidents and occupational diseases and develops programs for the rehabilitation of 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 accident at work, an occupational disease, a 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, in cases when the legislation of the Russian Federation provides for the provision of social support measures to the family of the deceased;

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

gives citizens undergoing medical and social examination explanations on the issues of medical and social examination;

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

forms a data bank on citizens living in the served territory who have passed the medical and social examination; carries out state statistical monitoring of the demographic composition of disabled people living in the served territory;

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

3. Rights of the Employee

The employee has the right to:

providing him with a job stipulated by an employment contract;

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

Disability can be issued if:

health disorder with a persistent disorder of body functions due to diseases, consequences of injuries or defects;
limitation of life activity (complete or partial loss by a citizen of the ability or ability to carry out self-service, move independently, navigate, communicate, control their behavior, study or engage in work activities);
the need for social protection measures, including rehabilitation and habilitation.

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

Depending on the state of health, adults are assigned I, II or III disability groups, children under 18 years of age - the category "disabled child".

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

Referrals for medical and social expertise 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 a disability, the doctor should rely on diagnostic tests, the results of treatment, rehabilitation and habilitation. Therefore, for a referral to ITU, it is best to contact your doctor. But you can also go, for example, to the chief physician of the medical organization in which you are undergoing treatment.

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

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

If you are denied a referral, ask for a written denial. With this certificate, you have the right to apply to the ITU bureau on your own. In this case, the examination will be assigned to you by the employees of the ITU Bureau, and based on its results, they will determine whether there is a need for a medical and social examination.

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

3. What documents are needed to enroll a child in ITU?

To register a 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);
an identity document (for children under 14 years old - a birth certificate, for children over 14 years old - a passport);
medical documents evidencing the state of health of a citizen (outpatient card, extracts from hospitals, conclusions of consultants, examination results - usually issued by a doctor who issued a referral to the ITU);
SNILS;
passport of the parent or guardian;
guardian (representative of the body of guardianship and guardianship) - a document on the establishment of 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 in by the citizen himself or by his representative);
identity document (original and copy);
referral to ITU 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 evidencing the state of health of a citizen (outpatient card, extracts from hospitals, consultants' conclusions, examination results, Red Army or military book, certificate of injury, etc.);
SNILS;
if the documents will be submitted by a representative - a power of attorney for the representative and his passport.

In some cases, you may need Additional documents (depending on the specific case):

act on an accident at work in the form of H-1 (certified copy);
act on occupational disease (certified copy);
the conclusion of the interdepartmental expert council on the causal relationship of the disease, disability with exposure to radioactive factors (certified copy, the original is presented in person);
certificate 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 (a copy, the original is 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 (presented in person);
for non-resident citizens - a certificate of registration at the place of residence;
for those discharged from military service - a certificate of illness drawn up by the VVK (a certified copy, the original is presented in person).

"> additional documents.

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

5. Which ITU office should I contact?

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

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

6. How is the examination carried out?

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

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

Representatives of state non-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (consultants) may participate in the conduct of a 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 an advisory vote.

The decision on recognition as a disabled person or on refusal to recognize him as a disabled person is made by a simple majority of votes 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, an act of medical and social examination is drawn up. You have the right to request copies of both the act and the protocol.

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

7. What documents are issued after the examination?

A citizen recognized as disabled is issued:

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

A citizen who is not recognized as a disabled person, 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 necessary, clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, it is not necessary 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 of receipt by the Bureau of the application for the ITU. Disability is established before the 1st day of the month following the month for which the next MSE (re-examination) is scheduled.

8. How to get re-certified?

Re-examination of disabled people of group I is carried out 1 time in 2 years, disabled people of II and III groups - 1 time per year, and disabled children - 1 time during the period for which the category "child with a disability" 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 the disability is established without specifying the re-examination period or if the re-examination must be carried out earlier than the established date, 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 in connection with a change in the state of health;