State Autonomous health institution

“Children's clinical dental polyclinic №2”

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Documents for patients

According to item 1, Art. 20 of the Federal law of 21.11.2011 No. 323-FZ "About bases of protection of health of citizens in the Russian Federation" the necessary precondition of medical intervention is giving the informed voluntary consent of the citizen or his legal representative on medical intervention.

According to Art. 64 of the Family code of the Russian Federation legal representatives of their children are parents or guardians.

The powers of other persons representing the interests of the child with the consent of the parents must be expressed in a power of attorney issued and executed in accordance with the law:

  • article 53 of the code of civil procedure of the Russian Federation;
  • article 185 of the civil code.

Federal law of 21.11.2011 No. 323-FZ "About bases of health protection of citizens in the Russian Federation" and the above-mentioned articles of the RF IC, the RF civil code and civil procedure code of the Russian Federation submitted at the information booth SAHI "Children's clinical stomatologic polyclinic № 2" and under regulations of this website.

List of documents to be signed before treatment

 
Proxy 
 

Annex 2 
Informed voluntary consent to the types of medical interventions included in the List of certain types of medical interventions to which citizens give informed voluntary consent when choosing a doctor and a medical organization for primary health care

   

Annex 3 
Refusal of the types of medical interventions included in the List of certain types of medical interventions to which citizens give informed voluntary consent when choosing a doctor and a medical organization for primary health care

   

Annex 4 
Informed voluntary consent to treatment of dental diseases

   

Annex 5 
Informed voluntary consent to orthodontic treatment

   

Annex 6 
Informed voluntary consent to periodontal treatment

   

Annex 7 
Informed voluntary consent to orthopaedic treatment

 

Annex 8 
Profile of the patient

   
Agreement on the provision of paid medical services

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