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Sanatorium and resort card 076. Sanatorium and resort card for children. Features of sanatorium and resort services for military personnel

All children always look forward to the holidays. In the summer, you can send your child to a camp or sanatorium. There he will not be bored and he will be able to be in nature.

Children are often sent to a sanatorium for the following purposes:

  • prevention of various diseases;
  • treatment of existing ailments;
  • to improve the health of the child’s body.
But today, camps and sanatoriums require that you provide them with a medical certificate 076 y 04, and only then do they give consent to accept the child. Moreover, in this case you will need different certificates. One of them is a sanatorium- resort card(form) 076/у-04.
A health resort card should be issued before sending a child to a health camp or sanatorium.

Who can see certificate 076/у - 04?

Officially so medical document must issue pediatrician, having previously examined the young patient. He must identify diseases or any ailments that would not allow the child to stay in a sanatorium or summer camp. Usually, preparing such a document does not cause any difficulties. Doctors issue a sanatorium-resort card to children without any problems, understanding that it is a simple formality. But there are individual cases when a child actually has some kind of disease and, in connection with this, certain types may be contraindicated for him. medical procedures in a sanatorium. Then you should seek the opinion of an expert and undergo an examination.

Such a document contains information about the child’s existing diseases, as well as vaccinations given to him, tests performed, etc. During his stay at a medical resort, doctors must leave marks on the card about the treatment process and procedures performed. When the period of stay on vacation ends, this card is given to the attending physician at the clinic. Correct design such a document guarantees results from undergoing treatment and procedures, increases their benefit and influences further treatment.

But if we're talking about about simply obtaining a document for a trip to the camp, then it will be easier and more convenient to obtain it not at the clinic, but at a separate company that provides the opportunity to buy certificate 076/u-04 at an affordable price. You can order such a document online or by calling the company.

As a rule, such certificates are issued quickly and without problems in a regular clinic. But to do this, you will need to come there in person, make an appointment early in the morning for an examination, undergo examination by a number of specialists, and only then receive the coveted piece of paper. All this, as you understand, takes a lot of time. In addition, it happens that you often need to come to the clinic several times - first for an appointment, and separately for an examination and issuing a certificate; it will also take time to collect and affix the necessary stamps and signatures of doctors. However, not all doctors always see you on the same day. Therefore, this procedure turns out to be quite troublesome and takes a lot of effort and time.

If you don’t want to go to clinics and spend a long time collecting stamps, then you can purchase already finished document, which will be completed especially for you in the shortest possible time. Its cost is not so high, and you will be able to save a lot of free time.

Based on materials from the site: http://spravka-076.com

If it is necessary to undergo a rehabilitation period or continue treatment, the attending physician may recommend to his patients a stay in specialized sanatoriums, health resorts. To issue a voucher to medical institutions, the local therapist (attending physician) draws up a special medical certificate - a sanatorium-resort card for the patient.

According to the requirements of the legislation of the Russian Federation, the document has the form 072/u-04. You can get a sanatorium-resort card at the district clinic. The therapist will direct the patient to take several tests and undergo basic research, on the basis of which he will issue a document to receive a voucher.

Composition and filling out the form

The form of the sanatorium-resort card consists of a front and back part. The main page displays:

  • details of the institution that issued the document;
  • specialty, position and full name of the doctor;
  • information about the patient (full name, registration address, number outpatient card, compulsory medical insurance and SNILS numbers);
  • marks on benefits are indicated by the letter “L”;
  • information about the absence/presence of disability of the patient, whether he needs accompaniment when traveling to Spa treatment;
  • detailed recommendations regarding methods and methods of treatment, according to established diagnosis patient.

The reverse side of the card (reverse coupon) must be filled out by the institution that provided spa treatment services, or upon the patient’s return - by the clinic at the citizen’s place of residence. The completed form 072/u-04 must be certified by the signature of the doctor and members of the medical commission, as well as the seal of the medical institution.

Sanatorium-resort card for children, form 076/u - a comprehensive document containing information about the health status of the recipient aged 4 to 17 years. Issued when a child departs for a summer camp or health-improving organization. Filled out by a pediatrician based on the results of examinations conducted by a surgeon, dermatologist, dentist, neurologist. The document is valid for 2 months from the date of issue. In Moscow, a sanatorium-resort card can be obtained from a medical

"Delomedica" center. Specialists provide the service without an appointment with a doctor, filling out forms in accordance with Order of the Ministry of Health No. 834N.

General information

Sanatorium-resort card form 076/u is a comprehensive medical statement issued to children going on vacation to a camp or health care facility. It contains information:

  • about past infectious diseases;
  • about preventive vaccinations received;
  • about the history of the child’s development;
  • O chronic diseases;
  • about heredity, etc.

A certificate for the camp, form 076/u, is issued on the basis of an identification document (birth certificate), vaccination certificate, compulsory medical insurance policy and SNILS. The card can be obtained at a state clinic at the place of registration or at a commercial medical center with a license.

Receipt procedure

The procedure for obtaining a health resort card is regulated by the Ministry of Health of the Russian Federation. To obtain it, the patient must be examined by a pediatrician. The doctor will collect a medical history, get acquainted with the child’s immediate epidemiological environment, and prescribe examinations for:

  • dermatologist;
  • surgeon;
  • pediatric phthisiatrician;
  • dentist;
  • neurologist.

To obtain a certificate 076/у for admission to the camp, the patient will also be required to do blood, urine, stool tests, and take a scraping for enterobiasis to exclude helminthic infestation. When identifying dermatological and infectious diseases, cardiovascular pathologies vascular systems s, mental disorders The pediatrician may refuse to issue a card until the child recovers.

Medical certificate 076/у for a child - a unified medical extract. It contains a tear-off coupon, filled out by employees of the health organization, and the main sections. They contain information:

  • about the recipient (full name, gender, date of birth, place of residence, life history, development history);
  • about the period of sanatorium-resort treatment;
  • about the main and concomitant diseases (indicating diagnoses);
  • about the number in the compulsory medical insurance system;
  • about completed vaccination;
  • about the insurance number of the personal account (SNILS);
  • about the date of issue.

Certificate form 076/у for the camp is certified by the personal signature of the doctor who issued the extract, wet seals and stamps.

Receipt times

The procedure for obtaining a card in public hospitals at the place of registration takes 5–7 days. Such deadlines are due to long queues, possible lack of the right doctors at work. Specialists medical center“Delomedica” prepares the document in 2-3 days, following the filling procedure established by the Order of the Ministry of Health of the Russian Federation.

The status of a military personnel provides a number of benefits in the field of social security. One of these privileges is the opportunity to undergo spa treatment in specialized medical institutions, which are under the jurisdiction of the Ministry of Defense of the Russian Federation. This right extends not only to the serviceman himself, but also to members of his family (close relatives, which include children). With the onset of summer, the number of people wanting to spend their holidays and improve their health, or send their children to sanatoriums for recovery, increases. For the first time, faced with the need to prepare documents for sanatorium holiday the child is not always owned necessary information about how a card is issued for a child, when medical institution You should ask what documents you need to have on hand so that the registration procedure does not take much time.

Features of sanatorium and resort services for military personnel

The creation of specialized medical institutions for military personnel has a long history. The first military sanatoriums for the disabled, veterans and pensioners in the Soviet period began to be created immediately after the revolution of 1917, when the country was in civil war. The devastation and hunger that reigned in the country at that time undermined the health of military personnel no less than participation in hostilities. Their family members suffered no less. Through the efforts of the People's Commissar for Military Affairs L. Trotsky, not only a combat-ready Red Army was created, but also a system of benefits that allocated career military personnel to a special caste. By the time it ends Civil War families of command personnel already enjoyed significant benefits compared to for the most part civilian population. A special Sanitary Department was created at the People's Commissariat for Military and Naval Affairs, which was in charge of, among other things, sanatorium-resort treatment of military personnel and members of their families. The system of specialized military sanatoriums that developed almost 100 years ago, despite all the vicissitudes and transformations of the state, has survived to this day. Currently, access for military family members to sanatorium-resort organization is carried out on the basis of Order of the Ministry of Defense of the Russian Federation dated March 15, 2011 No. 333 “Procedure for sanatorium and resort provision in the Armed Forces Russian Federation».

This order defines the categories of citizens who are provided with vouchers to specialized sanatoriums of the ministry, the scope of benefits for free or partially paid vacations, and commercial services that can be used by citizens (including children) who are not family members of military personnel.

Grounds for issuing a health resort card for a child

Before you start issuing a card for your child you need to get a ticket to a military sanatorium . It should be remembered that the right to free trip Only children of contract servicemen, officers and military pensioners use it. Family members of conscripts and civilian personnel do not have such benefits. They can receive a ticket to a military sanatorium only by decision of the Central Committee of the Trade Union of Civil Servants of the Ministry of Defense of the Russian Federation within the framework of quotas established by an intersectoral agreement.

Persons entitled to receive a voucher for a family member (child) must submit an application to the appropriate sanatorium no later than 60 days before the planned arrival of the child for sanatorium treatment. The application is considered within 30 days. The said application must be accompanied by a certificate of form No. 070/u, approved by order of the Ministry of Medical and Social Development No. 256 dated November 22, 2004 (amendments and additions dated December 15, 2014 No. 834n).

Why is the card issued?

A voucher to a sanatorium is the main document giving the right to stay in a health care institution for the period specified therein and to provide medical health services. But it does not define the scope of these services. The procedure for sanatorium treatment, the list is not specified health treatments, duration of treatment.

All clarifying details, as well as determining the possibility of sanatorium treatment for a child based on his state of health, are contained in the sanatorium-resort card, according to form 076/u, issued for children. The certificate is issued so that the sanatorium doctors and service personnel have objective information about the health status of a small patient. About what treatment methods used in the sanatorium may be dangerous or harmful to his health.

Where is a card issued for a child?

Until recently, family members of military personnel and military pensioners were served in clinics of military districts. A consistent series of reorganizations of the activities of the RF Ministry of Defense led to a significant reduction in their number. Many family members were transferred to civilian medical institutions. Children of military personnel are served almost everywhere in district children's clinics, with the exception of remote garrisons, which do not have corresponding civilian clinics.

To obtain a card for a child, parents must contact the clinic at their place of residence, where the child is under the supervision of a pediatrician. It takes approximately one week to complete this document at a civilian clinic. This is due to the need to carry out laboratory research, and in necessary cases– consultations with narrow specialists whose child is being observed (undergoing treatment).

If the card is issued for a child aged 4 to 6 years, then he must go to the sanatorium with an accompanying person. It is also necessary to issue a similar sanatorium-resort card for him, only in form 072/u (adult).

In some cases, documents can be prepared in a commercial (paid) clinic that has the appropriate license and laboratories for conducting laboratory tests. This saves a lot of time, but has reverse side. The full course of examinations required to issue a card is quite expensive.

Contents of the health resort card

The map includes 2 parts. The first is filled out by the pediatrician and contains information for the doctors of the health institution, the second is a tear-off coupon, which is filled out by the sanatorium workers at the end of the course of treatment at the sanatorium and returned to the pediatrician who referred the child to the sanatorium. It is filed in the patient’s outpatient record.

Card design algorithm

To undergo a set of examinations required to issue a card to a medical institution (clinic), you must provide the original voucher to the sanatorium. The voucher number is entered in column P26 in the first part of the sanatorium-resort card.

Insurance medical insurance. His details are also entered into the card (clause 7).

If you have on hand (when registering a card in a commercial medical institution) a vaccination certificate filled out and certified by a doctor at the clinic containing information about the dates of vaccinations against:

  • Poliomyelitis;
  • Rubella;
  • Mumps;
  • Diphtheria;
  • Tetanus;
  • Corey;
  • Other vaccinations performed.

If the child attends preschool or school, this information is filled out by the paramedic/nurse of the kindergarten or school.

When applying for a sanatorium-resort card at the clinic, you are not required to provide information about previous diseases. But if it is issued in a commercial medical institution, then an extract from the child’s outpatient card certified by the chief physician of the local clinic is required (Form 122).

Special instructions from the attending pediatrician on contraindications for sanatorium treatment or use certain types health procedures.

For disabled children, a certificate of disability and SNILS number are provided in accordance with clauses 9 and 10.

Analyzes and laboratory tests

During the registration period, the child must undergo the following tests:

  • General blood analysis;
  • Stool analysis or peranal scraping for worm eggs;
  • General urine analysis;

Test results data are valid for only 10 days. Therefore, you should not take them in advance. Considering that the validity of the sanatorium-resort card itself is also limited to 10 days. It should be completed no earlier than a week before departure to the holiday destination. The test results are entered in part 1 of the card.

For which diseases the card is not issued?

Not all children can attend if their parents wish. sanatorium recovery. The doctor may refuse to issue it if the child suffers from:

Had direct contact, before going to the sanatorium, with patients:

  • Measles;
  • Rubella;
  • Chicken pox;
  • Epidemic mumps (mumps);
  • Viral hepatitis.

The card is not issued to children living in areas where quarantine has been declared due to particularly dangerous infectious diseases: plague, cholera or typhoid fever, anthrax, tularemia.

Challenging the refusal to issue a health resort card

Sometimes doctors, not wanting to take risks, refuse to issue a card to a child on the grounds that he has a chronic disease in remission. If parents do not agree with the conclusion of the local pediatrician, they can appeal his decision and demand the appointment of a medical commission. The commission's conclusions must contain a refined diagnosis. Additionally, it is indicated in what area the child can undergo sanatorium treatment, the season in which it will be safe, what methods of sanatorium treatment should be excluded, and the recommended diet.

Comments to the entry Sanatorium-resort card for children (form 076/у-04) disabled

A sanatorium card for children is necessary so that their health in the sanatorium improves and does not deteriorate! The sanatorium-resort card for children reflects all indications and contraindications for treatment in sanatorium-resort conditions. In order for spa treatment to benefit the child’s health, it must take into account all indications and contraindications. This allows you to evaluate a special document - a sanatorium-resort card for children (form 076/u-04).

According to Order No. 256 of November 22, 2004 “On the procedure medical selection and referral of patients for sanatorium-resort treatment”, Section II - “On the procedure for medical selection and referral of children for sanatorium-resort treatment”, the need to send a child for sanatorium-resort treatment is determined by the attending physician and the head of the department of the medical institution, and for children with right to receive state social assistance as a set social services, the attending physician and the VC of the medical institution at the place of residence with the obligatory execution of a certificate for obtaining a voucher for the child (to be provided at the place of request) and a sanatorium-resort card for children in form No. 076/u-04 (hereinafter referred to as a sanatorium-resort card for children).

Sanatorium-resort card for children (Form 076/у-04) filled out for children aged 4 to 17 years, taking into account indications and contraindications for sanatorium treatment, the profile of the sanatorium, its climatic and natural features.

Referral of children to sanatorium-resort treatment is carried out in a manner similar to that for adult patients.

When referring a child for sanatorium treatment, you must have the following documents:

  • sanatorium voucher;
  • health resort card for children (form 076/у-04);
  • compulsory policy health insurance(compulsory medical insurance policy);
  • stool analysis for enterobiasis;
  • a conclusion from a dermatologist confirming the absence of contagious skin diseases;
  • a certificate from a pediatrician or epidemiologist confirming that the child has no contact with infectious patients at the place of residence, in kindergarten or school in the last 21 days.

Before sending a child to a sanatorium-resort treatment, the attending physician will organize a full clinical and laboratory examination depending on the nature of the disease, as well as the rehabilitation of chronic foci of infection, anthelmintic or anti-giardiasis treatment. If there are no contraindications for sanatorium-resort treatment, a medical certificate of form No. 076/u-04 (children's sanatorium-resort card) is issued to the child and given to parents or authorized persons. If parents or authorized adults are sent to a sanatorium for children as accompanying persons, then when determining the profile of a sanatorium and resort organization (SRO), not only the child’s illness should be taken into account, but also the absence of contraindications ( negative impact natural and climatic factors) for sanatorium-resort treatment for persons accompanying the child.

At the end of the sanatorium-resort treatment, the child is issued a return coupon of the sanatorium-resort card for submission to the medical institution that issued the sanatorium-resort card, as well as a sanatorium book with data on the treatment carried out in the SKO, its results and effectiveness, etc. medical recommendations. This documentation is handed over to parents or other persons accompanying the child.

Such standard kit medical interventions helps to choose the right COCS profile, protect the child’s health from the effects of contraindicated natural and climatic factors COCS, and exclude the appointment of a child with the wrong spa pediatrics ( improper treatment in North Kazakhstan region) and limit the threat of the spread of infections and epidemics carried by people arriving in North Kazakhstan region from different regions of our country, near and far abroad.

Sanatorium-resort card for children (form 076/у-04)- must reflect objective information about the child’s health status, test data and results of any previous treatment (outpatient, inpatient), laboratory, functional, radiological and other studies, as well as all indications and contraindications for sanatorium treatment.

Brief list medical contraindications, excluding the referral of children to sanatorium-resort treatment, includes:

1. All diseases in the acute period.

2. Transferred infectious diseases until the end of the isolation period.

3. Carriage of diphtheria bacilli and intestinal infectious diseases.

4. Somatic diseases requiring treatment in a hospital setting.

6. Amyloidosis of internal organs.

7. Seizures and their equivalents, mental retardation(except for specialized sanatoriums for children with disabilities cerebral palsy), pathological development of personality with severe behavioral and social adaptation disorders.

8. Presence in children concomitant diseases, contraindicated for this resort or sanatorium.

9. Patients requiring individual constant care.

10. Malignant neoplasms, pernicious anemia, leukemia (except for specialized sanatoriums).

11. Mental illnesses.

12. Tuberculosis of the lungs and other organs (special instructions apply).

Sanatorium-resort treatment for children is one of the stages of pediatric care, which provides continuity and continuity of treatment for different stages pediatric service - clinic, hospital, sanatorium. Considering latest achievements clinical and resort pediatrics, as well as modern ideas about the mechanisms therapeutic effect physical and resort factors on the children's body, currently a list of indications and contraindications for the implementation of sanatorium-resort treatment of children, taking into account their age characteristics significantly expanded.

Children's balneology uses the achievements of experimental and clinical balneology for adults and takes into account age, anatomical, physiological, functional and other features child's body. Issues of sanatorium-resort treatment for children are becoming increasingly higher value due to increasing frequency allergic diseases, functional changes in the nervous and cardiovascular systems, as well as the adverse effects of prolonged drug therapy(for chronic diseases) on the child’s body.

Several modes of sanatorium-resort treatment and health improvement for children have been developed:

  • sanatorium-resort treatment and health improvement for groups of children during school holidays;
  • restorative treatment of children with education in specially organized year-round schools (usually in basic subjects);
  • sanatorium treatment of preschool children in groups without parents with stay in kindergarten;
  • family rehabilitation with “Mother and Child” packages; course treatment on an outpatient basis.

To organize a vacation for a child that involves quality treatment or with the process of healing the body, it is enough just to purchase a ticket to a sanatorium for the child. In the Russian Federation, there are currently both specialized children's sanatoriums and children's sanatorium-resort institutions that operate within the framework of other institutions (for example, children's camps, hospitals or sanatoriums for adults). A child’s trip to a sanatorium and the organization of appropriate rest and treatment for the child is an event that requires preliminary preparation. Moreover, this preparation is a concern not only and, one might say, not even for the child, but for his parents.

We will dwell in more detail on one of the components of preliminary preparation for a child’s trip to a sanatorium-resort institution, namely, documents. The main document required for registration for a child who will soon be sent to a sanatorium is a sanatorium card. Let us immediately note specifically that the sanatorium-resort card for children differs from the sanatorium-resort card for adults. These are different medical certificates, different forms, despite the fact that general purpose These documents are basically the same. A sanatorium and resort card for children is a medical certificate 076/u, and a sanatorium and resort card for adults is a completely independent medical certificate 072/u.

Obtaining a voucher to a children's sanatorium-resort institution is possible on the basis of a benefit provided for the child or for one of his parents or guardians; it is also possible to purchase a voucher on a general basis with full or partial (trade union) payment of the cost of sanatorium-resort treatment and recovery child. Regardless of how a ticket to a sanatorium for children was obtained, having a medical certificate for a sanatorium for children remains mandatory. Moreover, we do not mean any medical certificates, but specifically a sanatorium and resort card for children - medical certificate 076/u. This document, it must be said, directly concerns the process of sanatorium-resort treatment of a child, and the process of summing up its results, and assessing the child’s health, as well as a number of other aspects.

The sanatorium-resort card is an official document, and form 076/u is a specific example of filling out and executing this document for a child. Medical certificates in our country traditionally have legal force and value only if they are filled out correctly, that is, they correspond to the declared official sample.

Medical certificate 076/u, as already mentioned, should already be ready by the time the child checks into the sanatorium. Parents should ensure that this document is prepared in advance. Form 076/у must be ready no earlier than ten days before arrival. This is dictated by the fact that the official period of validity of a medical certificate for a sanatorium for children is exactly ten days from the date of issue. It would be ideal to ensure the preparation of a medical certificate for a sanatorium for children about a week before the actual start of sanatorium-resort treatment.

A child’s sanatorium card can be issued, in fact, at any medical institution. However, it is best to do this at a local children's clinic. In this case, the health resort card will be issued free of charge. Another thing is that sometimes the citizens of our country prefer more comfortable conditions medical care than those usually offered in public treatment and preventive medical institutions. This pushes parents to turn to private commercial clinics in order to receive a child’s health resort card. Finally, the registration of a child’s sanatorium card can be done in the sanatorium. True, this is not always practiced, it is worth emphasizing.

Next we are in general outline Let us denote the purpose of medical certificates of form 076/у. So, why exactly is a medical certificate used in practice? children's sanatorium? A child’s sanatorium-resort card is the main and, by and large, only evidence that he has no contraindications to staying in a sanatorium institution, combined with a source for displaying detailed data on the child’s health and recommendations for organizing sanatorium treatment for the child (or a health program ).

Undoubtedly, one of the main types of data reflected in the medical certificate form 076/y is an indication of the child’s main diagnosis. It is characteristic that the official registration of a child’s sanatorium card does not require a mandatory indication of the diagnosis in verbal form. This does not mean that it is possible not to indicate the main diagnosis at all, especially if it is clearly established. This only means that the diagnosis can be indicated as a special code within the medical certificate form 076/y. Numerical and letter codes of childhood diseases in our country are approved at the federal level. Thus, if the child’s parents wish, the diagnosis does not have to be demonstrated clearly and clearly - by writing it in words. You can simply write down code that would be completely incomprehensible to a non-specialist.

A medical certificate for a children's sanatorium, a sanatorium-resort card for children, form 076/u, traditionally consists of two parts. One of them directly reflects all the information data mentioned above. The other part, called the tear-off coupon, has a slightly different purpose. The tear-off coupon is expected to become a reflection of the rationale and progress of the child’s sanatorium-resort treatment. This part of the medical certificate to a sanatorium for children is called a tear-off coupon in the sense that it should indeed be subsequently (at the end of the child’s sanatorium treatment) separated from the main form and attached to the child’s outpatient card. Plus, it is important that a tear-off medical certificate for a sanatorium for children can be examined at any time by the child’s parents, doctors and other interested parties.

A medical certificate for a children's sanatorium is issued by a pediatrician after the child will pass comprehensive medical examination. This examination is quite comprehensive. However, its main goal is to find out whether the child has any contraindications. Contraindications to sanatorium-resort treatment for a child may include: various diseases(For example, acute infections, inflammation, tuberculosis, heart disease, AIDS and HIV, as well as some others), certain conditions ( rehabilitation period special type, prosthetics, etc.), trauma. There may be other contraindications. In particular, contraindications may concern the child’s stay in a certain sanatorium, in a certain area, etc. Often a contraindication to sanatorium-resort treatment of a child on a general basis is a delay in development, an illness suffered in childhood, psychological inferiority, etc.

When a medical certificate is issued for a children's sanatorium, the child is not only examined by doctors, but also blood, urine, and stool tests are performed. With this document, the child’s medical insurance policy and vaccination card (more precisely and more specifically, a certificate) are usually submitted to the sanatorium preventive vaccinations), a copy of his birth certificate and, in fact, the voucher itself. Consequently, the child’s parents will have to think about all these documents in advance.

Let us also draw your attention to the fact that a children's health resort card can be used not only for its intended purpose, but also indirectly. So, in particular, this document can be submitted as a replacement for a medical certificate for children's camp. At the same time, it is worth remembering that sanatorium card child's certificate is valid only for three months, counting from the date of issue of the certificate. Preparation of a resort card is unlikely to take more than a few days (maximum one or one and a half working weeks). In addition, if the child’s parents wish and make some efforts, it is quite possible to limit it to one or two days.

The doctor who is directly related to the issuance of a medical certificate form 076/u is, undoubtedly, a local pediatrician. It is the district police officer at the district children's clinic at the child's place of registration that is easiest to prepare the document we are considering. In this case, everything will happen in an official standard way, according to the tradition accepted in our country and in accordance with the current framework Russian legislation rules. However, no one limits anyone from choosing other options.

Very often, the specifics of a child’s medical examination as part of the preparation of a children’s sanatorium-resort card for him are determined by the type of sanatorium institution the child is sent to. The profile of the sanatorium, the intended treatment program for the child, the duration of the sanatorium-resort treatment, as well as many other factors play a role. However, we can also speak with confidence about some kind of average minimum, which concerns the medical examination of absolutely all children when applying for a sanatorium-resort card, form 076/y.

This, as we have already said, is a consultation with a pediatrician. This is holding general analysis blood, as well as a urine test, a stool test for worms and enterobiasis, an electrocardiogram of the child, plus this is also the conclusion of a dermatologist. The pediatrician also analyzes, among other things, the data reflected in the outpatient medical card child. It turns out that analysis of the contents of an outpatient medical record from a clinic or from a first-aid post when educational institution, which the child constantly goes to, is also one of the components of the child’s medical examination for the purpose of issuing a sanatorium-resort card.

In some cases, before going to the sanatorium, the child is required to undergo additional or routine vaccination. Parents now, unlike in Soviet times, perceive this kind of demands from employees of sanatorium and resort institutions differently. The positions of both sides are, by and large, clear. However, in general it can be argued that significantly less problems organizationally available for those children who have fully completed the necessary routine and additional vaccinations when preparing a resort card.

The value of the medical certificate form 076/у is very, very great, if we do not forget that a sanatorium-resort card for children is, first of all, a document about health, and about the health of the child. Negligent attitude towards this document creates additional risk for a child, which is completely unacceptable in our society!