Certificate form 070 y 04. Certificate for obtaining a voucher to a sanatorium

Medical certificate form 070/u-04 to obtain a voucher to a sanatorium or rest home for the purpose of receiving treatment. This is a new form introduced in 2004.

Certificate of form No. 070/u-04 is used to obtain a voucher and is of a preliminary informational nature, does not replace a sanatorium-resort card and does not give the right to enter the North Kazakhstan region for sanatorium-resort treatment, which can also be provided on an outpatient basis.

A certificate for obtaining a voucher is filled out by attending physicians of medical institutions providing outpatient care. A certificate for obtaining a voucher is a document of a medical institution, the entries in which are confidential information and are not subject to disclosure, which is brought to the attention of employees of the medical institution.

The validity period of the certificate for obtaining a voucher is 6 months.

In general, a certificate for obtaining a voucher must be filled out by the attending physician, in accordance with the instructions for filling out form No. 070/u-04. The document columns must contain the following data:

On the front side of the form must be entered OGRN code of the clinic(this number must correspond to the number on the round seal of the clinic, placed at the bottom of the form).

Help for obtaining a voucher: there must be the date of issue of the certificate (for example, September 13, 2009) and a number with a fraction (for example, 143/09).

1. Issued: Your full name must be entered.

2. Gender: your gender should be checked.

3. Date of birth: Your date of birth must be entered.

4. Address: Your permanent address and telephone number must be indicated.

5. Identification number in the compulsory medical insurance system: Your number, if available, must be entered. (eg 880005 0043180151)

6. Region of residence: information is on the back of the document (for the city of Moscow code 77)

7. Nearest region: may not be filled.

8. Climate in the place of residence: information is on the back of the document (for the city of Moscow and M.O. 02)

9. Climatic factors in the place of residence: information is on the back of the document (for Moscow and M.O. 04)

10. Benefit code: the benefit code must be indicated if you have this benefit. (this item is relevant only for disabled people: 081 - group 3, 082 - group 2, 083 - group 1)

11. Document certifying the right to receive a set of social services: The corresponding document (series number and date) must be entered, if available. (This item is relevant only for disabled people)

12. SNILS: Your “Individual Personal Account Insurance Number (SNILS)” must be entered, if available. (eg 024-072-656-02)

13. Escort: You should check the box if you need an escort (this item is only relevant for disabled people).

14. No. of medical history or outpatient card: a four-digit number must be entered (e.g. 1234)

15. Diagnosis:* See below for what diagnosis codes should be.

16. Attending physician: must be signed for the attending physician

18. Preferred place of treatment: If you are going to the Moscow region, then there should be a tick at the top, and Moscow region should be written below. If you are traveling to the Caucasus, then the checkbox should not be on top, and below it should be written “Sanatoriums of the Krasnodar Territory” or “Sanatoriums of the Caucasian Mineral Waters”.

20. Attending physician: must be signed for the attending physician.

21. Head of department or chairman of the VC: must be signed by the head of the department.

Approximately This is how a certificate must be filled out to receive a voucher in form No. 070/u-04.

* correct diagnosis codes

Guided by our experience, we divided clients into three purely conditional groups:

1. Group. Young people who do not have any diseases, but bought a ticket to a sanatorium only for the purpose of relaxation, provide a certificate of approximately the following content:(filling example)

Because In this option, there are no significant diseases, then the code for chronic gastritis (K29.3) can be indicated. This disease occurs quite often even in very young and practically healthy people, and paragraphs 15.2 and 15.3 most likely should not be filled out.

2. Group. Young people who have some kind of chronic disease and have a goal not only to relax, but also to receive treatment. In this option, the profile of the sanatorium-resort organization must strictly correspond to the disease. For example, the sanatoriums of the Caucasian Mineral Waters usually deal with gastrointestinal diseases, and therefore in the diagnosis this should be reflected:(filling example)

15. Diagnosis. 15.1 Disease for the treatment of which one is sent to a sanatorium: because In this case, we are considering treatment in a sanatorium specializing in the treatment of gastrointestinal diseases, then the code for chronic gastritis (K29.3) should naturally be indicated in this paragraph. If you have any other chronic diseases, then their codes should be indicated in paragraph 15.3 (for example, chronic bronchitis J41.0) - Paragraph 15.2, as a rule, should not be filled out. If you are leaving for a sanatorium where bronchopulmonary diseases are treated for the treatment of chronic bronchitis, the following filling option is possible: 15. Diagnosis. 15.1 Disease for the treatment of which he is sent to a sanatorium: because In this option, we are considering treatment in a sanatorium specializing in the treatment of bronchopulmonary diseases, then the code for chronic bronchitis (J41.0) should naturally be indicated in this paragraph. If you have any other chronic diseases, then their codes should be indicated in paragraph 15.3 (for example, chronic gastritis K29.3) - Paragraph 15.2 most likely should not be filled out.

3.Group. Elderly people who, as they themselves put it, have a “bouquet of diseases.” Their relatives bought them a ticket to the sanatorium, but without a sanatorium-resort card they may not be allowed into this sanatorium. There is either no desire or no time to receive a sanatorium-resort card at your clinic. Most of the pensioners go to the so-called general health resort, which tend to focus on cardiovascular diseases. Therefore it is We will consider this option:(filling example)

15. Diagnosis. 15.1 Disease for the treatment of which one is sent to a sanatorium: because In this option, we are considering treatment in a sanatorium specializing in the treatment of cardiovascular diseases, then the code for atherosclerotic heart disease (I25.1) should be indicated in this paragraph. If you have any other chronic diseases, then they should be indicated in paragraph 15.3 (usually these include: chronic gastritis K29.3, cerebral atherosclerosis I67.2, chronic cholecystitis K81.1, etc.). Paragraph 15.2: this paragraph must contain the code of the disease for which you received disability (usually I25.1). If you do not have a disability, then this item should be empty.

Basic disease codes that are often used to fill out certificates 070/у-04 AND 072/У-04

1. I10. Essential (primary) hypertension

2. I11.9 Hypertensive (hypertensive) disease with primary damage to the heart without (congestive) heart failure.

3. I20 Angina pectoris (angina pectoris)

4. I25.10 Atherosclerotic heart disease with hypertension

5. I25.1 Atherosclerotic heart disease

6. I67.1 Cerebral atherosclerosis

7. J40.0 Simple chronic bronchitis

8. J45.0 Asthma with a predominance of the allergic component.

9. J45.1 Non-allergic asthma.

10. J45.8 Mixed asthma.

11. K29.3 Chronic superficial gastritis.

12. K29.4 Chronic atrophic gastritis.

13. K81.1 Chronic cholecystitis.

To obtain a voucher for sanatorium-resort treatment, you need a form that includes medical information and a list of recommendations. This form is Certificate 070у, which can be obtained in outpatient medical institutions (clinics). Form 070u-04 is fixed by order of the Ministry of Health of the Russian Federation No. 834Н dated December 5, 2014. Based on this document, a referral for sanatorium-resort therapy to a suitable health-improving and preventive institution is issued.

Why do you need certificate 070у?

Certificate form 070 y contains a list of recommendations for health-improving therapy and confirms the patient’s need for sanatorium-resort treatment. The certificate does not guarantee receipt of a voucher for spa treatment at a health facility, does not replace it and is only a recommendation.

Which doctors should you go to?

Obtaining a certificate 070у, as a rule, is carried out in a clinic at the place of residence by a treatment and preventive commission, which includes a local therapist. The research and consultations required to obtain form 070y depend on the disease for which sanatorium treatment is required. First of all, it is necessary to take with you the results of the examination that relate to the underlying disease. If necessary, the doctor may prescribe additional studies or consultations with specialists. To obtain a ticket to a sanatorium, a certificate must be provided to the social security authorities, trade union organization or employer.

Sample form

Form 070у contains several blocks to fill out:

Points 1 to 4 contain information about the patient and are filled out on the basis of an identification document by a medical professional. This block contains full name. the patient, his gender, date of birth and place of registration.

Paragraph 5 indicates the individual identification number of the medical insurance policy of the compulsory health insurance system.

Points 6 to 13 are completed only for those citizens who are entitled to receive social services.

Groups of patients entitled to receive a set of social services are indicated on the back of the certificate in accordance with Article 6.1 of the Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”.

Points 14 to 18 are filled out in accordance with the patient’s medical record with the obligatory indication of ICD-10 codes. This includes the patient's medical record number, clinical diagnosis, characteristics (relationship to spinal cord injury, brain injury and disability), and comorbidities.

Points 19 to 21 are filled out in accordance with treatment indications. These columns indicate the preferred climate, conditions of stay in the organization of sanatorium treatment, the most favorable season and sanatorium zones.

Price

State organizations (polyclinic at the place of residence) issue a certificate on a non-commercial basis, that is, free of charge. You can buy form 070u-04 in private medical clinics. The cost of registration in different institutions may vary. The Doctor Nearby family clinic network in Moscow provides this service at a very affordable price. Registration of the certificate will take about 30 minutes. On the clinic’s website you can order a certificate 070у and make an appointment without leaving your home.

Certificate No. 070/u is an important document required to obtain a voucher for treatment at a sanatorium-resort institution. It is drawn up in the prescribed form and contains the doctor’s recommendations for improving the patient’s health. This document can be issued by a medical institution that has the appropriate license and provides care on an outpatient basis.

Features and purpose of issuance

This medical certificate confirms the need for the patient to undergo certain spa therapy. It indicates the main indications, including the conditions for rest and recovery of the patient. The main purpose of issuing a certificate is to determine the treatment regimen and the most suitable health facility for a particular patient.

Registration procedure

Certificate No. 070/у is issued based on the results of passing a medical commission. The list of laboratory tests and diagnostic studies to obtain the document is determined individually depending on the complaints, the results of previous treatment and the patient’s existing diseases. If there are no contraindications and there are medical indications, the patient is issued a medical certificate recommending treatment at a sanatorium-resort institution. The document contains the following information:

• Full name of the patient, his gender, date of birth and place of registration;
• identification number in the compulsory medical insurance system;
• codes of the region in which the patient lives and surrounding regions;
• climatic features of the place;
• disability benefit codes;
• indication of the need for accompaniment;
• name, number and series of the document that confirms the right to receive social services (for people with disabilities);
• personal insurance account (SNILS);
• medical card number;
• patient diagnosis and concomitant diseases;
• type of treatment recommended;
• preferred location for therapy;
• season favorable for treatment (one or more seasons).

The specified document is signed by the attending physician and the head of the department (chairman of the medical commission), in addition, the seal of the institution is affixed to it. The certificate remains valid for the next 12 months.

Required documents

When visiting a medical institution to obtain medical certificate No. 070/у, the patient should have with him:

• passport or other identity document;
• outpatient medical record;
• SNILS;
• compulsory medical insurance policy;
• document confirming disability (if available).

Where to submit

A certificate issued in accordance with the law to obtain a voucher can be presented:

• at the place of work of the person who needs sanatorium treatment;
• to the social security service;
• to a travel agency to select a trip.

To obtain certificate No. 070/u, as well as other conclusions (for example, for traveling abroad or entering the civil service) in Moscow, you can contact Medline-Service. Our experienced specialists will conduct all examinations at a high level and provide well-executed documents. If you have questions, request a call back or contact us by phone.

Prices

In this article we will look in detail at certificate 070у, which is intended for obtaining a voucher to a health facility. We will find out in what cases it is issued, to whom and when. In addition, at the end of the article you can download the certificate form 070у to obtain a voucher.

Help 070у

Unfortunately, the human body is not always characterized by iron health and longevity. Many people have chronic diseases that need to be periodically healed and brought back to normal. Such patients cannot completely recover from their illnesses, but they can significantly make their existence easier if they undergo sanatorium-resort treatment from time to time. As you know, not everyone has the right to undergo sanatorium-resort treatment. In order to receive the appropriate direction, you need a certificate of form 070у.

Most patients have the misfortune of confusing certificate 070у with a sanatorium-resort card, which has nothing to do with this process. What is certificate 070у?

In simple terms, certificate 070у is a document that gives you the opportunity to purchase a referral for sanatorium treatment. If everything goes well and you go to a dispensary or sanatorium, then upon arrival you will no longer need certificate 070u - you will have everything noted in your sanatorium-resort card. The health resort card displays detailed information about your illnesses, the medical examinations you underwent, as well as the treatment methods you used.

Certificate 070u contains the full name of the person who is being sent for medical treatment. In addition, it contains information about the medical institution that is involved in your recovery. At the stage of referral for treatment, uncertainty most often arises, since sanatorium-resort institutions cannot reserve places without the appropriate documents and certificates. Therefore, be prepared for the fact that medical specialists will not sign you a certificate 070u until it becomes known that this sanatorium has free vouchers.

Where can I get certificate 070u?

When receiving a certificate in format 070у for referral for treatment, as always, there is a duality: either buy it at a private medical center, or get it for free at public medical institutions.

Let's first look at the second option for obtaining certificate 070у. If you decide to go to the clinic at your place of residence to get this document, then get ready to waste time, nerves and energy. Undoubtedly, if you are lucky and the stars align the way you need, you will get it in just a couple of hours. But if fortune is not on your side, then you will have to go through many tests that can last for several weeks. During this time, by the way, the voucher to the sanatorium may go to another patient. But at the same time, mind you, you are left with money.

Another way to obtain certificate 070у is through private medical centers. It only takes a couple of hours for a document to be drawn up in such institutions. Moreover, the entire procedure takes place without nerves, queues and lost vouchers. But you have to pay for it. But, in our firm belief, this money is worth it, because everything at stake is your health. All you need is to go online and find out which nearest medical centers issue 070u certificates to obtain a voucher. After that, call or go there.

Why do you need certificate 070u?

In fact, certificate 070u is needed as documentary evidence that its owner needs medical procedures. But be careful, this certificate does not guarantee that you will definitely be given a referral to a sanatorium or dispensary. By the way, we recommend that you familiarize yourself with the legal side of the issue in article number 256 of the Federal Law “On the procedure for medical recruitment and referral of patients for sanatorium treatment,” which was created in November 2004. Certificate 070у also contains recommendations for the patient’s medical care. It also happens that a sanatorium or dispensary not only does not improve the patient’s well-being, but, on the contrary, worsens it. Therefore, the certificate 070u for obtaining a voucher also indicates the desired climate to improve the patient’s health. This document also contains precise information about which sanatorium is suitable for the patient’s health, as well as about the time of year that will have the most beneficial effect on his health. As we have already said, the patient’s specific disease is written down, and a code number is given based on ICD 10. ICD 10 stands for “international classifier of diseases.” The validity period of certificate 070у for obtaining a voucher is six months.

You have received certificate 070у. What's next?

Let's say that you received the coveted certificate 070u. But where should it be provided? You can give this paper to your place of permanent work or to a social security organization. If we base our judgments on the legislation of the Russian Federation, we can establish that some categories of citizens of the Russian Federation can count on full or partial monetary compensation when paying for a trip to a sanatorium. These are the categories of citizens:

• Participants of the Great Patriotic War, disabled people, veterans
• Home front heroes who worked during the Great Patriotic War
• Siege heroes who have the “Resident of Siege Leningrad” award
• Disabled people

How to fill out certificate 070у?

Naturally, after all this data, only one question arises: how to fill out this certificate in format 070у? Like all documents, this certificate has some templates and standards for completion. To fill it out, the specialist should have your outpatient card in hand. Some data can be entered into certificate 070u by a specialist doctor only from your words. If you are entitled to preferential services, then you will naturally need to provide paper that will document your exclusive right.

Download sample certificate 070у to obtain a voucher

So, we examined in detail the certificate 070у, which is issued to obtain a voucher to sanatorium-resort institutions. We found out who it is being issued to and why. Let us remind you that you can download the certificate form 070у from the link above. We wish you good health!

A certificate for obtaining a voucher for sanatorium treatment is an official confirmation that the patient needs sanatorium treatment. This document is a list of recommendations for receiving treatment at a health resort; it is not a full replacement for a sanatorium-resort card. On its basis, competent medical services will be able to issue a referral to a sanatorium, and for the Social Insurance Fund, the certificate is one of the grounds for paying for the voucher.

The recommendations specified in the certificate will help the patient get a ticket to the institution that is most suitable for the treatment of his diseases. In order for the therapy to bring maximum results and not cause harm to the patient’s health, the document must indicate which climatic conditions are suitable for him and what exactly is contraindicated. A certificate for sanatorium treatment in form 070/u does not give the bearer the right to undergo treatment in a sanatorium in cases where such treatment can be carried out on an outpatient basis.

The certificate is drawn up by the attending physician, or it must be signed by the head of the department (if the certificate indicates that the patient is applying for a set of social services). The document form must be certified with the seal of the medical institution.

What does the certificate look like?

Form 070/у certificate for obtaining a sanatorium voucher was approved by order of the Ministry of Health of Russia dated December 15, 2014 No. 834n (as amended on January 9, 2018). A sample certificate form is presented in Appendix No. 11 to the order.

The document consists of two parts. The attending physician fills out only the title page, and on the reverse side there is a reference book with codes intended for medical professionals. Form 070/у refers to strict reporting forms, so filling it out requires a responsible approach.

The certificate contains the following information:

name and address of the medical organization;

information about the patient (full name, date of birth, gender, place of registration);

number in the compulsory medical insurance system;

code of the subject of the Russian Federation in which the patient lives;

climate in the place of residence;

benefit code;

patient medical record number;

disease diagnosis;

preferred place of treatment.

A certificate for spa treatment is valid for 12 months from the date of issue by a medical institution. After receiving the document in hand, the citizen must check that it contains the necessary signatures (attending physician, department head, medical specialist) and the seal of the medical institution with its full name. You also need to pay attention to the correctness of personal data, the code designation of the main diagnosis and the indication of the preferred places of treatment.

Where and how to get a certificate?

To obtain the document, you should contact the clinic at your place of residence. You must come to the doctor with an outpatient card. It should be taken into account that the certificate is not issued to everyone who wants it; some patients may be refused if there is no need for such treatment. Form 070/у is issued only by state medical institutions; it is not issued in private clinics.

To fill out a certificate to receive a sanatorium voucher, a health worker will need:

citizen's passport;

outpatient card;

compulsory medical insurance policy.

In practice, providing the population of the Russian Federation with vouchers depends on the following factors:

medical indications listed in the certificate;

the date of submission of the application for sanatorium-resort treatment (this is due to the fact that there is a “live” queue for vouchers).

The certificate itself does not contain a list of tests and procedures that the patient must undergo. But to obtain it, you must undergo a series of general clinical examinations, which are determined by the attending physician.

The patient will have to visit the therapist several times. First, a request for a document is submitted, then you need to take the prescribed tests and undergo an examination, and only after that it will be clear whether the citizen will be able to receive a certificate or not. If the patient should be referred to a specialist other than a therapist for recovery, it is imperative to visit him.

ICD-10 code

The ICD-10 code in the form of a medical certificate for spa treatment is a digital designation of the diagnosis in accordance with the official International Classification of Diseases. Indicate the code in paragraphs No. 15, 17, 18 of the document. Here the full name of the patient’s diagnosis and its abbreviated code are written down.

The procedure for filling out a certificate for sanatorium treatment, form 070/u, is presented in Appendix No. 12 to Order No. 834n of the Ministry of Health of Russia. All fields of the document must be completed.

The certificate is filled out by the doctor as follows:

In paragraphs 1-4, the citizen’s personal data is specified (based on an identity document).

In clause 5, indicate the identification number of the compulsory medical insurance (series and policy number).

Item 6-13 must be completed only if the patient is eligible to receive a set of social services. The data for filling out these items is taken from the directory located on the back of the document.

In clauses 15-18, information from the citizen’s medical record is entered. The item “Diagnosis of the disease” is filled out in accordance with ICD-10.

Items 20-21 are not required to be completed.

The document must be signed by the attending physician (or medical specialist), and if the patient is applying for a set of social services, by the head of the department (or the chairman of the medical commission). The certificate is affixed with the seal of the medical organization.