Do I have the right to undergo a routine medical examination not at the direction of the enterprise, but at my own expense in a paid clinic?, Chesma

Absolutely everyone will agree that collecting documents during the hiring process requires patience and certain knowledge about the authorities that need to be visited.

Naturally, the packages of documents for people of different professions are different. And in order not to waste precious time, the future employee needs to know exactly what documents are required when applying for employment at a particular enterprise.

Quite often, a mandatory condition for employment is passing a medical examination. Since this procedure takes some time, the future employee must know exactly whether he needs such a document.

The legislative framework

The legal basis for undergoing all types of medical examination is:

Constitution of the Russian Federation. Article 41:
Determines the degree of administrative responsibility that persons bear in case of concealment of actions, conditions and facts that may harm the health and life of people.
Labor Code of the Russian Federation.
Article 69, subject to the conclusion of an employment contract, stipulates the procedure for undergoing a medical examination for all categories of workers.
Article 266 determines that employees aged 18 years (minors) must undergo a medical examination.
Order of the Ministry of Health and Social Development of the Russian Federation dated August 16, 2004 No. 83.
Approves the procedure for conducting various types of examinations.
Resolution of the Council of Judges of the Russian Federation dated December 26, 2002 No. 78 contains a List of diseases that do not allow one to apply for a position as a judge.
Federal Law No. 52-FZ of March 30, 1999 “On the sanitary and epidemiological welfare of the population” approves the need to include the results of a medical examination in individual medical records.

Who must undergo a medical examination when applying for a job?

According to the Labor Code of the Russian Federation, a health document is required for employees in the following cases:

if the employees’ activities are related to the transportation of passengers and the management of vehicles;
employment of persons in the food industry, trade, public catering;
a person works in jobs that cause significant harm to his health;
employment in the field of consumer services;
work in the field of education and medicine;
if the activities of workers are related to the process of creation and operation of water supply facilities;
if a person is going to work on a rotational basis;
work in the Far North.

According to Articles 69 and 266 of the Labor Code of the Russian Federation, the following persons are also subject to medical examination:

medical laboratory employees who are in direct contact with people infected with HIV and AIDS patients;
workers involved in saving the lives of the population in emergency situations;
minor workers;
workers of nuclear energy enterprises.

Who will not be hired without a medical examination?

Categories of workers for whom preliminary communication with doctors becomes a necessary condition for concluding an employment contract are provided for by the Labor Code of the Russian Federation:

employees who have not yet turned 18 (regardless of their field of activity);
employees in transportation and water supply companies;
persons whose labor functions are related to the food industry, catering, and trade;
medical workers;
working in the teaching field;
judges and customs officials;
Ministry of Emergency Situations workers;
getting a job with harmful and dangerous working conditions;
athletes;
beauty industry workers (hairdressers, massage therapists, cosmetologists, manicurists, etc.).

NOTE! This list is not complete and closed. Regional authorities and local governments may expand the indications for mandatory medical examination before employment.

Where to get a medical examination to get a job

Medical examinations are carried out in medical institutions with which the employer enters into a special agreement. This agreement assumes that all financial costs for undergoing a medical examination are fully borne by the employer and determines the method of payment. Typically, in such a case, payment is made by non-cash payment.

If this agreement is not concluded, the employee undergoes a medical examination at a medical institution at his place of residence. However, all costs for this procedure are also borne by the employer.

Where can I get an initial medical examination?

You can undergo a medical examination at any private or public clinic .
The main condition is that the institution has a license to provide services of this kind. You need to find out in advance whether there is a psychiatrist in the clinic: quite often there is not, and then to obtain the appropriate certificate you need to contact the psychoneurological dispensary (psychiatric dispensary) located at your place of residence.

Often organizations have concluded agreements with medical institutions, and applicants for vacancies are sent there. This speeds up the process of passing the medical examination.

The cost of the examination depends on the number of upcoming examinations. The employer pays for the medical examination upon employment . Costs per applicant for a vacancy can vary from 500 to 4500 rubles. If the applicant passes it at his own expense, then the employer is obliged to compensate all expenses.

Passage order

The procedure for undergoing a medical examination depends on its type.

Types of medical examinations:

preliminary – intended to be taken during employment at a new place of work;
periodic – carried out by employees who do not change their place of work. Appointed at intervals determined for each type of profession separately;
extraordinary - carried out if necessary at the request of the employee or recommendations of medical workers.

Depending on the type of medical examination, its frequency and the mandatory list of doctors are determined.

According to Russian legislation, employees under 21 years of age undergo a medical examination every year, regardless of their field of activity.

The list of doctors who are required to pass may vary depending on the position for which the employee is applying and, naturally, gender.

A standard medical examination includes examination by the following doctors:

ophthalmologist;
otolaryngologist;
neurologist;
surgeon;
therapist.

Mandatory tests:

Analysis of urine;
blood analysis;
cardiogram;
fluorogram.

The employer must issue a referral to the future employee to undergo a medical examination, which must indicate:

name of the organization or enterprise;
Full name of the employee;
Date of Birth;
location;
profession or position;
number and name of the department, workshop or site;
description of working conditions, namely harmful factors of production;
work experience;
signature of the head of the enterprise and seal.

The company develops the form of such a direction individually.

Stages of passing a medical examination during employment:

The employee receives a referral for a medical examination, which must be presented at a medical institution.
Passing a medical examination from the necessary specialists.
Entering the results of the doctor’s examination into medical records.
Obtaining a conclusion on permission to work.
Providing a medical report on permission to work directly to the employer.

Mandatory medical examination

At the legislative level, a list of categories of workers was formed who, before officially applying for a job, must undergo a preliminary professional (medical) examination:

Every applicant is interested in the question of what documents are needed to pass a medical examination for work. In accordance with the regulations of the labor legislation of the Russian Federation, in order to undergo a regular medical examination, an employee must have with him:

passport or other identification document;
outpatient card;
direction of the enterprise.

All employees of the food industry, after receiving the results of the necessary clinical tests for a doctor’s conclusion, must present a health certificate.

If an employee is employed by an enterprise for the first time, then in the clinic where he must undergo a preliminary examination, before the examination he must first contact the receptionist. There he is given his outpatient card or a new one is issued. The results of examinations and doctors’ opinions will be entered into it in the future. A 3x4 photograph of the owner must be attached to it. In addition to the outpatient card, the employee must have with him:

The law prohibits doctors from allowing employees or applicants to work if they have serious illnesses that require immediate qualified treatment.

Confirmation of passing a preliminary medical examination

Before signing an employment contract, the employer will require documents from the applicant confirming that they have passed a medical examination upon hiring. It could be:

If you already have these papers, then your superiors will not have any doubts about the state of your health. Otherwise, the company must provide you with a referral for a medical examination. When filling out this form, indicate:

name of the institution that conducted the survey;
personal data of the person undergoing inspection;
profession, position and length of service of the employee;
a note on the nature of the inspection performed (preliminary, current);
data of the insurance company;
signature of the chief physician and seal of the medical center/clinic that issued the certificate;
employee photo.

Who will pay for the medical examination? In accordance with the Labor Code of the Russian Federation, the employer must bear such expenses. He either enters into an agreement with a specific medical institution for the provision of such services, or the applicant undergoes an examination at his place of residence, and all costs associated with this event are reimbursed by the employer.

Price

The cost of a medical examination depends on the position for which the employee is applying and depends on the number of doctors with whom he will be examined. The largest list of mandatory inspections is usually for workers in the catering and food industry. Therefore, the exact cost of a medical examination is determined in each specific case.

Who pays

The employer pays for the medical examination because such a medical service is not covered by the compulsory insurance system. An agreement is concluded with the relevant medical institutions, according to which future employees undergo the entire medical examination procedure, including tests, free of charge.

The employer also pays for this procedure in the following cases:

if for any reason the employee needs to undergo a medical examination again;
if the contract for undergoing a medical examination has not been concluded. In this case, the person who is employed undergoes a medical examination independently. Then he presents payment documents to the employer, which he pays.

What kind of health certificate must be issued?

The final decision of the therapist that the applicant for a vacant position has passed a medical examination is a certificate issued on the basis of the opinions of other specialists of the medical institution. There are two forms of certificates:

Document 086/у

Document 086/у is in A5 format and must be filled out on both the front and back sides . This certificate contains the following information:

Document Number.
Information about the medical institution.
Information about the applicant receiving the certificate (full name, date of birth, residential address).
List of diseases suffered previously and vaccinations performed.
Doctors' reports along with signatures and seals.
Fluorography and analysis data.
Medical report on professional suitability.
Date of issue.

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Fill out document 086/у with exclusively dark blue or black ink . Signed by the doctor who issues the certificate and the head physician in charge of the medical examination. They put a rectangular stamp of the medical institution, a stamp indicating the completion of fluorography, and a round stamp of the therapist.

Medical certificate 001ГС/у

Contains information indicating that the applicant does not have diseases that prevent him from performing civil or municipal service. To obtain a certificate 001ГС/у, it is enough to obtain permission from a psychiatrist and narcologist . And also take a blood and urine test. After which the therapist will issue a conclusion on professional suitability. Signed by the same persons as the certificate form 086/у.

Sample certificate from a mental health center when applying for a job: