Paid services are provided in the presence and at the expense of reserves of capacities not used in the performance of a state task, including through the introduction of medical technologies that allow, without prejudice to the performance of a state task, to use a free bed fund, diagnostic and therapeutic capabilities of equipment, as well as reserves of working time for the provision of paid medical services.

ФГБУ «ФЦССХ» Минздрава России (г. Астрахань) has the right to provide paid medical services:

• On conditions other than those provided for by the program, territorial programs and (or) target programs, in the following cases:
  • the appointment and use of medicines for medical reasons that are not included in the list of vital and essential medicines, if their appointment and use are not due to vital indications or replacement due to individual intolerance of medicines included in the specified list, as well as those not purchased at the expense of budgetary allocations of budgets of all levels of the budgetary system of the Russian Federation;
  • the use of medical devices, medical nutrition, including specialized medical nutrition products that are not purchased at the expense of budgetary allocations from budgets of all levels of the budgetary system of the Russian Federation and are not subject to payment within the framework of the program and the territorial program;
  • establishment of an individual post of medical supervision in the provision of medical care in inpatient conditions in the absence of medical indications for the establishment of an individual post of medical supervision;
• Citizens of foreign states, stateless persons, with the exception of persons insured under compulsory medical insurance, and citizens of the Russian Federation who do not permanently reside on its territory and are not insured under compulsory medical insurance, unless otherwise provided by international treaties of the Russian Federation.
  When applying for medical services independently, with the exception of the cases and procedures provided for in Article 21 of the Federal Law "On the Basics of Protecting the Health of Citizens in the Russian Federation", as well as with the exception of emergency medical care.

Parents or legal representatives of patients under the age of 14 must provide the birth certificate of the child (patient), as well as the passport of the payer of the parent/accompanying person (legal representative).

CHILDREN UNDER 15 YEARS of AGE are not allowed to receive medical care without the presence of parents or legal representatives (according to the Federal Law "On the Basics of Public Health protection in the Russian Federation" dated 11/21/2011 No. 323-FZ, it is prohibited to provide medical services to children under the age of 15 without the presence of their legal representatives (except in emergency situations)).

Legally, only legal representatives (parents, adoptive parents, guardians, guardians) have the right to represent the interests of a minor. Other persons only if they have a power of attorney issued by a notary.

CHILDREN over 15 YEARS OLD (Part 2 of Article 54 323-FZ) part (passport is required) have the right to independently apply for medical care and give informed voluntary consent to medical intervention or refusal of it.

A minor from 15 to 18 years of age can sign a contract for the provision of paid medical services only with the written consent of his parents / legal representatives (clause 1 of Article 26 of the Civil Code of the Russian Federation).

A minor from 15 to 18 years of age can sign a contract for the provision of paid medical services only with the written consent of his parents / legal representatives (п. 1 ст. 26 ГК РФ).

If necessary, parents (legal representatives) should issue a power of attorney to a notary in advance for a person who will represent the interests of the child in a medical organization.

Information for parents "Features of medical care for minors from 0 to 15 years old and from 15 to 18 years old"

"Legal representatives of individuals"