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ACTE NECESARE PENTRU ELIBERAREA UNUI CERTIFICAT DE INCADRARE IN GRAD DE HANDICAP

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Rezidenta Permanenta
pentru aprobarea Ordonantei Guvernului nr. 26/2005 privind managementul institutiilor publice de cultura
Fisa de post - Administrator baze de date
ADEVERINŢĂ DE VENIT
privind organizarea si finantarea rezidentiatului
PACHET FACULTATIV DE SERVICII MEDICALE ACORDATE ĪN CADRUL SISTEMULUI DE ASIGURĂRI SOCIALE DE SĂNĂTATE
Lege nr. 215 din 23/04/2001 administratiei publice locale
CONTRACT DE CONSULTANTA
ACCEPT COLABORARE
DECLARATII


D.G.A.S.P.C.- SIBIU

Sibiu Str. Mitropoliei nr. 2                                                       Program :

Tel. 0269/218272                                                               Luni si miercuri,

                                                                                              orele 9.30 - 14.00

 

ACTE NECESARE PENTRU ELIBERAREA UNUI CERTIFICAT

DE INCADRARE IN GRAD DE HANDICAP

                  

-referat ( aviz) medic specialist

-adeverinta medicala de la medicul de familie

-copii dupa  bilete de iesire  din spital  sau alte examinari complementare

-copie buletin identitate

-ancheta sociala de la primaria de domiciliu

-copie dupa decizia de pensie , cupon de pensie sau adeverinta de salariat (dupa caz)

-pentru cazurile de reexaminare ( prelungire) , certificatul de persoana cu handicap anterior

-copie dupa toate diplomele de absolvire studii

ATENTIE:BONURILE DE ORDINE SE ELIBEREAZA DOAR LA ORA 9:30

 

D.G.A.S.P.C.- SIBIU

Sibiu Str. Mitropoliei nr. 2                                                       Program :

Tel. 0269/218272                                                               Luni si miercuri,

                                                                                              orele 9.30 - 14.00

 

 

 

Mai jos gasiti un model de referat medical

REFERAT MEDICAL

Subsemnatul Dr........................................................................medic primar/specialist cu cod parafa..................................................propun expertiza persoanei cu handicap...................................................................................CNP..............................................cu domiciliul īn.......................................................................str...............................................nr .................................judet/sector...............................de profesie.............................................. angajat la.........................................................................................................

Data ivirii handicapului..................................................................................

Este īn evidenta de la data de.........................................................................

Diagnosticul clinic la data luarii īn evidenta..................................................

Diagnosticul clinic actual..................................................................................................................

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Examen obiectiv................................................................................................................................

........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

A fost internat/a īn spital**)..............................................................................................................

...........................................................................................................................................................

Investigatii clinice, paraclinice**)....................................................................................................

...........................................................................................................................................................

Tratamente urmate:............................................................................................................................

...........................................................................................................................................................

Plan de recuperare.............................................................................................................................

...........................................................................................................................................................

Prognostic recuperator.......................................................................................................................

Se afla īn incapacitate temporara de munca de la data de.................................................................

MEDIC PRIMAR/SPECIALIST

(parafa+stampila unitatii sanitare)

Nr.....................................Data..............................................

** SE VOR ANEXA REZULTATELE, BILETELE DE IEsIRE DIN SPITAL


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