Psychiatric examination of workers: features of the conduct. Change the rules for psychiatric examination of employees List of professions undergoing psychiatric examination

Greetings, dear friends! In this note, the process of conducting mandatory psychiatric examinations of workers is thoroughly considered.

How to properly conduct a psychiatric examination of employees

Let's start with the legal framework.

Mandatory psychiatric examinations of employees are carried out in accordance with the requirements of:

  • articles 69 and the Labor Code of the Russian Federation;
  • rules for mandatory psychiatric examination by employees certain types activities, including activities related to sources heightened danger(with the influence of harmful substances and adverse production factors), as well as those working in conditions of increased danger, approved by Decree of the Government of the Russian Federation of September 23, 2002 No. 695 (hereinafter referred to as the List);
  • clause 38 of the Procedure for conducting mandatory preliminary (when applying for a job) and periodic medical examinations (examinations) of workers employed in hard work and in work with harmful and (or) dangerous working conditions, approved by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n ;
  • Law of the Russian Federation of July 2, 1992 No. 3185-1 "On psychiatric care and guarantees of the rights of citizens in its provision" . .

Mandatory psychiatric examination (once every 5 years) must be carried out by employees engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as those working in conditions of increased danger in accordance with the established List .

This List is very extensive. Suffice it to say that welding aerosols, dust of plant and animal origin, and many, many others are named among the hazardous and harmful substances in it. Among the harmful production factors are industrial vibration, industrial noise, high atmospheric pressure, high temperature, low temperature, increased eye strain (including work related to monitoring the screen of displays and other means of displaying information), physical overload. Having studied this List, we can conclude that a lot of jobs and professions fall under one of the foreseen factors.

In addition, workers employed in work with harmful and (or) hazardous substances and production factors with a single or multiple excess of the maximum allowable concentration or maximum acceptable level according to the current factor, employees who have (had) a conclusion on a preliminary diagnosis occupational disease, persons with persistent consequences of accidents at work, as well as other employees, in the event that a relevant decision is made by the medical commission, also undergo a mandatory psychiatric examination.

Letters are devoted to explaining the intricacies of a psychiatric examination:

In particular, in the letter of Rostrud dated October 14, 2016 No. PG / 27356-03-3, it was concluded that the employer is not obliged to send employees who perform the work of reading, entering information, as well as working in the dialogue mode with a personal computer, since these types of work do not apply to work related to monitoring the screen of displays and other means of displaying information specified in the List.

The Ministry of Labor in a letter dated September 16, 2016 No. 15-2 / OOG-3359 indicates that conducting mandatory psychiatric examinations is the responsibility of the employer, which is confirmed by Article 226 of the Labor Code. The employee does not bear the cost of financing measures to improve working conditions and labor protection.

On punishment ... In accordance with part 3 of article 5.27.1 of the Code of Administrative Offenses of the Russian Federation, the admission of an employee to the performance of his labor duties without undergoing training and testing knowledge of labor protection requirements in the prescribed manner, as well as mandatory preliminary (when applying for a job) and periodic (in flow labor activity) medical examinations, mandatory medical examinations at the beginning of the working day (shift), mandatory psychiatric examinations or in the presence of medical contraindications - entails the imposition of an administrative fine:

  • on the officials in the amount of 15,000 to 25,000 rubles;
  • for individual entrepreneurs in the amount of 15,000 to 25,000 rubles;
  • on the legal entities in the amount of 110,000 to 130,000 rubles.

Part 3 of Article 5.27.1 of the Code of Administrative Offenses of the Russian Federation includes, among other things, a psychiatric examination of employees. The amount of the fine depends on the number of unexamined workers.

It should be noted that there are also industry regulations regulating the procedure for passing medical (including psychiatric) examinations. For example, Russian Railways is subject to Order No. 2924r dated December 14, 2015 “On Approval of Model Rules for Employees of Russian Railways to Pass Medical Examinations, Psychiatric Examinations and Psychophysiological Examinations (During Working and Non-Working Hours) and Compensation to Employees of JSC “ Russian Railways" costs associated with their passage ".

And in conclusion, we suggest that you familiarize yourself with the list of documents (the audit was carried out in St. Petersburg in the summer of 2016), the submission of which by a legal entity, an individual entrepreneur, is necessary to achieve the goals of the audit state inspection labor in terms of fulfilling state regulatory requirements for the organization of medical examinations and psychiatric examinations.

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Sample Order on the Appointment of Persons Responsible for Organizing Mandatory Psychiatric Examinations of Employees official group on VKontakte Svetlana Podberezina.

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Mental health of a person is directly related to his ability to exercise different types work. This is especially true for professions that involve interaction with people, dangerous working conditions, the need to quickly respond to changing circumstances. It is these professions that are extremely demanding on the speed of a person’s reactions, his endurance and self-control, the ability to control the situation and sensibly assess the surrounding reality. In a word, people in positions of responsibility must be completely mentally healthy.

In our clinic, you can undergo a psychiatric examination for only 500 rubles, it is possible for specialists to visit the organization.

ALGORITHM FOR OBLIGATORY PSYCHIATRIC EXAMINATION OF CITIZENS APPLYING FOR A EMPLOYMENT CERTIFICATE.

Order of the Department of Health of the City of Moscow dated September 18, 2008 No. 705 “On the organization of mandatory psychiatric examination of workers engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as workers under conditions of heightened danger.

Who needs a psychiatric evaluation?

There is a federal list of professions whose representatives are required to undergo this type of examination at least once every 5 years. Mental disorders are a contraindication for work at height, work in extreme conditions (for example, underground or in the climate of the Far North), work related to the carrying and storage of weapons, trafficking in psychotropic drugs and drugs. Certified mental health is a mandatory requirement for firefighters, police officers, school teachers, motor vehicle drivers, office workers and representatives of some other areas.

How is the examination carried out?

If you are about to undergo the procedure for the first time, most likely you are interested in the order of its implementation. The employer issues a referral indicating the type of activity and working conditions, then an expert commission, consisting of psychiatrists, conducts a self-examination. Its purpose is to establish whether the employee has a mental disorder, as well as to determine the relationship between the nature of this disorder and the ability to safely carry out professional activities, the type of which is indicated in the direction of the employer.

In our country, it is customary to be wary of psychiatrists, but in fact there is nothing to fear: an adequate person who is of sound mind will not be “attributed” to any diagnoses. Even if you come to the examination not in the best mood, this does not threaten you in any way. If the doctor notes that you have signs of depression and stress, he may advise you to seek advice, but there will be no professional restrictions in this case. Thus, there is no need to "prepare" for the examination.

Certification is a voluntary procedure. However, if you refuse to take it, this may be the basis for your dismissal.

To determine your mental health status, the doctor will ask you questions. Some of them may seem a little strange to you, but there are no random ones among these questions: the doctor will evaluate both the content of your answers and the speed of your reaction, and other nuances will not be left without attention. People suffering from mental disorders often have problems with abstract thinking, some diagnoses are characterized by incoherent speech, logical disorders and other features that are clearly manifested during personal communication.

The tour will take no more than 30 minutes.

Mandatory cases of examination

The legislation of the Russian Federation names the categories of employees who, in any case, must undergo a psychiatric examination during employment ( article 213 of the Labor Code of the Russian Federation):

  • minors (under 18 years of age);
  • applying for positions for which an examination is provided for by the Labor Code of Russia;
  • applicants for positions for which examination is provided for by other laws Russian Federation.

Cases regulated by the Labor Code of the Russian Federation, in turn, are divided into three conditional groups:

1. Special working conditions (Part 1 of Article 213 of the Labor Code). This category of people is associated with work that has specific working conditions:

  • work with chemicals, explosives and other objects that pose a threat to health;
  • underground, as well as lifting and high-altitude work (in these cases, a person is checked for claustrophobia or fear of heights);
  • employees whose work is somehow related to transport (drivers, pilots, as well as dispatchers and traffic controllers);
  • work that poses an increased danger and the need to carry weapons (army, police, security agencies).

2. Social areas (Part 2 of Article 213 of the Labor Code of the Russian Federation).

This includes professions in areas related to service and social interaction:

  • places Catering And food industry;
  • trade and consumer services;
  • hospitals and clinics;
  • schools, children's camps, etc.
  • office workers

3. By decision of local authorities (part 4 of article 213 of the Labor Code of the Russian Federation). This group is ambiguous. It allows for various additional cases of mandatory psychiatric examination, which are established by decision of local governments, if there are sufficiently good reasons for this.

Rules for mandatory examination

The conditions to which the mandatory psychiatric examination of employees meets are regulated by the Government of the Russian Federation in Decree No. 695 of September 23, 2002. The document stipulates the rules for passing the procedure by persons working in conditions that pose a danger to the health of the citizen himself and the people around him:

  1. Regular psychiatric examinations are subject to persons working in positions that fall into the list of “Mandatory Cases”.
  2. The rules that are set Russian law regarding the right of a citizen to receive psychiatric care and guarantees of its provision, determine an exclusively voluntary basis for the examination of an employee.
  3. The purpose of the survey is to determine the suitability and suitability of mental health for admission to jobs that have special conditions.
  4. The assessment of the mental state is carried out by the SANMEDEKSPERTA commission, which consists of three specialists: two psychiatrists and a chairman.

    Check out the documents:

  5. Employees must undergo an examination procedure every 5 years (or more often, depending on the profession).
  6. When applying to SANMEDEKSPERT, a citizen must present documents confirming his identity.
  7. The enterprise issues a referral for examination to indicate the type of activity of the employee and his working conditions.
  8. The decision of the medical commission is issued to the employee on the day of the examination. The message of the medical commission on the date of the commission's decision and the date of its issue to the employee is sent to the customer in writing within 3 working days after its adoption. In cases for the necessary additional information, it is allowed to extend the period up to 30 working days with the obligatory notification of the subject.

In accordance with the Rules, a citizen has the right to familiarize himself with the results of the examination and, in case of disagreement, appeal against them in court.

Rules for passing a psychiatric examination (examination)

General provisions for employers and job applicants:

  • Mandatory psychiatric examination is required for applicants for positions associated with potentially dangerous activities (military service, chemical industry, etc.);
  • According to the current legislation of the Russian Federation, the examination is carried out exclusively voluntarily. Forcibly, research is assigned only in cases where a person poses a real threat to himself and / or society;
  • The examination is carried out only for the purpose of determining the professional suitability of the candidate or current personnel for the implementation of a particular category of work. Sometimes research is required to assess the mental state of an employee. The task of the event is to establish the relationship between the character of a person and the possibility of fulfilling it official duties;
  • Only qualified medical personnel from an independent commission have the right to conduct an examination;
  • No more than 20 working days should elapse from the moment the employee or applicant applies to the medical board;
  • The minimum frequency of examination for an employee is once every 5 years (in some positions - once every 6 months);
  • The employee has the right to ask questions related to the state of his mental health, during the entire period of the commission and after giving an opinion by doctors;
  • Appealing the result of the examination is permissible in a fixed manner, in accordance with legislative norms;
  • Refusal to pass the examination threatens the employee with removal from service. Repeated violation will result in dismissal.

The number of organizations and isolated institutions that require a mental health assessment when approving a candidate for a position is growing every year. Expertise is a responsible event that requires certain time and material costs. It is important that such procedures do not cause harm and moral damage to either employees or employers, but entail only positive results for all parties involved.

Responsibility for ignoring the need for survey

The approval of an employee who has not passed a psychiatric examination to an official position is punishable in accordance with Part 3 of Article 5.27.1 of the Code of Administrative Offenses of the Russian Federation. Material liability(fine) rests entirely with the organization or head of the institution.

  • For officials in the amount of 15-25 thousand rubles;
  • For persons who carry out entrepreneurial activity without forming a legal entity - from 15-25 thousand rubles;
  • For legal entities, the fine is 110-130 thousand rubles.

The same penalties are relevant for the admission to the performance of work of a person whose mental state does not meet the prescribed standards.

Who can conduct an examination?

Psychiatric examinations have the right to conduct public and private clinics that have the wording psychiatry, psychiatric examination in the license. Professional medical commissions on psychiatry should work in the institution.

This rule is valid in accordance with the Decree of the Government of the Russian Federation of September 23, 2002 (No. 695).

The SANMEDEKSPERT clinic has all the documents that allow for an independent psychiatric examination within its walls.

Material and organizational aspects

All financial expenses provided for the procedure are borne by the employer. The organization may contract with private medical centers licensed for psychiatric examinations to help conduct regular assessments of employees and job applicants.

The direction is issued by the organization to the candidate for the vacancy if he is suitable for service according to other criteria. The deadlines for passing the commission are stipulated in individually according to the calendar plan.

When contacting the SANMEDEKSPERT clinic for an examination, you must have with you:

  • Identification document (internal passport of a citizen of the Russian Federation); military ID.
  • Referral from employer.

A citizen has the right to apply to a state or commercial structure licensed for a psychiatric examination, undergo a psychiatric examination and reimburse this procedure by contacting the employer.

Mandatory psychiatric examination of workers in the Moscow region engaged in activities related to sources of increased danger

(You can read the order)

To undergo a mandatory psychiatric examination in the Moscow region, the patient must provide the following documents:

  • the passport,
  • referral from the employer.
  • medical documents:
  • outpatient card,
  • medical examination card,
  • a certificate from a psycho-neurological institution at the place of permanent registration (if the patient does not work at the place of permanent registration),
  • medical report based on the results of the previous examination (if any),
  • military ID (for those liable for military service).

According to the results of the examination, the clinic specialists form the following documents:

If the commission reveals contraindications for the implementation of the declared work and recognizes the employee as unfit, the patient is offered to undergo an additional examination in order to be transferred to another position.

Questions and answers

Who conducts the examination - a psychologist or a psychiatrist?

Answer:. The competencies of a psychiatrist and a psychologist are different: the first specialist has medical education and has the right to diagnose and treat. The second one is not. Psychiatric examination is a purely medical measure carried out by a doctor.

If I've been diagnosed and I don't agree with it, what should I do?

Answer: In this case, you can be re-examined. An independent medical commission will examine you again, after which the diagnosis will either be confirmed or withdrawn.

What tests will need to be passed during the examination?

Answer: Not complicated. The psychiatrist may, for example, ask you a question about the meaning of a certain proverb or saying, or ask how much is two multiplied by seven. You should not be indignant - no one suspects you that you did not go through the multiplication table. Ask questions and observe the patient's reaction - professional duty doctor.

Do office workers need to undergo a psychiatric examination when they are hired and periodically - once every 5 years?

Answer: These employees are required to undergo a mandatory psychiatric examination at least once every five years if they carry out activities or work under the conditions provided for by the List of Medical Psychiatric Contraindications for Certain Types of professional activity and activities associated with a source of increased danger (approved by Decree of the Government of the Russian Federation of 04.28.1993 N 377).

Legal rationale

According to part 5 of Art. 213 of the Labor Code of the Russian Federation, employees engaged in certain types of activities, including those associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as working in conditions of increased danger, undergo a mandatory psychiatric examination at least once every five years the procedure established by the federal executive body authorized by the Government of the Russian Federation.

Decree of the Government of the Russian Federation of September 23, 2002 N 695 approved the Rules for the passage of mandatory psychiatric examination by employees engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as those working in conditions of increased danger approved (hereinafter - the Rules).

As follows from the Rules, employees engaged in certain types of activities, as well as those working in conditions of increased danger, provided for by the List of medical psychiatric contraindications for the implementation of certain types of professional activities and activities associated with a source of increased danger, undergo mandatory psychiatric examination. This List was approved by Decree of the Government of the Russian Federation of April 28, 1993 N 377.

Information portal of Rostrud "Onlineinspektsiya.RF", June 2016

A separate type of medical examination is a psychiatric examination. It is appointed to determine the suitability of an employee for mental health reasons to perform certain types of work and is carried out at least once every 5 years.

General medical psychiatric contraindications for these works are chronic and prolonged mental disorders with severe persistent or often exacerbated painful manifestations, epilepsy with paroxysmal disorders. Expressed forms of borderline mental disorders are considered in each case individually.

The list of activities and works in the course of which an employee is required to undergo a psychiatric examination is defined in the Decree of the Government of the Russian Federation dated April 28, 1993 No. 377 "On the implementation of the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision".

Psychiatric examination of employees is carried out according to the Rules for the passage of mandatory psychiatric examination by employees engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as those working in conditions of increased danger, approved by the Decree of the Government of the Russian Federation Federation of September 23, 2002 No. 695 (hereinafter referred to as the Rules).

These Rules determine the procedure for passing a mandatory psychiatric examination by employees engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as those working in conditions of increased danger provided for by the List of Medical Psychiatric Contraindications for implementation of certain types of professional activities and activities associated with a source of increased danger, approved by the Decree of the Council of Ministers - the Government of the Russian Federation dated April 28, 1993 No. 377 "On the implementation of the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision".

According to the Rules, a psychiatric examination of an employee is carried out on a voluntary basis, taking into account the norms established by the Law of the Russian Federation of July 2, 1992 No. 3185-1 "On psychiatric care and guarantees of the rights of citizens in its provision" (hereinafter - Law No. 3185-1).

In accordance with Article 23 of Law No. 3185-1, a psychiatric examination is carried out to determine whether the subject suffers from a mental disorder, whether he needs psychiatric assistance, and also to decide on the type of such assistance.

A psychiatric examination is carried out with the informed voluntary consent of the subject to its conduct. A psychiatric examination of a minor under the age of fifteen or a drug addicted minor under the age of sixteen is carried out with the informed voluntary consent of one of the parents or other legal representative, and in relation to a person recognized in the manner prescribed by law as legally incompetent, if such a person is is unable to give informed voluntary consent to his condition, if there is an informed voluntary consent to conduct a psychiatric examination of the legal representative of such a person. In case of objection of one of the parents or in the absence of parents or other legal representative, a psychiatric examination of the minor is carried out by decision of the guardianship and guardianship body, which may be appealed to the court. The legal representative of a person recognized in the manner prescribed by law as legally incompetent notifies the guardianship and guardianship authority at the place of residence of the ward of giving informed voluntary consent to a psychiatric examination of the ward no later than the day following the day the said consent was given.

Paragraph 4 of this article provides that a psychiatric examination of a person may be carried out without his consent or without the consent of his legal representative in cases where, according to the available data, the subject performs actions that give reason to assume that he has a severe mental disorder, which causes:

a) his immediate danger to himself or others, or

b) his helplessness, that is, his inability to independently satisfy the basic needs of life, or

c) significant harm to his health due to the deterioration of his mental state, if the person is left without psychiatric assistance.

Article 23 of Law No. 3185-1 does not provide for a mandatory psychiatric examination to determine the suitability of an employee for the assigned work.

Employees engaged in certain types of activities, including those associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as working in conditions of increased danger, undergo a mandatory psychiatric examination at least once every five years in the manner established by the authorized Government of the Russian Federation by the federal executive body (Article 213 of the Labor Code of the Russian Federation (hereinafter referred to as the Labor Code of the Russian Federation)).

The employer sends the employee for a psychiatric examination.

For this, the employee is given a referral in which the type of activity and working conditions of the employee are indicated.

With this referral and a passport (another identity document replacing the passport), the employee comes to a medical institution, where a medical commission created by the health management body conducts a psychiatric examination.

The examination of the employee is carried out within a period of not more than 20 days from the date of his application to the commission.

For the purpose of examination, the commission has the right to request additional information from medical institutions, about which the employee is notified.

The medical commission makes its decision within 10 days after receiving additional information.

The decision is made by a simple majority of votes on the suitability (unfitness) of the employee to perform the type of activity (work in conditions of increased danger) indicated in the direction for examination.

The decision in writing is issued to the employee against signature within 3 days after its adoption. Within the same period, a message is sent to the employer about the date the decision was made by the commission and the date it was issued to the employee.

During the examination, the employee may receive clarifications on issues related to his examination.

If the employee disagrees with the decision of the medical commission, it can be appealed in court.

As follows from the content of clause 3 of part 1 of article 76 of the Labor Code of the Russian Federation, the employer is obliged to remove from work an employee who has not passed the mandatory medical checkup(examination), as well as a mandatory psychiatric examination in cases provided for by the Labor Code of the Russian Federation and other federal laws and other regulatory legal acts Russian Federation.

For the period of suspension of the employee from work, wages are not accrued to him, except for the case when he could not pass a psychiatric examination through no fault of his own, then this time is paid as downtime.

In addition, in accordance with clause 5 of part 1 of article 81 of the Labor Code of the Russian Federation labor contract may be terminated by the employer in the event of repeated non-performance by the employee without good reasons job duties, if he has disciplinary action. On the basis of Article 192 of the Labor Code of the Russian Federation for committing a disciplinary offense, that is, non-performance or improper performance by an employee through his fault of the labor duties assigned to him, the employer has the right to apply the following disciplinary sanctions:

- remark;

- reprimand;

- dismissal on the appropriate grounds.

Moreover, if within a year from the date of application of the disciplinary sanction, the employee was not subjected to a new disciplinary sanction, he is considered not to have a disciplinary sanction (Article 194 of the Labor Code of the Russian Federation).

Thus, if an employee refuses to undergo a mandatory psychiatric examination, the employer has the right to dismiss him on the basis of paragraph 5 of part 1 of Article 81 of the Labor Code of the Russian Federation, but only if he already has a disciplinary sanction in the form of a remark or reprimand applied less than a year ago.

According to Government Decree No. 695 “On the passage of a mandatory psychiatric examination by employees engaged in certain types of activities, including activities associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as with Decree of the Government of the Russian Federation dated 04.28.1993 No. 377 Employees engaged in certain types of activities must undergo a mandatory psychiatric examination (OPE).

OPO is the main part of any medical examination (preliminary, extraordinary, periodic). Most often, HIFs are required for workers who come into daily contact with substances harmful to health, or for those who are exposed to adverse production factors and operates in a high-risk environment.

Baltiysky Medical Center, for the convenience and improvement of the quality of service to its clients, received a license to carry out HIF for employees engaged in certain types of work. Our center has a full staff of specialists and all the necessary equipment for conducting OPO.

When might an OP be required?

Referring to Labor Code Russian Federation, an employer does not have the right to allow an employee to work who has not passed mandatory medical examination. Moreover, he is obliged to remove him from activities until the completion of the medical examination. The PPO procedure is aimed at identifying (eliminating) deviations in the mental health of an employee that may adversely affect his professional activities. Fatigue, excessive excitability, loss of control over one's behavior, inability to make the right decision in difficult situations, serious mental disorders - all these factors contribute to the emergence of risks to harm the health of others.

How is the OPO carried out?

HPF is carried out before a preliminary (when hiring) or before a periodic (every five years) medical examination at the expense of financial resources the employer himself and is carried out only by a highly qualified medical psychiatric commission. The Medical Commission consists of three or more highly qualified psychiatrists.

For PBO, the employee must present the appropriate referral issued directly by the employer. In the referral, the employer must indicate the field of activity in which a particular employee is engaged, and his working conditions, which are indicated in the List. In addition, the employee must present a passport or any other document that proves his identity.

PIF is carried out within 20 days after the employee applies to the psychiatric commission. If necessary, the commission of psychiatrists may request from various medical institutions Additional information about the health of a particular employee, while the employee is notified about this in advance. The decision will be made within ten days from the receipt of the requested information.

Conclusion on HPF

The conclusion of the GRO is based on a decision taken by the commission by voting. The conclusion of the GRO prescribes the suitability or unsuitability of a particular employee to perform their own duties in those types of activities that were indicated by the employer in the direction.

The conclusion is drawn up in writing and issued directly to the employee. He confirms the receipt with his own signature. During the same period, the commission notifies the employer of the decision made by the GRO, where it indicates the date the conclusion was made and issued to the employee.

Refusal to pass the OPO

In case of refusal of an employee to undergo an HIF, the employer removes him from work without saving wages. Refusal is made in documentary form. If the employee disagrees with the conclusion of the commission, he has the right to appeal against it in court.

MC "Baltiysky" has a license to conduct hazardous production facilities, staffed with the necessary specialists, as well as the latest equipment for the implementation of such services. The medical commission for conducting public health education is registered with the Local Administration municipality Admiralteisky district of the city of St. Petersburg.

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