90 Pushkin st./ 14 Aurora st., Ufa, Russia, 450008
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Order form providing medical services and payment procedure

Order of payment pay medical services GBU "UV NII GB an RB"

1. Payment for paid medical services carried out by citizens, insurance companies, enterprises and institutions in the framework contracts (in the presence of a letter of guarantee) cash non-cash and use of cash registers with the issuance of the consumer cash receipt.

2. For the provision of paid medical services GBU "UV NII GB an RB" opens a personal account for accounting for funds from different income-generating activities, which receives funds of enterprises, organizations, insurance companies, citizens, cash-for their paid services.

3. The documentation for the provision of paid medical services for consultancy and treatment services in the outpatient Department reception the Department of ambulatory surgery, Department of functional diagnostics, clinical laboratory, laser Department, the Department of physical therapy, as well as household and service superior to microsurgical the branches of SBI "scientific research Institute UV GB an RB":

specialist or head of Department must inform the patient information about the possibility and procedure for obtaining free medical services. The patient, who wishes to obtain a medical service, fills out informed consent, enters into a contract in two copies on a paid service pays for this service according to the approved price list at the cash offices and outpatient centres at 90 Pushkin street (building # 2), or at the offices of the Department of outpatient surgery and laser treatment St Aurora, 14 (hospital) with the use of cash registers with the issuance of the consumer cash receipt or when there is a letter of guarantee in cash by wire transfer in accordance with the concluded contracts.

– by providing paid medical service, by giving one copy of the agreement to the patient. The second copy of the contract with the signature of the patient on the service and whether claims after medical services delivered daily to the head of planning and forecasting extra-budgetary activities. After providing medical services once a week  employees of the office or branch where the service, transmit information about the medical service person's full name and the amount paid by the patient  the head of planning and forecasting extra-budgetary activities. After checking with the cashier the older nurse office for rent report of patients treated at Department of planning monthly 25th day of the signature of the Department head.

4. The documentation for the provision of paid medical services in the conditions of surgical branch of SBI "scientific research Institute UV GB an RB":

– the patient wishing to receive treatment in GBU "UV NII GB an RB" inspected by a specialist or by the Department head where the question on necessity of rendering of paid medical services. Specialist or head of Department must inform the patient information about the possibility and procedure for obtaining free medical services. With the consent of the patient to receive paid medical services specialist or head of Department fills in the direction in which specifies the date of admission, name of examination, operations, and diagnosis, informed consent, and agreement in two copies;

– payment for services rendered according to the approved price list at the cash offices and outpatient centres at 90 Pushkin street (building # 2), or at the offices of the Department of outpatient surgery and laser treatment St Aurora, 14 (hospital) with the use of cash registers with the issuance of the consumer cash the check or funds by wire transfer in the framework of contracts with a guarantee letter.

– all copies of contracts after receiving services, the consumer makes a mark on the absence/presence of claims to the contractor.

– one copy of the contract with the check remains in the patient.

The second copy of the contract with the signature of the patient on the service and whether claims after medical services delivered daily to the head of planning and forecasting extra-budgetary activities. After providing medical services once a week  employees of the office or branch where the service, transmit information about the medical service person's full name and the amount paid by the patient  the head of planning and forecasting extra-budgetary activities. After checking with the cashier the older nurse office for rent report of patients treated at Department of planning monthly 25th day of the signature of the Department head.