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How to open a private therapy office. The main stages of licensing

* Calculations use average data for Russia

500 000 ₽

Minimum starting capital

Up to 2 years

Payback

20%

Profitability

Many doctors who work in public institutions sooner or later think about the possibility of opening their own private office. Private medical practice is a relatively new phenomenon in our country. Although the opportunity to open their own offices has appeared not so long ago, more and more doctors are entering private practice.

What do you need to open a medical office?

If previously obtaining various permits was associated with various problems(mostly of a bureaucratic nature), now the procedure for their registration has been significantly simplified. However, to open a private medical office, considerable investments are required, and not all doctors who want to work for themselves are ready for this.

This type of business has another, very significant drawback: with relatively large investments, the payback period for a private office is at least two years. Not all doctors have the opportunity to wait that long. However, the increase in the number of private offices suggests that such a medical practice can still be a profitable venture, especially in the long term. Sooner or later, any specialist working in a foreign company reaches the "ceiling". In the case of your own business, the options for development are practically unlimited.

So, let's consider in more detail the procedure for opening a private medical office. First of all, you need to choose a suitable room for its location. Well, if such a room will be in your property. Someone even uses their house or apartment (or a separate part of it) for an office. However, in order to open an office in an apartment, it must be transferred to a non-residential fund. It goes without saying that this apartment should be located on the ground floor of an apartment building. To transfer it to a non-residential fund, you will need to obtain the consent of all the residents of your house. In principle, the process of collecting signatures is not difficult. But, firstly, it takes too much time (you will have to go around the apartments more than once to find all the owners of the house), and, secondly, it is likely that some tenants simply will not agree to put their signatures (especially those whose apartments adjacent to yours).

Another option is to rent a separate office (preferably appropriate for your specialty) in medical institution- more convenient, and in some cases much more profitable. In this case, you will have much less problems with various regulatory bodies. In addition, you will have to spend less on advertising, because your potential customers will come to you themselves. Especially this option is convenient for dental offices. But experts advise pediatricians to look for a separate room. Many parents come to the children's polyclinic solely to obtain the necessary certificates and do not want to visit it again because of fears that the child may become infected there from other children.

To rent an office in a medical institution, it is necessary to conclude a lease agreement with the DIZO of the city administration. This will take about four to five weeks. When drawing up documents, it is recommended to indicate the exact schedule of your work: days and times, otherwise you will pay rent for 24 hours a day, and this may result in a round sum.

How to register a medical office

To run your own private practice, you need to register as an individual entrepreneur. This can be done independently or you can turn to the services of numerous intermediary firms. as code economic activity(OKVED) you will need to choose "medical practice" (85.1). It will take no more than a week to complete the documents. As a result, the regional Federal Tax Service will issue you a certificate of registration. Choose the tax regime that suits you in advance.

The fact is that if you do not apply for the choice of tax regime, then by default you will work according to general regime, which is completely disadvantageous. You can go broke on taxes and paying for an accountant. For medical practice, a simplified taxation system is suitable, which is a special type of tax regime for small businesses with a simpler system of maintenance. accounting. Article 346.20 of the Tax Code of the Russian Federation establishes the following tax rates for a single tax:
6% if income is taxed;

15% if the object of taxation is income minus expenses. From January 1, 2009, differentiated tax rates ranging from 5 to 15% depending on the categories of taxpayers may be established in individual constituent entities of the Russian Federation.

The second option is less convenient, since in this case it is necessary to keep a complex record of all expenses. Unfortunately, not all expenses can be documented - with the help of checks and receipts. Please note: an application for the simplified tax system must be submitted simultaneously with the registration of an individual entrepreneur. After receiving the certificate, you will also need to register with the Pension Fund as an entrepreneur and register with the Regional Statistics Committee.

What permits are needed to open a medical office

You will need a special license to practice medicine. You can deal with its design as soon as you have a lease agreement in your hands. exact list required documents to obtain a license, contact the licensing department of the regional Ministry of Health.

It may include the following documents:

an application for a prescribed form of license,

copies of certified and bound constituent documents with the seals of the license applicant (for a legal entity),

a copy of the certificate of registration of legal entities ah in the Unified Register of State Legal Entities,

a copy of the certificate of state registration of the license applicant as individual entrepreneur,

a copy of the certificate of registration of the license applicant for tax registration with the tax authorities,

a copy of the conclusion of Sanepidnadzor on the compliance of the work performed and the services provided with sanitary rules,

copies of all documents that confirm the qualifications of an individual entrepreneur or employees of a legal entity,

receipts for the payment of license fees for consideration by the licensing authorities of an application for a license,

power of attorney for the right to represent the interests of the license applicant (with the participation of intermediaries).

In addition, you will need to submit documents for the premises (document of ownership or lease agreement), documents that confirm the existence of organizational and technical conditions, as well as logistical equipment (equipment, tools, vehicles, etc.), documents confirming the availability and maintenance of fire protection equipment (fire extinguishing and fire alarm) in working order, documents confirming the presence in your staff of employees with at least five years of experience (for legal entities), documents confirming the presence of an average or higher medical education and at least two years of work experience in the licensed activity (for individual entrepreneurs), documents that confirm the fact of advanced training at least once every five years for employees of legal entities and individual entrepreneurs operating in the field of medicine.

Ready-made ideas for your business

The exact list of required documents depends on many factors, including the availability of special equipment, the specifics of your activity, etc.

In practice, the most difficult thing from this list is to get the conclusion of Sanepidnadzor. Getting this conclusion on your own takes a lot of time and effort. Therefore, experts advise to turn to the services of intermediary firms. In this case, the conclusion will cost more, but the difference in price is compensated by the saved time and nerves. The services of intermediary firms will cost from 7 thousand rubles (checking all documents submitted for obtaining a license) and from 35 thousand rubles for issuing the license itself. The license will have to be obtained every five years.

In addition to the license itself, the execution of which takes the most time, you will need to purchase and register with the tax “Income and Expenditure Accounting Book”, “Strict Accounting Forms Accounting Book”, the strict reporting forms themselves, the “Campular Audit Book”, keep various journals, including a fire safety magazine, etc.

When you start working, you will have to regularly make mandatory contributions to Pension Fund RF and to the Medical Insurance Fund (the amount of payments depends on the size of the minimum wage). Keep in mind that if you plan to hire employees, then you will also have to pay contributions to the Pension Fund, Health Insurance Fund, Social Insurance Fund

How to choose a place for a medical office

So, the main issues that you will have to solve when opening your own medical office are choosing its location, obtaining the necessary documents and licenses, and promoting your services. When choosing a place, experts advise to carefully analyze the situation with competitors.

Moreover, since people usually approach the choice of a doctor very responsibly, when analyzing the level of competition, it is not necessary to take into account only the area where you plan to open an office. Of course, you should not open the third dental office on the same street, but good specialist, trustworthy, customers are ready to travel to the other end of the city. On the other hand, experienced entrepreneurs recommend renting office space in a residential area with new buildings and cottages. The more expensive and “luxurious” housing in the area, the better.

You can study competitors not only “live”, but also according to reviews of certain doctors on the Internet in local forums. By the way, you can also offer your services and advertise there. It is highly desirable to monitor reviews about your work on the Internet, because the number of your customers directly depends on this. Don't forget about traditional methods promotion - distribution of leaflets, placement of advertisements in print media, placement of outdoor advertising.

Ready-made ideas for your business

If you are renting space outside of a municipal health facility and are self-employed without hired employees, then consider whether it is worth spending money on making a large sign. Most likely, you will not sit in the office all the time, and your potential customers, attracted by the sign, may not find you in place, which will not make the best impression. You can limit yourself to a sign on the door with a reception schedule and a phone number for an appointment.

Among other things, you will also have to deal with accounting and management, reception of visitors and promotion. It will not be easy to deal with all this alone. It is desirable that you have at least one assistant from the very beginning, albeit without a medical education, but with good organizational and entrepreneurial skills, who will deal with administrative problems.

The opening of a private medical office will require from 500 thousand rubles. Exact amount depends on your specialty, the need to purchase (and cost) of special equipment, the number of employees and other factors. The payback period of such a business is from two years.

180 people are studying this business today.

For 30 days this business was interested in 83208 times.

Profitability calculator for this business

rent + salaries + public utilities and so on. rub.

To open private dentistry will require from 3 million rubles. Monthly expenses - 370 thousand rubles. successful dental clinic pays off in 3 years.

The total cost of the equipment is 7 million 570 thousand rubles ≈ 7 million 600 thousand. The main source of income is, of course, treatment and its support, and, of course, IVF itself.

The average amount required to open your own office or class is from 150 thousand rubles, excluding organizational costs. This amount can be an order of magnitude more if you ...

Private medical offices in the domestic market medical services appeared relatively recently. A few years ago, it was almost impossible to open your own office due to the huge paperwork that accompanied the main activity. To date, all work on the preparation necessary documentation can be assigned to organizations specializing in providing legal assistance. The last barriers to opening your own medical office are large financial investments, as well as a relatively long payback period.

Which direction to choose

Medical office is more conventional concept, which, as a rule, refers to a separate room that is part of the structure of a medical institution. In such offices it can be quite wide range services ranging from diagnosis to, for example, treatment or rehabilitation of injured people. Typically, medical offices by type of assistance are divided into:

medical offices where direct assistance is provided
auxiliary rooms where the patient undergoes various examinations.

Among all areas of paid medicine, the most profitable at present are:

gynecology;
dentistry;
plastic surgery;
medical cosmetology;
urology;
ophthalmology.

Medical office space

As a rule, rented space in a medical institution is used as a room for a medical office. In this case, there are no problems with sanitary and epidemiological supervision. Medical offices organized in residential buildings are much less common. In some cases, such a choice is really justified, for example, if the location of the apartment is convenient, and the main target audience of the medical office is the residents of the house.

Staff

To organize the work of a medical office, you need:

2 nurses;
2 doctors;
accountant;
administrator;

As a rule, one doctor should work with one nurse, but at present it is quite difficult to find nurses, so it is often practiced to work with one nurse with two doctors. Of course, in this case, failures in the work of the office are possible.

It is worth noting that the responsibility for accounting and timely reporting can be assigned to companies specializing in such.

A rather subtle point is the salary of a doctor. IN Lately most widespread received a practice according to which the salary of a doctor consists of two parts:

minimum wage in the region;
10-30 percent of the cost of services rendered.

Equipment

The most expensive part of organizing a medical office is the purchase necessary equipment. It should be noted that the spread of prices in Russia is extremely large and depends, in fact, only on financial capabilities. To purchase the necessary equipment, it is best to contact a specialist. As a rule, the cost of the services of such a manager is up to 15% of the equipment price, which is offset by a discount provided by the equipment seller. average cost equipment for one type of activity ranges from 15-25 thousand dollars.

Required investment and profitability

The required investment for opening a highly specialized medical office ranges from $25,000 to $60,000. It is worth noting that to open a multidisciplinary office, you will have to spend at least 100 thousand dollars.

The profitability of the office, ultimately, depends on its attendance. Exact numbers it is difficult to name, since the number of clients strongly depends on the professionalism of the doctor and the chosen location. According to statistics, a small medical office with an average workload really pays for itself in 1-2 years.

The creation of a narrow-profile medical services office will require relatively small funds. For optimal equipment, 500-600 thousand rubles will be enough. And the specialization of a dermatovenereologist will provide a clientele of different ages. This is the diagnosis and removal of skin neoplasms, as well as medical care for specific (venereal) diseases. The main tasks that will have to be solved when organizing an office are optimal choice its location, obtaining a license, equipping and promoting services. The payback of business activity occurs in the second year of the medical office.

Where is the best place to locate a dermatology center
Promotion and advertising of a private office of a dermatologist-venereologist

Step-by-step plan - how to start a business and how to open your own dermatologist's office from scratch

First you need to decide which form of doing business will be the most optimal: as or as a limited liability company. We choose taking into account the fact that an individual entrepreneur is obliged to carry out activities in the field of medical services personally, since a license is issued for individual. And in the case of an LLC, it is possible to hire a staff of employees. Accordingly, in order to register an individual entrepreneur, you will need: a civil passport, an application for state registration, a receipt for paying the fee, a scanned copy of the TIN certificate.

To register with the tax authorities, an LLC will require: an application, two copies of the charter and a decision on the foundation of the company, if the founder is in a single person. As well as the minutes of the fees of shareholders and the agreement on the establishment (if there are several founders) and a document on payment of the state duty. OKVED for registration - code 86, responsible for activities in the field of healthcare. Having decided on the form of management, we choose the most favorable taxation.

Information Both for an individual entrepreneur and for society, the simplified taxation system (6% of income) is optimal and convenient. At the same time, the LLC must have a bank account, for individual entrepreneurs this is optional. Settlements with patients can be made using KKM (cash desk) or receipts. Cash machine will cost about 3-3.5 thousand rubles. and a contract for its maintenance - up to 200 rubles. per month.

And receipts are purchased at a price of about 100 rubles. for 50 pcs. and are registered in the "Journal of Accounting Forms of Strict Accountability". In addition, you will need the books “Accounting for income / expenses”, “Desk audits”, and other registration journals. In total, the cost of state registration can range from 5 to 12 thousand rubles (depending on the form of economic activity).

What documents are needed to open a dermatologist's office - registration and registration

To conduct a private medical practice, you will need an appropriate license. Obtaining one should be dealt with when there is already confirmation of the lease or ownership of the premises where medical care will take place. The exact list of documentation for licensing can be clarified in the department of the regional department of the Ministry of Health. But, as a rule, the list of documents includes:

an application for a license;
constituent package of documents, if the applicant is an LLC (notarized copies);
certificate of entry into the Unified Register of state legal entities;
certificate of state registration (if as a private entrepreneur);
confirmation of being registered with the tax office;
title documents for ownership or lease of premises;
conclusions of Rospotrebnadzor on the state of health;
fire supervision permits;
diplomas, certificates, etc., which confirm the qualifications of individual entrepreneurs or LLC employees;
receipts for payment of license fees.

In addition, it will be necessary to confirm the availability of sufficient organizational and technical equipment of the office, as well as provide certificates of work experience of at least two years in the licensed field of activity (for individual entrepreneurs). You will need documents confirming the increase qualification levels in this area of medicine. Moreover, at least once every five years, both for employees of an LLC and for a private entrepreneur. The cost of licensing can reach 25 thousand rubles or more, depending on the form of doing business and other factors.

Mandatory are also contracts with utilities for garbage collection, with a disinfection station for disinfection, deratization and pest control. Obtaining the conclusion of Rospotrebnadzor will cost about 5-6 thousand rubles. It includes the cost of contracts with municipal and sanitary services, as well as mandatory sanitary examinations of water, air, etc.).

Where is the best place to locate a dermatology center

You need to choose whether the office will work in an existing clinic or be located separately. IN last version you will have to solve the problem of where visitors leave outerwear, is waiting for an appointment, and so on. Placement in an existing medical institution facilitates the advertising of dermatovenerologist services and largely removes the problem of checks various bodies(fire and sanitary supervision). But on the other hand, for example, mothers of children with great pleasure will take their children to see a dermatologist outside the clinic (since there is less contact and the risk of infection from a mass of other patients). And clients with specific diseases will naturally prefer anonymity, so they are more likely to come to a separate office outside a large medical institution.

From the point of view of competition, experienced businessmen advise placing medical services in the sleeping or cottage areas of new buildings. If you are considering your own apartment as a future medical office, then you should consider that it needs to be re-registered in non-residential premises. And also the living space should be located on the 1st floor (if it is an apartment building). And in this case, you will need to obtain the consent of the tenants of the high-rise building in writing. The document regulating the choice of premises is SanPiN 2.1.3.1375-03 “Hygiene. requirements for the location, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals» dated 06.06.03

In accordance with the approved sanitary standards the area of the dermatovenereologist's office should be at least 18 sq.m, two more squares are allocated for a cabin (screen) for undressing, and the same square (18 + 2) is occupied by a treatment room with a drain. If the plans include luminescent diagnostics, then a booth of 4 sq.m. should be provided for this. The price for renting non-residential areas starts from 500 rubles per square meter.

How much can you earn by opening a dermatologist's office

By providing services of a dermatologist, you can get stable income from 500 thousand rubles. Need to highlight resort towns, in them, net income can exceed 2 million rubles per month.

How much money does it take to open a dermatologist's office

Equipment standards medical institutions, regardless of the form of ownership, oblige the office of a dermatovenereologist to provide the following equipment:

couch price from 4 thousand rubles;
dermatoscope - from 14 thousand rubles;
magnifying glass (with backlight) - from 6,500 rubles;
bactericidal irradiator-recirculator - from: 3 thousand rubles;
sphygmomanometer (tonometer) - from 3,600 rubles.

And also in the process you will need:

portable cryo-apparatus - from 107,347 rubles;
sterilizer - from 15 thousand rubles;
stethoscope - from 1,800 rubles;
a table and a chair for a doctor's office - from 4 thousand rubles;
surgical instruments - from 100 rubles;
cryodestructor - from 89,000 rubles;
Wood's lamp - from 2,500 rubles;
other consumables.

Taking into account the specifics and further expansion of the range of medical services, you may need devices to remove non-malignant neoplasms on the skin, such as a radio wave knife or a laser machine. Price radio wave apparatus for electrocoagulation is 60-70 thousand rubles or more, depending on the modification. Price laser equipment reaches several hundred thousand rubles. But scarring after the laser procedure, which is possible with cryodestruction, is practically absent.

In the future, with an increase in the list of diagnostic and medical procedures in the field of dermatovenereology will be required:

Gynecological chair - from 17 thousand rubles;
Colposcope - from 94 thousand rubles;
Vaginoscope - from 117 thousand rubles;
lamp for gynecological examination− from 27 thousand rubles;
Ureteroscope - from 54 thousand rubles;
Video dermatoscope - from 116,500 rubles;
Equipment for assessing skin morphofunctional parameters - from 60 thousand rubles;
Equipment for determining functional state hairline- from 100 thousand rubles.

Promotion and advertising of a private office of a dermatologist-venereologist

The advertising campaign on the eve of the opening and in the process of providing medical services is traditional. These are all kinds of printed advertising in the media and the Internet, banners and signs, booklets and leaflets. Mandatory monitoring of feedback on the work of the office. Good informative website online entries at the reception will greatly facilitate the organization of the flow potential clients. It will also attract them with the convenience of registering without wasting time.

Advice Do not neglect social networks and various specialized forums where you can briefly outline the list of services, office hours and contact details. Important factor− service quality. Satisfied with the medical care provided, the client will bring his friends, relatives and colleagues to you.

At first, it is possible for us to cope with the flow of clientele on our own. But in the future, in order to avoid unpleasant overlays and inconvenience for patients, it is better to have an assistant. Let it be a person without a medical education, but with good organizational skills and the ability to manage documents.

It can take at least one year to collect all the documents and permits, so be prepared for some serious work. After preparing the papers and submitting the application, it is necessary to wait for a decision within a few months. At the same time, please note that a license is also required for the issuance of hospital cards. The total cost of registration is from 50,000 rubles. Medical center equipment. What to buy? One of the main items of expenditure is the purchase of the necessary equipment. This is the case when saving will only be to the detriment. When choosing, focus on product quality, warranty and service availability. Do not take everything in a row - buy only the equipment that you need to work in the direction.

How to open a private medical office from scratch

If you go to the state branch of this department, then, firstly, it will be long, and secondly, everything will be very strict and complicated. Therefore, it is more expedient to contact a commercial firm of this profile. Pay a little more, but they will do everything faster and much easier ... At the last licensing (and this must be done every five years), the services of such a company cost me about 11-12 thousand rubles.
rubles (but this is an acquaintance). In general, licensing is now becoming a chore. The order is this:

They collected the documents, paid the fee (300-400 rubles), passed it.
They check and offer to wait for the visit of an expert to your office. We need to bring an expert by car (and then deliver it to the Ministry of Health).
The expert will make his opinion, most likely, will say what additional documents need to be collected.

How to open a private medical office

Find a place to rent I know two doctors who used their apartment (or part of it) for their office, transferring it to a non-residential fund. But now the rules for transferring an apartment to a non-residential fund have become more complicated: the consent of all (!) Residents of an apartment building is required. It is much easier to rent an office in a medical institution.

Important

Moreover, best option– office according to your specialty profile; there will be less hassle with sanitary and epidemiological supervision. That's exactly what I did. In this case, it is necessary to deal with the conclusion of a lease agreement with the DIZO of the city administration; it will take about a month. When preparing documents, it is important to note in the schedule that you will work certain time in Week.

Otherwise, the rental rate will be calculated for round-the-clock use (go broke). 2. Become an entrepreneur. This is easy to do on your own, within five days you will be issued a Certificate at the regional Federal Tax Service.

Own business: how to open a medical office

Costs and Profits Starting investments in documentation, premises and equipment start at $13,000 and can reach $20,000-25,000. Monthly expenses (rent, salary, disinfection and disinfestation) - about $ 5,000. Such a business will not pay off immediately. It may take a year or two to develop a client base and reputation.

But even with an average attendance of 10-15 people per day, you can count on 3-5 thousand dollars of net profit per month. And the net income of a successful medical office can reach 10 thousand dollars a month. In order to start such a business from scratch, you will need considerable endurance and patience.
But it is not for nothing that the field of medicine is considered so profitable. After a few years, you can start expanding your business and earn decent amounts by helping people.

Attention

As a rule, the medical center should have the following equipment - analytical instruments, weighing equipment, devices for measuring physical parameters, special furniture for patient treatment, laboratory furniture and cabinets. If your center has a laboratory, then you cannot do without magnetic hangers, a centrifuge, a microscope, a water bath, drying cabinets, thermostats, hot plates, shakers, stirrers, muffle furnaces and other specialized equipment. The total cost of purchasing equipment can result in an amount of 3-4 million limit.

The upper cost limit is unlimited. Remember that people are willing to pay for qualified service on high-precision equipment. Therefore, your costs will definitely pay off.

How to open a medical office from scratch, where to start

It is important to choose the code of economic activity (OKVED) - “ medical practice» (85.1). 3. The choice of taxation regime (important!) But it is equally important to immediately decide on the taxation regime. It is impossible for an ordinary doctor to work according to the general regime (which is determined by default): you will have to pay a bunch of taxes and keep complex accounting.
For medical activities, a simplified taxation system (STS) is allowed. It is divided into two modes:

"income minus expenses" - a rate of 15% (now, depending on the region, the rate ranges from 5% to 15%) and
"income" - a rate of 6%.

The first option involves a complex accounting of all expenses. All checks and receipts must be kept and accounted for. This is almost impossible, since, in practice, not all expenses can be documented.
Usually doctors choose "income".

Opening of a medical office. what documents are needed?

Are you real or not); it is more convenient to pay quarterly installments

The “single tax in connection with the application of the simplified tax system” must also be paid quarterly, and a declaration on the simplified tax system must be submitted once a year. You calculate the tax and fill in the Declaration yourself, or you hire an accountant; It's not hard to learn on your own.
You will also pay rent at DIZO. True, now this moment is simplified: you can pay at the clinic and renew the contract (annually) too.

And immediately increases both responsibility and the number of cases that you have to deal with.

How to open a private medical office?

Imagine only indicative prices. Surely, you want your services to be in demand among the population, and for this you should provide people quality care, which in turn requires the use medical equipment serious manufacturers working according to Western standards. Modern equipment is very expensive. An ultrasound machine will cost you at least 5 million rubles, diagnostic devices cost in the range from 300 thousand to two million rubles, prices for dental units range from 450 thousand to 2.5 million rubles. Obtaining a sanitary and epidemiological conclusion To obtain such a conclusion, Rospotrebnadzor will need to provide documents confirming the ownership of the premises in which the doctor's office is located, or a lease agreement, as well as tax certificates and medical books.

How to open a private medical office

You can apply for a license yourself or use the services of a company that will help in obtaining it. Before obtaining a license, an expert visits the premises of the office to inspect and issue the requirements for additional documents that need to be collected. Further, the issue is submitted to the commission of the Ministry of Health. In case of a positive decision, a fee of 1000 rubles is paid, a license is obtained and the office can start working. 4. Reporting and registration documents. Equipment

Expenditure journal registered with the tax office
Forms of strict reporting and a journal of their accounting
Book of cameral checks
Fire Safety Journal
Depending on the profile of the medical office, the appropriate basic and auxiliary equipment is purchased

Opening a medical center from scratch

These should include the salaries of personnel (if any), the cost of repair and maintenance of equipment, the cost of purchasing Supplies (medical supplies, drugs), payment for security services, communications, advertising costs, utility bills, and so on. We hope that from the article you have learned all the necessary information on how to open a private medical office. Good luck in your endeavors!

30.03.2014

The medical office is such a separate institution, which is the provision of a full range of services, both treatment and prevention of various diseases. To obtain a license to provide medical care, as well as to open the corresponding office, it is necessary to collect all the documents that will confirm the professional capabilities of its employees in the framework of a particular type of treatment.

What does medical practice require?

The medical office at the school is also subject to licensing.

Medical activity requires documentary assurance, as well as compliance with all norms of the premises in which it will be carried out. This includes documentation such as certificates, permissions to use medical technologies, passports, papers for equipment, tools and transport. In this article, we will take a closer look at how licensing works. medical offices?

Legal requirements for medical offices

Legal norms include the following space requirements for the creation and equipment of medical examination rooms:

the workplace of a gynecologist should have a total area equal to eighteen square meters (special medical furniture is required);
the area of the same office without an examination chair can be six meters less;
a gynecologist's office with a procedural area and with a size of 24 square meters. m;
the therapist's workplace should also be twelve square meters;
office of a psychotherapist with a size of 18 sq. m;
the area of the medical territory of the psychologist and psychotherapist - 12 sq. m;
a surgical room with a small operating room require 34 sq. m;
office for holding ultrasound research must have at its disposal fourteen square meters; Licensing of medical offices has recently become more and more popular.

Basic provisions for licensing medical space

Licensing of a medical office is regulated by the following legislative acts:

Decree of the Government of the country No. 291 dated April 16, 2012, which is called "On licensing medical medical activities."
Federal Law No. 99, issued on May 4, 2011 under the title "On the Procedure for Licensing Certain Types of Activities".
Decree of the Chief State Medical Doctor No. 58, adopted on May 18, 2010 "On approval of sanitary and epidemiological requirements for institutions conducting medical activities."
Order of the Ministry of Health Russian Federation No. 121 dated April 11, 2013

The main stages of licensing

The process of registering a medical office, as a rule, consists of the following successive stages. The first step is to conduct an examination of the object that requires licensing in order to determine its compliance with existing legal and regulatory requirements. Medical furniture is also evaluated. From this person require the mandatory availability of such documents as the plan of the bureau of technical inventory, that is, the BTI of the premises for the creation of a medical office, a certificate of confirmation of ownership of this place and a lease agreement along with an act of acceptance and transfer of the area to the person who needs registration. The latter is possible in situations where real estate objects are leased by licensees. What else does the licensing of medical offices involve?

Conclusion of an agreement

Official conclusion of an agreement with an assistant company for conducting comprehensive measures on work and determining the timing of their implementation, as well as clarifying the cost of the services provided.

Room preparation

Preparation of the necessary premises, as well as bringing it into proper condition in accordance with all licensing requirements. Office equipment also needs to be purchased.

Registration of a sanitary and epidemiological conclusion

Registration of a sanitary and epidemiological conclusion for carrying out medical activities. As part of this stage, the licensee will be required to provide a certified copy of the company's charter, confirmation of registration with the tax authority in the form of a copy of the TIN, an extract from the Unified State Register of Legal Entities, with a date not older than ten days. In addition to the listed documents, you will also need a copy of the certificate of ownership of this premises, a lease agreement with an act of acceptance and transfer of the cabinet for the person who draws up. This contract must be concluded for at least eleven months. You will also need a certificate of registration of the institution (OGRN).

Registration of a medical license to open a medical office

The requirements are pretty high. This stage is quite extensive and requires the provision of broad list documents, including:

the charter of the enterprise plus amendments to it, if any;
certificate of registration with the tax service, that is, TIN;
an extract from the Unified State Register of Legal Entities, the term of which should not be older than ten days from the date of its receipt;
availability of a certificate of direct ownership of the premises;
a lease agreement and an act on the acceptance and transfer of premises in cases where the property is leased.
certificate of registration of the organization;

Among other things, an on-site examination of the object of licensing, as well as the submitted list of required documents, should be carried out. Field examination, as a rule, is carried out by Rospotrebnadzor or the Department of Health of the Russian Federation. The final document itself is issued to the licensee with the presentation of a passport, seal and power of attorney. In cases where the director personally receives the paper, it is necessary to provide an order for his appointment to this position.

We have considered the licensing of medical offices. This process is not difficult, but requires some preparation.