How to write a complaint against a clinic doctor: sample and instructions for writing

STATEMENT

I, Ivanova Maria Ivanovna, am a mother and in accordance with Art. 64 of the Family Code of the Russian Federation as the legal representative of the minor Ivanov Ivan Ivanovich, born in 19__, subject in accordance with paragraph 1 of Art. 9 Federal Law “On Military Duty and Military Service” for initial military registration.

I inform you that I take upon myself, as the legal representative of my son, responsibility for his registration with the military. As part of his military registration, medical examinations of his son are carried out. Upon completion of the examination, medical documents will be submitted to the commission for registering citizens with military records.

In accordance with Art. 63 of the Family Code of the Russian Federation, together with Ivanov’s father I.I., I have a priority right to raise my son over all other persons.

I remind you that clause 2 of Art. 32 of the Law of the Russian Federation of June 10, 1992 No. 3266-1 “On Education,” which defines the competence of an educational institution, does not include the registration of citizens for military registration within the competence of the educational institution.

In connection with the above

I DEMAND:

1. Do not take my son, Ivan Ivanovich Ivanov, to the military commissariat and other administrative bodies that are entrusted with the responsibility of registering citizens for military service;
2. Neither independently nor jointly with other bodies and persons deal with issues related to the registration of my son for military registration;
3. Immediately inform me about all requirements of state authorities, local governments, their officials and government representatives related to the registration of my son for military service.

Complaint against a doctor

If there is a complaint regarding medical care, a specific medical professional will file a complaint against the doctor. The website also contains examples and recommendations for filing a complaint against a clinic and a hospital. As a rule, they draw attention to the general procedure for organizing the provision of medical services to the population and the work of personnel. To some extent, such documents also include claims about the inaction of the chief physician of a medical institution. A complaint against a doctor is sent when action is required against the primary doctor - a specific medical professional.

Before filing a complaint against a doctor, it makes sense to verbally contact his supervisor and voice your complaints. Remember that in accordance with Art. 19 of the Law On the Fundamentals of Protecting the Health of Citizens in the Russian Federation, the patient has the right, among other things, to choose a doctor and a medical organization. Failure to take action on an oral statement should result in a complaint against the doctor. This tool will allow you to defend not only your rights, but also, possibly, protect other patients from incompetent medical workers.

Complaint against a doctor

Compilation rules

How to write a complaint against a clinic doctor? There is a sample in every medical institution. The document usually describes the situation that has arisen and the reasons for the conflict. You should also use a generally accepted template. How to write a complaint against a clinic doctor? You must adhere to the following rules:

1. The application is drawn up on a blank A4 sheet.
2. Everything must be written in legible handwriting.
3. It is necessary to briefly and clearly describe the essence of the problem.
4. Please contact us in a business-like and respectful manner.
5. The use of profanity is excluded.
6. The problem must be described in detail, without emotion.
7. Be sure to indicate the date of the doctor’s visit, complaints, his advice, reasons for the conflict and other information that relates to the merits of the case.

Patients often find themselves in the hands of a good specialist who not only knows his business, but also will not refuse help. And if this happens, when, unfortunately, there is no luck with the doctor, certain measures should be taken. In this article we will talk about patient rights, as well as where and how to complain about doctors.

If complaints are received against a person regularly, if the violations have serious consequences, you need to write a complaint against the doctor, on the basis of which criminal punishment may occur.

The presence of these diseases is confirmed by the attached documents, which I request to attach to his personal file.

Example of a complaint against a doctor

To the Health Administration of the Primorsky Territory 690020, Vladivostok, per. Bryansky, 18 To the chief doctor of KGBU No. 195 from Liliya Vladimirovna Rusanova, address: 690186, Vladivostok, st. Kaliningradskaya, 43-19 tel. 7198256546465

The reason for my appeal was the negligent attitude towards his duties by the general practitioner of the Regional State Budgetary Institution No. 195 Arkady Aleksandrovich Polishchuk, namely the failure to take measures to make a correct diagnosis. As a result of this attitude, my health was damaged.

In the period from September 11, 2016 to September 21, 2016, I was in KGBI No. 195 due to poor health. She was admitted with complaints of poor appetite, dizziness and low blood pressure. attached), ultrasound examinations and a number of other procedures. I saw the doctor only 2 times over a 10-day period, and did not receive any comments about the diagnosis or progress of treatment. In the discharge from the hospital I found out that I was diagnosed with type 2 diabetes mellitus, despite the fact that according to a blood test, sugar was low - 5.8.

On September 21, 2016, I was discharged from the hospital, despite the fact that my health condition remained unsatisfactory. And on October 5, 2016, I was again admitted to hospital No. 195 with deteriorating health. This time I was also prescribed a blood test for markers, and, unfortunately, a tumor was detected. I am currently undergoing examinations at an oncology clinic.

I believe that the medical activity of A.A. Polishchuk does not meet the high requirements of a medical worker, and also violates the patient’s rights guaranteed by the Federal Law on the Fundamentals of Protecting the Health of Citizens. As a result of an incorrect diagnosis, the disease was not detected in time, a course of treatment was not started, and the patient’s health deteriorated, when the adoption of quick response measures may have minimized the consequences of the disease.

I ask you to check the facts stated in this complaint and involve A.A. Polishchuk. to liability for violations in professional activities. Inform the applicant about the measures taken.

Application:

1. Copy of extract dated September 21, 2016
2. Copy of the doctor’s report dated 10/06/2016.

09/21/2016, Rusanova L.V.

Complaint against a doctor, features of drafting

The basis for filing a complaint against a doctor is an incorrect diagnosis, incorrect treatment, refusal to provide medical care or untimely provision of it, deterioration of health, rudeness and inattention. The basis for filing a complaint against the doctor and the prosecutor’s office is also damage to health, negligence, or concealment of circumstances affecting the health or life of the patient. It is advisable to confirm the document with evidence: extracts from the medical history, a copy of the outpatient card, the conclusion of another doctor, etc. And if you intend to file a claim for compensation for damage to health, you must file a statement to initiate a criminal case and request the appointment of a forensic medical examination.

If the reason for filing a complaint against a doctor at a commercial hospital is the intention to recover previously paid funds, then it is better to prepare not a complaint against the doctor, but a pre-trial claim (a copy of which must be attached when filing a statement of claim). And then file a claim for consumer protection. In such cases, a complaint against a doctor will only attract the attention of managers to check his activities.

Doctor's liability for unlawful actions and errors

First you need to find out whose fault the incorrect diagnosis was made. If the examination proves that a false diagnosis was made due to a medical error, he will face one of the following punishment options:

• detention and arrest for up to four years;
• a year of forced labor and up to three years of deprivation of a medical license;
• arrest for up to one year, and after release the doctor does not have the right to practice medicine for three years.

According to the order of the Ministry of Health, responsibility for the registration and issuance of sick leave, as well as for violations committed, lies with the medical worker in accordance with the law.

The rules for registration and issuance of LVN were approved by the Ministry of Health by order 624n of 2011, as amended in 2017, which are still in effect today. Providing sick leave is possible if you have a passport, insurance policy, or official employment.

Citizens who have encountered rudeness by a health worker or unlawful actions towards patients are interested not only in the mechanism for resolving the conflict, but also in the responsibility of the unscrupulous doctor. In the field of medical care, punishments are divided based on the reasons for the act committed by the perpetrator:

• disciplinary liability;
• administrative responsibility;
• civil law;
• criminal

Based on the type of liability, the law has approved different forms of liability. In case of a criminal act, the doctor may be imprisoned for 1-4 years and assigned forced labor. There is also a risk of deprivation of the right to engage in professional activities for up to 3 years.

If the diagnosis is incorrectly determined, compensation for harm can be recovered based on Art. 1064 of the Civil Code of the Russian Federation. It must be paid by the medical institution where the offense occurred. Thus, filing a complaint against a doctor is the right of patients if they believe that their interests have been violated.

Procedure for filing a complaint against a doctor

The addressee of the complaint must be selected on a hierarchical basis. First of all, this is the chief physician of the medical institution where the doctor operates. These may also be health care committees (departments) of a municipality or region. A complaint against a doctor to Rosminzdrav should be addressed only if previous complaints to lower authorities were unsuccessful. Otherwise, the document will still “go down” to the local level.

You can file a complaint against the doctor simultaneously with all of the above authorities. Then attention to the problem will certainly be drawn, and the response to the complaint against the doctor will be under the control of management. You can send the document by mail, or leave it at the reception of a medical institution or health committee (put a receipt stamp on the second copy). You can also file a complaint against a doctor electronically via the Internet.

>Application addressed to the head physician

Application addressed to the head physician

CA IN PSYCHIATRY

Everything is very simple. Personally, in my practice there has never been a single case where a patient was immediately released from a psychiatric hospital based on such a statement. And so that someone can immediately protect the interests of such citizens, the question of issuing a power of attorney for their representation is raised.

Quite often it is necessary to write statements to the chief physician to representatives of a citizen hospitalized in a psychiatric hospital. Even if the power of attorney is not properly executed by the hospital staff, but if the citizen has already told the head of the department or the psychiatrist who he has chosen as his representative, then the person he has chosen is already his representative.

Administrative claim for hospitalization of a citizen

05/17/2019 Vasnetsov Ilya Ilyich, born 06/17/1967, living at the address. Volchikha, st. Kaplusheva, 724, was taken by an ambulance crew called by the relatives of the said person to the Volchikhinsky Psychoneurological Dispensary without his consent until the judge’s decision.

We recommend reading: Transfer of premises from non-residential to residential

The administrative defendant suffers from a psychiatric illness: “schizophrenia of the catatonic type,” the mental disorder is severe and causes him to be an immediate danger to himself or others, his helplessness, which is confirmed by the conclusion of a commission of psychiatrists on the need for a citizen to stay in a medical organization that provides psychiatric care in inpatient settings conditions, No. 12/в dated 05/17/2019

Application addressed to the head physician of the clinic

Alekseev is not there.

In connection with the above, I ask you:

Take measures to discharge me from your hospital and not limit my constitutional rights until the court decision comes into force.

Certify the power of attorney drawn up and signed by me in accordance with Art. 57 CAS RF on my appointed representative Ivanova Daria Ivanovna.

Enclosure: signed power of attorney form.

Applicant _____________________ Ivanov I.I.

Date of: _____________________

As is clearly seen from this statement, a short appeal had already been filed at the time the application was submitted to the chief physician. This can be done in the following case. First, you, I mean relatives or friends, after the hospitalized person has signed all the necessary documents, immediately send an appeal by mail to the court that made the decision.

Thank you letter to the doctor

Before coming to you, I visited many of your colleagues, but no one could help me. When I saw you, I realized that now everything would be all right, because only you, the miracle doctor, created the magic that now allows me to live on and remember you every day with great gratitude!

We want to thank you and wish you and your family and friends health, happy long life! May all your dreams and wishes come true and may sorrows and disappointments pass! We know that people don’t always have time to give you the words you deserve, but believe me, we all have only a warm feeling in our souls after meeting you!

Application addressed to the head physician for attachment

The powers of this body, in accordance with the Constitution and the Federal Law “On the Prosecutor’s Office of the Russian Federation,” in addition to supervisory activities, include the responsibility to carry out inspections based on requests received by the prosecutor’s office. If, as a result of professional activities, a medical worker violated the rights of a citizen or committed any illegal actions against him, a prosecutor’s investigation may be initiated into this fact. The procedure for applying, as well as the terms for consideration and sending a response in case of contacting the prosecutor's office are similar to the previous examples;

• apply to the court. The Constitution of the Russian Federation enshrines the right of any citizen of the country to judicial protection.

Sample applications

Head (mu) MLPU No.... Full name of the head (mu) From ...., mother (father) of the child registered at the outpatient clinic ..... Living at the address ...

Dear…. (acting manager)!

I ask you to transfer my child... (child's full name) from the outpatient register with the doctor... (full name of the doctor you want to refuse) to the doctor.... (full name of the doctor you are going to) on the basis of Art. 30 “Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens.” The consent of the doctor (full name of the doctor you are going to) is confirmed in writing.

The reason for my refusal of the doctor’s services (full name of the doctor you are refusing) was.... (THE MOST COMPLETE AND DETAILED BASIS INVOLVING ALL NECESSARY CERTIFICATES, RECIPES AND REFUSIONS)

If my application is left without progress for up to 14 calendar days, I reserve the right to appeal your actions and the actions of the doctor (full name of the doctor you want to refuse) to the Department of Health of the city of N, the Ministry of Health of the N region and the prosecutor's office of the N region areas.

Sincerely, …. (Your full name)

Signature of the accepting person___________

Explanation of signature_______________ (position and full name)

Application addressed to the chief physician

Moreover, each individual case requires an individual approach when considered.

Attention! According to statistics, the most common reasons for calls are the following:

• untimely provision of medical care;
• misdiagnosing a patient;
• the doctor's refusal to accept the patient;
• callous or negligent attitude of the doctor towards the patient;
• prescription of incorrect treatment;
• deterioration of the patient’s condition due to unprofessional actions of doctors;
• extortion of money for services provided;
• consequences after an unsuccessful operation or medical procedure;
• boorish attitude of the doctor towards the patient.

Any complaint against a hospital specialist is equivalent to a complaint against the institution itself.

Where to complain about doctors? How to write a complaint against a doctor: example

• 2 and 4 part one hundred and eighteenth article, which refers to harm to health due to negligence (of varying degrees of severity);
• Part 2 of the two hundred and thirty-sixth article, which states that sanitary and epidemiological standards are not observed;
• the first two parts of the two hundred and ninety-third article on negligence;
• Part 2 of the two hundred and thirty-seventh article, which talks about concealing information from the patient about dangers to his health.

Basic human rights regarding medical care are specified in the forty-first article of the Constitution of the Russian Federation.

Is it possible to change the local pediatrician?

Can. Moreover, you have every right to do so. There is such a document as Article 30 “Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens”, approved by the Supreme Court of the Russian Federation on July 22, 1993 No. 5487-1.

This article states that

“When applying for medical care and receiving it, the patient has... the right to choose a doctor, including a family and attending physician, taking into account his consent, as well as to choose a medical institution in accordance with compulsory and voluntary health insurance contracts” .

In our case, the patient is a minor child, so his right to choose a doctor is exercised by his parents (legal representatives of the child’s interests). But you need to pay attention to the fact that you can choose a doctor “taking into account his consent.” Those. the doctor you choose must agree to observe and treat your child, bypassing the principle of territoriality of medical care to the population.

Application addressed to the chief physician of the clinic

Could this be possible? I wrote an application for 1 day at my own expense, TK I am the mother of 2 minor children, the deputy chief physician signed and left it for the chief to sign. When I came to work the next day, I was given absenteeism, there was no statement from the technical department.

2.1. Good evening. Have you read the order for leave at your own expense, signed by the manager?

2.2. You have the right to write an explanatory note and demand that the truancy mark be removed. In addition, you have the right to file a complaint with the labor inspectorate.

3. How to correctly write an application addressed to the chief physician about taking photographs for a consultation with another doctor.

3.1. Write in free form. I ask you to provide the X-ray photographs at your disposal, full name. from ___date. For presentation at the place of request.

Application addressed to the head physician of the hospital

Complaints from citizens are necessarily accepted, a preliminary check is carried out and, if there are grounds, if the applicant’s information is partially confirmed, an audit is ordered.

A reaction will follow to any violations by doctors of a medical institution - from rudeness and negligent attitude towards performing duties to improper treatment, demands for bribes and other actions for which criminal punishment is provided. The applicant is informed in writing about the results of the inspection.

We are preparing a lawsuit

When all methods of pre-trial conflict resolution have been exhausted, all that remains is to go to court. The claim is drawn up, filed and considered in general jurisdiction.

Moscow, st. Nezemnaya, 0, apt. 0.

Dear Stepan Stepanovich!

Yesterday I and my friends visited my brother Ivanov I.I. who, in the presence of the head of the department, Petrova I.P. signed a power of attorney to represent his interests in my name.

The head of the department, violating the norms of articles 56-57 of the CAS of the Russian Federation, refused to certify the signature of I.I. Ivanov. on a power of attorney.

An Act was drawn up on this fact by those present.

In this regard, I ask you to properly issue a power of attorney from Ivanov I.I. and involve Petrova I.P. to disciplinary liability.

Applications:

1. Power of attorney signed by Ivanov I.I. On my name.
2. Act dated February 22, 2002

Applicant _____________________ Ivanova D.I.

Date of: _____________________

Such statements can be written for any reason.

The appeal will be returned or forwarded to another authority (usually a clinic) with notification to the applicant.

Roszdravnadzor

The advantage of contacting this body is that there are different ways of contacting it; it considers complaints about all unlawful actions of doctors at the clinic. Roszdravnadzor can be contacted online, by mail, or even by fax.

If desired, necessary and have time, you can make an appointment with management to convey information about the incident at the clinic orally. It takes 3 days to register an application. The answer will be given within 30 days.

Ministry of Health

This body controls the activities of all public and private clinics.

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How to draw up a document correctly

These provisions can be used not only in pre-trial proof of the guilt of an official, but also in court proceedings. In this case, the evidence base should be prepared in advance. In addition to violations of the patient’s rights due to improper provision of services, it is possible to appeal against the actions of medical staff related to deliberate overestimation of the services provided.

Often, patients and their relatives prefer to come to terms with reality, believing that appealing to higher officials will not bring results. However, judicial practice confirms the effectiveness of such complaints.

At the end of the document the date of its preparation and the personal signature of the applicant are indicated. If there are attachments to the complaint, they are listed in a list.

In accordance with Art. 63 of the Family Code of the Russian Federation, together with Ivanov’s father I.I., I have a priority right to raise my son over all other persons.