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RESOLUTION OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS

of April 29, 2016 No. 66

About establishment of forms of medical documents

Based on subitem 8.37 of Item 8 and subitem 9.1 of Item 9 of the Regulations on the Ministry of Health of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 28, 2011 No. 1446 "About some questions of the Ministry of Health and measures for implementation of the Presidential decree of the Republic of Belarus of August 11, 2011 No. 360" the Ministry of Health of the Republic of Belarus DECIDES:

1. Establish:

form 061/at "The medical-control card of the athlete" according to appendix 1;

form 062/at "The medical-control card of the athlete national and the team of teams of the Republic of Belarus by the form (types) of sport" according to appendix 2;

form 067/at "The magazine of registration of cases of delivery of health care on sporting events" according to appendix 3;

form 068/at "The magazine of medical attendance of sporting events" according to appendix 4.

2. This resolution becomes effective after its official publication.

Minister

V.I.Zharko

It is approved

Minister of sport and tourism of the Republic of Belarus

April 28, 2016

 

A. I. Shamko

Appendix 1

to the Resolution of the Ministry of Health of the Republic of Belarus of April 29, 2016 No. 66

Form 061/at

_____________________________________________________________________________

(name of the organization of health care (structural division)

 

Place

 

for

 

photos

 

(30 x 40)

 

Medical-control card of the athlete

Surname, own name, middle name (if that is available) _________________________

_____________________________________________________________________________

Number, month, year of birth _________________________________ Paul _______________

Registration at the place of residence (the place of stay), contact telephone number ____________

_____________________________________________________________________________

Organization of health care for the residence (place of stay) _______________

_____________________________________________________________________________

Name of the organization of physical culture and sport __________________________

_____________________________________________________________________________

Place of study, work __________________________________________________________

Sports category ___________________________________________________________

 

Surname, trainer's initials ___________________________

 

Date of filling _______________________

General information

Surname, own name, middle name (if that is available) _________________________

_____________________________________________________________________________

Number, month, year of birth _________________________________ Paul _______________

Registration at the place of residence (the place of stay), contact telephone number ____________

_____________________________________________________________________________

Place of employment (studies) _________________________________________________________

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