Clinical examination born in 1985 when next. How to pass medical examination as an adult

The dispensary complex of events is carried out for citizens aged 21 years and over. This procedure must be carried out every 3 years in order to be sure of the favorable state of one's health and in case of detection of any diseases, immediately take appropriate measures. About what years of birth fall on the medical examination in 2018-2019, read in this article.

Who is expected to be examined in 2018-2019?

Clinical examination is regulated by the Federal Law of November 21, 2011 No. 323-FZ. Moreover, it is carried out voluntarily and free of charge on the basis of compulsory medical insurance policy. The main task is to identify pathological, acute and chronic diseases, as well as the prevention of their development and prevention.

To fulfill their obligations to protect the health of the population and the full coverage of Russian citizens, medical organizations draw up plans for clinical examination, guided by regulatory legal acts. The years of birth of citizens who must undergo a set of medical measures in 2018 and 2019 are presented in the table below.

Table - Years subject to medical examination in 2018-2019

The establishment of age thresholds for medical examinations is due to the fact that, according to statistics and the results of medical practice, it is at a certain age that the risk of a particular disease appears. The procedure under consideration is just designed to identify such a disease at an early stage.

What is included in the procedure?

It is best to start passing the required examinations at the beginning of the year, that is, from January, because, according to statistics, the largest number citizens come to polyclinics for this purpose towards the end of the year, which creates queues and does not guarantee a fast pace of passing all necessary specialists. The procedure takes place in stages: to begin with, it is determined general state health, and then a deeper observation is carried out (if diseases are detected at the first stage).

To undergo an examination, a citizen should go to the hospital at the place of permanent residence. After that, you need to fill out a special form containing basic information about the state of health and lifestyle. Based on the information received, an initial examination will be scheduled. In case of detection of pathological and acute conditions - additional. The primary examination includes a number of medical studies aimed at identifying general health indicators:

• Composition of the blood (general, on HIV infection, biochemical);
• Identification of pathologies of urine and feces;
• Electrocardiogram;
• Fluorography;
• Gynecological examination (for women).

At a more mature age, in addition to the above, additional studies are carried out. This is due to the fact that the risks of a certain group of diseases are much higher at a specified age threshold. Thus, citizens after 39 years of age will have to undergo the following examinations:

• Fecal analysis (for the presence of blood);
• Urological examination (for men);
• Mammological examination (for women);
• Ultrasound of the digestive organs;
• Examination of vision (definition of a violation, the presence of farsightedness or myopia, if necessary - the selection of glasses or contact lenses);
• An examination aimed at identifying circulatory disorders.

The results of the examinations are entered into the patient's medical outpatient book and analyzed by the responsible doctor (therapist, paramedic), who, as a result, can prescribe some preventive measures or write out a referral for an in-depth examination, refer to a narrow specialist.

About 20 million citizens of the Russian Federation undergo medical examinations every year. This can be done free of charge by people whose age is divisible by three, i.e. who are 21, 24, 27, 30, 33, 36, 39, 42, etc. Everyone else can also undergo a preventive examination, but for a fee.

In 2018, citizens born in 1922, 1925, 1928, 1931, 1934, 1937, 1943, 1946, 1949, 1952, 1955, 1958, 1961, 1964, 1967, 1970, 1973, 1976, 1982, 1985, 1988, 1991, 1994, 1997, 1997, 1997 .

Exceptions to the rules

Regardless of age, certain categories of citizens have the right to undergo a free medical examination. These include:

• disabled people Patriotic War and hostilities, as well as participants who have received a disability;


• Citizens with the badge "Resident besieged Leningrad» and recognized as disabled;


• prisoners of concentration camps who were underage at that time and recognized as disabled.

What is included in the dispensary

Preventive examination includes:

• medical advice;


• complex of various studies.

How is the dispensary

At the first stage, the patient is only waiting for a consultation with a therapist. It is preceded by the delivery of tests and identification early signs diseases and their risk factors. The main task of the therapist is to sum up the results of these activities.

At the initial stage, medical examinations are expected:

• measurement blood pressure;


• donating blood for sugar;


• checking cholesterol levels;


• fluorography;


• gynecological smear (for women).

Number of studies increases with age. So, from the age of 39, women also undergo mammography. At 49 years old, both sexes need to donate feces for occult blood. From the age of 35, an ECG is performed for men, and for women after 45.

The therapist, based on the results of the tests, decides Do I need to undergo an in-depth examination?.

Where is the screening

The examination can be done in the medical organization where the person receives primary health care, for example, in the district clinic. In case of problems with the medical examination, you must contact the administration medical institution Committee for .

After passing the medical examination, the citizen receives a “Health Passport” in his hands. If any problems are identified, a person is put on dispensary observation in order to maintain and improve health.

Information on carrying out preventive medical examination and medical examination of the adult population.

Since May 2019, a new procedure for conducting a preventive medical examination and medical examination of the adult population, approved by order of the Ministry of Health, has come into force. Russian Federation dated March 13, 2019 No. 124n “On approval of the procedure for conducting a preventive medical examination and medical examination of certain groups of the adult population” (hereinafter referred to as the Order).

In accordance with the Order, the population aged 18-99 is subject to an annual preventive examination / clinical examination.

IMPORTANT! Medical examination is considered incomplete if the activities included in the oncoscreening are not carried out.

Preventive medical examination - it's a complex medical examinations, carried out for the purpose of early (timely) detection of conditions, diseases and risk factors for their development, as well as in order to determine health groups and develop recommendations for patients.

According to the new procedure, a preventive medical examination is carried out annually as an independent event, as part of a medical examination, and also as part of dispensary observation and includes:

• survey of citizens aged 18 years and older;
• calculation based on anthropometry (measurement of height, body weight, waist circumference) of body mass index, for citizens aged 18 years and older;
• measurement of blood pressure on peripheral arteries for citizens aged 18 and over;
• study of the level of total cholesterol in the blood for citizens aged 18 years and older;
• determination of the level of glucose in the blood on an empty stomach for citizens aged 18 years and older;
• determination of the relative cardiovascular risk in citizens aged 18 to 39 years inclusive;
• determination of absolute cardiovascular risk in citizens aged 40 to 64 inclusive;
• fluorography of the lungs or radiography of the lungs for citizens aged 18 years and older 1 time in 2 years;
• electrocardiography at rest at the first passage of a preventive medical examination, then at the age of 35 years and older;
• measurement of intraocular pressure at the first passage of a preventive medical examination, then at the age of 40 years and older;
• examination by a paramedic (midwife) or obstetrician-gynecologist of women aged 18 to 39 years;

Clinical examination - a set of measures, including preventive medical examination and additional methods surveys conducted to assess the state of health (including the definition of a health group and a dispensary observation group).

Medical examination of the adult population is carried out annually at the age of 40 and older, once every three years at the age of 18 to 39 inclusive, as well as in relation to certain categories of citizens.

The dispensary is carried out in two stages.

First stage clinical examination (screening) is carried out in order to identify signs of chronic noncommunicable diseases, risk factors for their development, as well as determining indications for additional examinations and examinations by specialist doctors to clarify the diagnosis of the disease (condition) at the second stage.

The first stage of dispensary includes:

1. Preventive medical examination:

• survey (questionnaire)
• measurement of height, body weight, waist circumference, calculation of body mass index;
• measurement of blood pressure;
• study of the level of total cholesterol in the blood;
• determination of the level of glucose in the blood;
• risk identification cardiovascular diseases(from 18 to 64 years old);
• fluorography (1 time in 2 years);
• electrocardiography at rest (at the first examination, then at the age of 35 years and older);
• measurement of intraocular pressure (during the first examination, then from the age of 40);
• reception (examination) based on the results of a preventive medical examination, including an examination to identify visual and other localizations of oncological diseases, including an examination skin, mucous lips and oral cavity, palpation thyroid gland, lymph nodes, a paramedic of a paramedical health center or a feldsher-obstetrical station, a general practitioner or a doctor for medical prevention of the department (office) of medical prevention or a health center.

2. Screening for early detection of cancer:

• Examination of feces for occult blood (1 time in 2 years at the age of 40 to 64 years, 1 time per year at the age of 65 to 75 years;
• Esophagogastroduodenoscopy at the age of 45;

For women:

• Examination by a paramedic (midwife) (from 18 to 39 years old);
• Taking a smear from the cervix, cytological examination smear from the cervix 1 time in 3 years at the age of 18 to 64 years;
• Mammography (1 every 2 years at the age of 40 to 75 years)

For men:

• Determination of prostate-specific antigen in the blood of men aged 45, 50, 55, 60 and 64 years old;

3. Brief preventive counseling;

4. General blood test (from 40 years and older);

Second phase clinical examination is carried out for the purpose of additional examination and clarification of the diagnosis of the disease (condition) if there are indications based on the results of the first stage and includes:

• examination (consultation) by a neurologist;
• duplex scanning of brachycephalic arteries (for men aged 45 to 72 years inclusive and women aged 54 to 72 years);
• examination (consultation) by a surgeon or urologist (for men aged 45, 50, 55, 60 and 64 years with an increase in the level of prostate-specific antigen in the blood of more than 4 ng / ml);
• examination (consultation) by a surgeon or coloproctologist, including sigmoidoscopy (for citizens aged 40 to 75 inclusive);
• colonoscopy (for citizens in case of suspected malignant neoplasms large intestine as prescribed by a surgeon or coloproctologist);
• esophagogastroduodenoscopy (for citizens in case of suspicion of malignant neoplasms of the esophagus, stomach and duodenum prescribed by a physician);
• X-ray of the lungs, computed tomography of the lungs (for citizens in case of suspected malignant neoplasms of the lung prescribed by a physician);
• spirometry;
• examination (consultation) by an otorhinolaryngologist (for citizens aged 65 years and older);
• examination (consultation) by an obstetrician-gynecologist (for women aged 18 years and older with identified pathological changes;
• examination (consultation) by an ophthalmologist (for citizens aged 40 years and older);
• conducting individual or group (school for patients) in-depth preventive counseling in the department (office) of medical prevention (health center) for citizens aged 65 years and older;

When conducting a preventive medical examination and medical examination, the results of previously conducted (no later than one year) medical examinations, medical examinations, confirmed by the citizen's medical documents, may be taken into account.

Preventive medical examination or clinical examination is carried out free of charge if you have a passport and a compulsory medical insurance policy in the clinic at the place of attachment, in the department or office of medical prevention without an appointment. A necessary precondition for a preventive medical examination and medical examination is the giving of informed voluntary consent of a citizen.

In 2019, citizens at the age of 19, 20, 22, 23, 25, 26, 28, 29, 31, 32, 34, 35, 37 and 38 years old can undergo a preventive medical examination, medical examination - at the age of 18, 21, 24, 27, 30, 33, 36, 39, 40 years and older - annually.

IMPORTANT! Medical examination is considered incomplete if the activities included in the oncoscreening are not carried out.

Clinical examination is a medical examination aimed at identifying chronic For example, cardiovascular, bronchopulmonary, oncological, diabetes.

Clinical examination includes an examination by specialist doctors and a number of tests and examinations. It is carried out at the place of your attachment. Employed citizens are issued a certificate of inspection on the same day. For the period of medical examination, employees have the right to be released from work for 1 working day once every 3 years with the preservation of their workplace and average earnings. Medical examinations can also be taken in the evenings and on Saturdays.

Workers before retirement age(within 5 years before the retirement age) and pensioners receiving an old-age or superannuation pension are entitled to be released from work for 2 working days once a year while maintaining their place of work and average earnings. To do this, you need to coordinate with the management the days of medical examination and write an application for release from work.

You have the right to refuse to conduct medical examinations in general or from certain types of medical interventions included in the scope of medical examinations.

2. Who can get a free medical examination in Moscow?

In order to pass the screening, you must:

3. Suitable for age. Medical examination is carried out 1 time in 3 years, and you can pass it during the year when you are or will be: 18, 21, 24, 27, 30, 33, 36, 39 years old. If you are 40 years of age or older, you can have an annual medical examination.

Some Annual medical examinations are carried out by:

1. Disabled people of the Great Patriotic War, disabled combatants, participants in the Great Patriotic War who became disabled due to common disease, labor injury or other reasons (except for persons whose disability has occurred as a result of their illegal actions).

2. Persons awarded the badge "Inhabitant of besieged Leningrad" and recognized as disabled due to a general illness, labor injury or other reasons (except for persons whose disability was due to their illegal actions).

3. Former juvenile prisoners of concentration camps, ghettos, other places of detention created by the Nazis and their allies during the Second World War, recognized as disabled due to a general illness, labor injury and other reasons (except for persons whose disability occurred as a result of their illegal actions).

4. Elderly Muscovites (upon reaching the age of 50 and before the retirement age) have the right to count on free medical examination, including medical organizations where the program is implemented free medical examination such citizens.

For these categories of citizens, medical examination is carried out in the amount provided for the nearest age category - except for studies that are contraindicated for annual conduct and if there are no corresponding symptoms and diseases for which they are necessary.

The volume and nature of a comprehensive examination depend on the sex and age of the person.

3. How will the dispensary take place?

Step 1. Fill out the required documents.

Contact the clinic at the place of attachment, where you will be asked to fill out the following documents:

• informed voluntary consent to medical intervention;
• a questionnaire (survey) to identify complaints specific to non-communicable diseases, personal history and living conditions (smoking, alcohol consumption, diet and physical activity, etc.), in people over 65 years of age - the risk of falls, depression, heart failure, etc. d.

Step 2 Prepare for examinations.

On the day scheduled for the examination, come to the clinic in the morning on an empty stomach, before performing physical activity, including morning exercises. if you If you are from 40 to 64 years old, the analysis must be taken once every two years, if you are from 65 to 75 years old - annually.

Step 3 Pass the first stage of medical examination.

A comprehensive examination can consist of two stages. During the first stage, you will receive a route sheet indicating all the examinations that must be completed depending on gender and age.

Step 4 Come see a general practitioner.

The doctor will give explanations based on the results of the examinations, determine your health group, if there is a high risk of diseases or the diseases themselves - a dispensary observation group and will give you your health passport.

Step 5 Pass the second stage of medical examination.

If after examinations it turns out that you need additional examination, the general practitioner will refer you to the second, more in-depth, stage of medical examination.

Step 6 Consult your doctor.

After passing through all stages of examinations, you will have another consultation with a general practitioner who will give the necessary recommendations (for example, on quitting smoking, improving nutrition, increasing physical activity).

In the presence of diseases, the necessary treatment is prescribed, including specialized and high-tech medical care as well as spa treatment.

If you smoke, are overweight, obese, or have other risk factors, you may be referred to a preventive care unit or office, or where they can help manage your risk factors.

4. Which doctors do I need to see if I am between 18 and 39 years old?

The first stage of dispensary:

1. Preventive medical examination:

• survey (questionnaire)
• determination of the level of total cholesterol in the blood;
• determination of the level of glucose in the blood;
• determination of relative cardiovascular risk (for patients aged 18-39 years);
• fluorography (1 time in 2 years);
• reception (examination) based on the results of a preventive medical examination, including an examination to identify visual and other localizations of oncological diseases, including examination of the skin, mucous membranes of the lips and oral cavity, palpation of the thyroid gland, lymph nodes, by a paramedic of a medical assistant's health center or a feldsher-obstetric station, by a general practitioner or a doctor for medical prevention of the department (office) of medical prevention or a health center.

2. Screening for early detection of cancer:

For women:

• examination by a paramedic (midwife) (from 18 and older);
• taking a smear from the cervix, a cytological examination of a smear from the cervix 1 time in 3 years at the age of 18 to 64 years;

3. Brief preventive counseling;

The second stage of dispensary is carried out for the purpose of additional examination and clarification of the diagnosis of the disease (condition) if there are indications based on the results of the first stage and includes:

• examination (consultation) by a neurologist;
• spirometry;
• for women from 18 years old: examination (consultation) by an obstetrician-gynecologist - if necessary;

5. Which doctors should I go to if I am 40 to 45 years old?

The first stage of dispensary:

• measurement of height, body weight, waist circumference, determination of body mass index;
• measurement of blood pressure;
• determination of absolute cardiovascular risk (for patients from 40 to 64 years old);
• electrocardiography at rest (performed at the first passage of a preventive medical examination, then at the age of 35 years and older 1 time per year);
• for women over 40 - mammography;
• for men aged 45 years: determination of prostate-specific antigen (PSA) in the blood;
• for patients aged 45 years of both sexes - esophagogastroduodenoscopy;
• If you are between 40 and 64 years old, the analysis must be taken once every two years, if you are from 65 to 75 years old - annually. "> 40 years and older
• measurement of intraocular pressure (performed during the first routine examination, then at the age of 40 years and older 1 time per year).

• examination (consultation) by a surgeon or coloproctologist, including sigmoidoscopy (if necessary);
• examination (consultation) by a surgeon or urologist (for men aged 45 years with an increase in the level of prostate-specific antigen in the blood of more than 1 gn/ml);
• colonoscopy - in case of suspected oncological disease of the colon, as prescribed by a surgeon or coloproctologist;
• esophagogastroduodenoscopy - if malignant neoplasms of the esophagus, stomach and duodenum are suspected - as prescribed by the therapist;
• lung radiography, CT scan lungs - if malignant neoplasms of the lung are suspected - as prescribed by the therapist;
• examination (consultation) by an ophthalmologist (for patients over 40 years of age with increased intraocular pressure);
• individual in-depth preventive counseling or group preventive counseling (patient school).

6. Which doctors do I need to go to if I am 46 to 50 years old?

The first stage of dispensary:

• measurement of height, body weight, waist circumference, determination of body mass index;
• measurement of blood pressure;
• conducting general analysis blood (hemoglobin, leukocytes, ESR);
• determination of the level of total cholesterol in the blood by the express method;
• determination of the level of glucose in the blood on an empty stomach (it is allowed to use the express method);
• determination of absolute cardiovascular risk;
• individual preventive counseling - for patients with high relative and very high absolute cardiovascular risk, obesity, hypercholesterolemia with a total cholesterol level of 8 mmol / l or more and / or smoking more than 20 cigarettes per day;
• fluorography of the lungs (not performed if in the previous calendar year, or in the year of the medical examination, fluorography, radiography (fluoroscopy) or computed tomography of the chest organs were performed.);
• electrocardiography at rest (performed once a year);
• for women: examination by a midwife, including taking a smear from the cervix for a cytological examination;
• for women - mammography;
• for men aged 50 years: determination of prostate-specific antigen (PSA) in the blood;
• for patients of both sexes aged If you are between 40 and 64 years old, the analysis must be taken once every two years, if you are from 65 to 75 years old - annually. "> 40 years and older: examination of feces for occult blood;
• measurement of intraocular pressure (performed once a year).

If you have had any of the tests listed or any of the tests listed in the past 12 months, your results may be included in your health check.

The second stage of medical examination (if necessary):

• duplex scanning of brachycephalic arteries - for men over 45 years old, in the presence of risk factors for the development of chronic non-communicable diseases;
• examination (consultation) by a surgeon or urologist (for men aged 50 years with an increase in the level of prostate-specific antigen in the blood of more than 1 gn/ml);
• examination (consultation) by a surgeon or coloproctologist, including sigmoidoscopy (if necessary);
• colonoscopy - in case of suspected oncological disease of the colon, as prescribed by a surgeon or coloproctologist;
• spirometry - in case of suspicion of a chronic broncho-pulmonary disease according to the results of a questionnaire, smokers - in the direction of a therapist;
• for women: examination (consultation) by an obstetrician-gynecologist - if necessary;
• esophagogastroduodenoscopy - if malignant neoplasms of the esophagus, stomach and duodenum are suspected - as prescribed by the therapist;
• x-ray of the lungs, computed tomography of the lungs - in case of suspected malignant neoplasms of the lung - as prescribed by the therapist;
• individual in-depth preventive counseling or group preventive counseling (patient school).

7. Which doctors do I need to see if I am between 51 and 74 years old?

The first stage of dispensary:

• measurement of height, body weight, waist circumference, determination of body mass index;
• measurement of blood pressure;
• conducting a general blood test (hemoglobin, leukocytes, ESR);
• determination of the level of total cholesterol in the blood by the express method;
• determination of the level of glucose in the blood on an empty stomach (it is allowed to use the express method);
• determination of absolute cardiovascular risk (for patients under 64 years of age);
• individual preventive counseling - for patients under 72 years of age with high relative and very high absolute cardiovascular risk, obesity, hypercholesterolemia with a total cholesterol level of 8 mmol / l or more and / or smokers more than 20 cigarettes per day;
• fluorography of the lungs (not performed if fluorography, radiography (fluoroscopy) or computed tomography of the chest organs were performed in the previous calendar year, or in the year of the medical examination);
• resting electrocardiography;
• for patients of both sexes: a study of feces for occult blood (if you are from 40 to 64 years old, the analysis must be taken once every two years, if from 65 to 75 years old - annually);
• for men: determination of the level of prostate-specific antigen in the blood (performed at the age of 55, 60 and 64 years);
• for women under 64 years of age: examination by a midwife, including taking a smear from the cervix for a cytological examination;
• for women: mammography (at the age of 40-75 years is carried out once every 2 years).

If you have had any of the tests listed or any of the tests listed in the past 12 months, your results may be included in your health check.

The second stage of medical examination (if necessary):

• examination (consultation) by a neurologist - in case of suspicion of a previous acute disorder cerebral circulation, depression in patients over 65 years of age, with impaired motor function, etc .;
• duplex scanning of brachycephalic arteries - for men under 72 years old, for women 54-72 years old, in the presence of risk factors for the development of chronic non-communicable diseases;
• examination (consultation) by a surgeon or urologist (for men aged 55, 60 and 64 years - with an increase in the level of prostate-specific antigen in the blood of more than 1 gn / ml);
• examination (consultation) by a surgeon or coloproctologist, including sigmoidoscopy (if necessary);
• colonoscopy - in case of suspected oncological disease of the colon, as prescribed by a surgeon or coloproctologist;
• spirometry - in case of suspicion of a chronic broncho-pulmonary disease according to the results of a questionnaire, smokers - in the direction of a therapist;
• for women under 75: examination (consultation) by an obstetrician-gynecologist - if necessary;
• examination (consultation) by an ophthalmologist - for patients with increased intraocular pressure;
• x-ray of the lungs, computed tomography of the lungs - in case of suspected malignant neoplasms of the lung - as prescribed by the therapist;
• esophagogastroduodenoscopy - if malignant neoplasms of the esophagus, stomach and duodenum are suspected - as prescribed by the therapist;
• examination (consultation) by an otorhinolaryngologist - for patients aged 65 years and older (if necessary);
• individual in-depth preventive counseling or group preventive counseling (patient school).

8. What doctors should I see if I am 75 or older?

The first stage of dispensary:

• measurement of height, body weight, waist circumference, determination of body mass index;
• measurement of blood pressure;
• conducting a general blood test (hemoglobin, leukocytes, ESR);
• determination of the level of total cholesterol in the blood by the express method;
• determination of the level of glucose in the blood on an empty stomach (it is allowed to use the express method);
• fluorography of the lungs (not performed if fluorography, radiography (fluoroscopy) or computed tomography of the chest organs were performed in the previous calendar year, or in the year of the medical examination);
• resting electrocardiography;
• measurement of intraocular pressure (performed once a year);
• for women aged 75 years: mammography;
• for patients of both sexes aged 75 years: examination of feces for occult blood.

If you have had any of the tests listed or any of the tests listed in the past 12 months, your results may be included in your health check.

The second stage of medical examination (if necessary):

• examination (consultation) by a neurologist - in case of suspicions of a previous acute cerebrovascular accident, depression in patients over 65 years of age, with violations of motor function, etc.
• duplex scanning of brachycephalic arteries - for patients aged 75-90 years in the direction of a neurologist;
• examination (consultation) by a surgeon or coloproctologist, including sigmoidoscopy (if necessary) - for patients under the age of 87;
• spirometry - in case of suspicion of a chronic broncho-pulmonary disease according to the results of a questionnaire, smokers - in the direction of a therapist;
• esophagogastroduodenoscopy - if malignant neoplasms of the esophagus, stomach and duodenum are suspected - as prescribed by the therapist;
• x-ray of the lungs, computed tomography of the lungs - in case of suspected malignant neoplasms of the lung - as prescribed by the therapist;
• examination (consultation) by an otorhinolaryngologist (if necessary);
• examination (consultation) by an ophthalmologist - for patients with increased intraocular pressure, and for patients aged 75 years and older who have a decrease in visual acuity that is not amenable to spectacle correction, identified by the results of the survey;
• individual in-depth preventive counseling or group preventive counseling (patient school).

9. My age is not on the list for medical examination. What test can I get?

If your age is not on the list for medical examination and you do not belong to privileged categories, you can still go to your clinic and undergo a preventive medical examination. It is also held for early detection diseases and risk factors for their development, but unlike clinical examination, it includes a smaller amount of examinations.

The advantage of a preventive medical examination is that it can be done at any age at the request of the patient. Medical examination is free of charge, annually. Preventive medical examination studies are included in the 1st stage of medical examination.

Step 2 Find out the results. After the examination, you will have an appointment (examination) with a general practitioner, including Inspection of the skin, mucous membranes of the lips and oral cavity, palpation of the thyroid gland, lymph nodes.

If you have signs or a high risk of disease, your GP will refer you for further testing.