A certificate of sanitation is an official medical document confirming the health of the patient’s oral cavity. It is drawn up in any form, but must include information about the patient, the conclusion, as well as the signature and seal of the dentist who conducted the examination and treatment.
It will not contain any details about your condition or list of procedures that were performed on you. The doctor will write the main phrase “The oral cavity has been sanitized,” sign and seal it, and the certificate is ready.
How to pay for sick leave using a certificate instead of a certificate of incapacity for work?
The only legal basis for the employer to issue temporary disability benefits is the receipt from the employee of a certificate of incapacity for work, issued in accordance with the current procedure (approved by order of the Ministry of Health dated September 1, 2020 No. 925n).
Any other document, including a certificate issued by a medical institution, cannot be used instead of a sick leave certificate. The legal significance of the certificate can only lie in the fact that it can confirm the employee’s absence from the workplace for a valid reason. Important! Since 2022, the employer will accrue and pay benefits only for the first 3 days of sick leave due to illness or domestic injury. The remaining benefit amount is calculated and paid to the Social Insurance Fund employee. For more information, see our guide to direct benefit payments.
But why can a medical institution issue a certificate instead of a sick leave?
As a rule, such precedents are observed if:
1. An employee fell ill while in another city (for example, on a business trip). Then the medical institution to which he applied may, in certain cases, issue not a sick leave certificate, but a package of documents confirming the fact of the person’s application and the fact of the disease. This, for example, is possible if an employee plans to return before full recovery and register and close sick leave at his place of residence. Then the employee needs to go to his clinic with the documents, where they will issue a sick leave based on them.
2. An employee fell ill while abroad. In this case, he also needs to collect a package of documents confirming his incapacity for work, and, in addition, make a legalized translation of them into Russian. These documents should also be taken to the Russian medical institution where the employee is served, and not to the employer. The sick leave is then transferred to the employer, which will be issued by a Russian medical institution.
3. The employee was injured, but, as the examination showed, it was not serious enough for the doctor to issue a sick leave. This also includes situations when a certificate is issued by a medical service that cannot or cannot always issue a sick leave (for example, an ambulance or emergency room). In practice, the emergency room often sends the person who contacts them under the supervision of a surgeon in the clinic at the place of residence and in this case issues a certificate with a diagnosis and recommendations. And the surgeon at the clinic decides whether to give sick leave or not. Moreover, the sick leave will be from the date of the visit to the clinic, that is, not necessarily the same day as the date of the certificate from the emergency room. Then a certificate from the emergency room can serve as the only evidence that the person did not skip work that day, but visited a doctor due to an injury. The certificate indicates the date and time of application. See below for what it might look like:
It is not possible to pay for disability using a certificate instead of a sick leave certificate. But if the employee has brought a certificate, the employer can still take certain actions.
What to expect during a routine dental visit?
A dental examination is a systematic examination during which the doctor carefully evaluates the condition of the oral cavity and maxillofacial area in order to identify caries, periodontal disease, neoplasms and other diseases.
The stages of the examination include assessing:
- Facial area and neck. The doctor will perform a thorough palpation to rule out the presence of enlarged lymph nodes or salivary glands, as well as any suspicious growths such as cysts and tumors. The function of the temporomandibular joint is also assessed.
- Soft tissues of the oral cavity. The tongue, the inner surface of the lips and cheeks, as well as the floor of the mouth and palate are examined. These areas are examined for redness, swelling, damage, and growths. The posterior wall of the pharynx and tonsils are also examined.
- Periodontal (periodontal tissues). The doctor will evaluate the color, surface (relief), shape of the gingival papillae, as well as signs of inflammation or bleeding of the gums. In addition, the oral cavity is checked for the presence of pathologies such as a decrease in the level of the gingival margin, disruption of the periodontal attachment, the presence of periodontal pockets, migration and mobility of teeth.
- Conditions of the dentition. The anatomical shape of the teeth, their color and surface, as well as the dental formula are assessed. The bite and occlusal contacts are checked.
- Dental conditions. The doctor will look for signs of caries, and will also evaluate the condition of existing fillings according to the following criteria: anatomical shape, marginal fit and staining, and the presence of secondary caries. If the patient wears fixed or removable dentures, their current condition and function are checked.
Once the examination is complete, your dentist will discuss the results with you and, if necessary, develop a treatment plan. In addition, the doctor will give recommendations on proper oral care.
The employee provided a certificate instead of sick leave: the employer’s actions
As we noted above, an employee’s provision of a certificate from a medical institution instead of a sick leave certificate may be due to various circumstances. It happens that an employee simply does not have enough experience in clarifying certain nuances of issuing a certificate of incapacity for work. But it is within the power of the employer to help the employee carry out the necessary procedures.
A HR specialist needs:
1. If you have a certificate from a medical institution out of town, ask the employee to come to his local physician and apply for sick leave based on this certificate.
2. If you have a certificate from a foreign medical institution, ask the employee to legalize the document for registration of sick leave under Russian law.
3. When the employee presents a certificate of examination that reveals an injury that does not interfere with work activity, make notes on the work time sheet marked “T” indicating the presence of temporary disability on the corresponding working days without accrual of benefits.
Sick leave will have to be issued retroactively in cases where this is possible. In general, such a procedure is not permitted by law. An exception is if the document is drawn up by a medical commission. The issue of issuing sick leave can be resolved at a scheduled (convened at least once a week) or unscheduled medical commission (clause 14 of the order of the Ministry of Health and Social Development of Russia dated May 5, 2012 No. 502n).
Stages of a full range of events
A full range of treatment and preventive measures consists of the following stages:
- examination by a dentist;
- identifying a problem and making diagnostic assumptions about the need to solve it;
- taking an x-ray of the problem area;
- ultrasonic cleaning, removal of plaque and tartar;
- drawing up a plan for further therapy (if necessary);
- referral for consultations to highly specialized specialists, for example, surgeons or orthodontists (if occlusion disorders and other specific problems are detected);
- carrying out health procedures;
- coating of teeth with a special gel polish, which contains calcium and fluoride;
- providing an opinion from a specialist;
- drawing up an individual additional schedule of visits (if necessary).
The employee submitted an application for recalculation after providing certificate 182n: actions of the employer
There are certificates, which, in turn, are indispensable when applying for sick leave. Among these is a document drawn up in the form approved in Appendix No. 1 to Order No. 182n of the Ministry of Labor of the Russian Federation dated April 30, 2013.
Let's study its features.
This document, often referred to as certificate 182n (after the name of the legal act that approves the form of the corresponding certificate), is used to confirm the employee’s income from the previous employer, as well as the number of days the employee was previously on sick leave.
Typically, this certificate is issued by the employer upon dismissal of an employee, along with the work book and other documents, and is presented to the next employer. But it happens that an employee loses this document, or the employer still does not issue it for some reason. As a result, when applying for sick leave from the next employer, the amount of average earnings may be calculated incorrectly or underestimated (due to the lack of certificate 182n as the main document confirming average earnings).
Important! Explanations from ConsultantPlus How sick leave is calculated if the employee has not provided a certificate from the previous place of work If an employee who worked for another employer (other employers) during the billing period has not provided a certificate of the amount of earnings, do the following:... You can view the algorithm of actions in K+ . Trial access is available online for free.
The employee has the power to contact his previous employer and request the relevant certificate again. The obligation of the new employer is to recalculate temporary disability benefits on the basis of this document and the application for recalculation, but only for a period not exceeding 3 years that precede the date of provision of the certificate (Clause 2.1 of Article 15 of the Law “On Social Insurance” dated December 29. 2006 No. 255-FZ).
Important! ConsultantPlus warns The application for recalculation of sick leave benefits must be drawn up in a form approved by the Federal Social Insurance Fund of the Russian Federation. Read more about the statement in K+. Trial access to the system is free.
Financial benefit
Purchasing a certificate on our company’s portal is often cheaper than obtaining a document through an official examination. Having discovered foci of inflammation: caries, pulpitis, periodontitis, etc., the dentist must eliminate them. Subsequent treatment and other recovery operations will require time and money. We issue a certificate from a dentist quickly and inexpensively. The client even wins financially.
Additionally, the company provides a number of bonuses:
- free delivery to a metro station within the Moscow Ring Road for large orders costing over 3,000 rubles;
- 5% discount when purchasing two or more certificates;
- 10% discount for the “Bring a Friend” promotion.
The result is that buying a certificate from us turns out to be several times cheaper than visiting a dentist. The exception is when a visit to the dentist does not require postponement. In other cases, buy medical certificates from us. This is a guaranteed result, no expectations and maximum comfort of service.
If you brought a certificate, how to recalculate sick leave?
The recalculation of sick leave is carried out according to the same rules as, in fact, its calculation. That is, based on:
- confirmed average earnings;
- length of service;
- duration of sick leave;
- disability codes (when indicating some sick leave, it is calculated in a minimum amount).
You can learn more about the corresponding disability codes in the article “What do disability codes mean on a sick leave certificate?”
At the same time, the legislation does not define the time frame within which the additional payment for recalculation must be transferred to the employee. But according to the principle of legal analogy, these terms can be determined as corresponding to those established for payment of sick leave in the general case. That is, within 10 days the employer will check the certificate and pay the benefit at the next salary after the verification is completed (Clause 1, Article 15 of Law No. 255-FZ).
Where can I find a sample sick leave certificate for benefit recalculation?
You can get certificate 182n on our website. In addition, there are detailed explanations for you regarding the use of this certificate.
You can find the relevant explanations and a sample of a completed certificate in the article “Certificate for sick leave from a previous place of work.”
Order of the Ministry of Labor and Social Protection No. 182n also reflects the detailed procedure for filling out the relevant document. So, you should pay attention to the fact that filling out the document can be done:
- manually - with a blue or black ballpoint pen;
- on the computer.
The data for issuing certificate 182n is taken from the accounting registers.
The new employer can be presented with a copy of the certificate - certified by a notary or certified by the previous employer (the one who issued the original).
You can learn more about the features of filling out and applying in practice the certificate approved by Order No. 182n in the article “Certificate for sick leave from a previous place of work.”
Results
If an employee brings, instead of a sick leave certificate, any other document confirming that he received treatment at a medical institution while absent from work, this document cannot be used for the purpose of calculating temporary disability benefits. You will need a sick leave certificate issued in accordance with the procedure approved. by order No. 925n. You may also need a certificate 182n - for the correct calculation of sick leave.
You can learn more about issuing sick leave by employers in the following articles:
- “Is sick leave included in the pay off upon dismissal?”;
- “Is sick leave included in the calculation of vacation pay?”.
You can find more complete information on the topic in ConsultantPlus. Free trial access to the system for 2 days.
Authenticity is the credo of our company
The completed form purchased from us contains all the mandatory criteria for a real certificate. We do not prepare the sample document ourselves. The company operator only accepts the order and collects the necessary information about the patient. The data is transferred to the dental department of the clinic, where the sample is filled out. The result is an absolutely authentic document, signed by a practicing dentist, certified by a valid doctor’s seal and the stamp of a medical institution.
Other beneficial aspects of cooperation with us:
- efficiency - the certificate is ready within an hour after submitting the application;
- free delivery throughout Moscow to the metro station;
- confidentiality – information received about the client is not saved;
- comfort – there is no need to actually visit the dentist’s office.
Indeed, you can buy a certificate from a dentist from us directly from home, or any other place where there is access to the Internet. Placing an order takes no more than a minute. Delivery to a specified address in Moscow is even possible. But this service is paid.
