1. solis /
The certificate shall consist of four sections A, B, C and D.
Sections A, B and C of the certificate shall be completed by the doctor:
Section A shall contain information regarding the medical treatment institution and the doctor,
In Section B, information on the patient; the number of travel days and the term of validity of the permit (may not exceed 30 days), the term of the certificate shall start from the date of its approval at the Inspectorate.
Section C shall contain information on the prescribed medicinal products - the name of the medicinal product, the pharmaceutical form, the dose, the international name of the active substance and the total quantity of the active substance, according to the number of travel days, which may not exceed 30 days.
The certificate shall be approved and Section D shall be completed by the Inspectorate.
At the same time as the Certificate, the doctor shall issue an extract from the medical card of the outpatient patient (form No 027/u) which contains information on the patient's state of health, diagnosis and justification for the use of narcotic drugs and psychotropic medicinal products.
At least the following documents shall be submitted to
- completed Certificate;
- an extract from an outpatient medical card (form No 027/u). Information on the state of health of the patient, diagnosis and justification for the use of narcotic drugs and psychotropic medicinal products.
Documents to be submitted