Medical leave certificates can be issued at the Sibiu Emergency Military Clinical Hospital for acute or chronic conditions for which consultations or medical care were provided either during hospitalization or on an outpatient basis.

The individuals who are entitled to medical leave and health social insurance benefits, the doctors who can issue medical leave certificates, the duration, conditions, and method of issuing them are provided in the Government Emergency Ordinance (OUG) no. 158/17.11.2005, the Implementation Rules for OUG no. 158/2005 (integral part of Order no. 15/2018) hereinafter referred to as RULES, the Instructions regarding the use and way of filling in the medical leave certificates from 01.07.2020 (integral part of Order 1192/2020) hereinafter referred to as INSTRUCTIONS, and Order no. M.66/2016 for the approval of the Regulation regarding the establishment, organization, functioning, and responsibilities of medical-military expert commissions, with subsequent amendments and completions.

The issuance of medical leave certificates is done both on forms with special regime and in electronic format, following a medical consultation, based on a certificate from the payer (issued on paper or by means of remote communication according to the model in Annex no. 7 of the RULES), except for emergency surgical-medical cases, certain types of burns including for the recovery period, as provided in art. 18 para. (5) of the RULES, quarantine, infectious-contagious diseases from group A, infectious-contagious diseases for which isolation is required, care for patients over 18 years old with oncological conditions, and the issuance of continued medical leave certificates for the same episode of disease by the attending physician who is obliged to draw up a plan for monitoring the disease evolution (according to art. 8 and 34 of the RULES, respectively art. 9, para. (1) of the INSTRUCTIONS).

In cases where medical leave certificates are issued for temporary work incapacity, family doctors and outpatient specialists prepare, under the conditions of art. 10 of the RULES, a plan for monitoring the progression of the disease, which the insured person is required to follow.

The issuance of the medical leave certificate for care of the patient with oncological conditions is based on the consent of the oncological patient (according to the model in Annex no. 15 of the RULES) and the certificate issued by the health insurance house where the patient is registered, indicating the number of days of leave for caring for patients with oncological conditions granted in the past 12 months, according to the model in Annex no. 7² of the RULES, within the maximum number of 45 calendar days in a 1-year interval, for a patient with oncological conditions (according to art. 11, para. (6) of the INSTRUCTIONS).

In the case of emergency surgical-medical situations for which the severity level of the disease did not require hospitalization, medical leave certificates are usually granted on the date of the consultation by the physician who attended the emergency (family doctor, outpatient specialist, emergency room doctor) for a maximum period of 5 calendar days (according to art. 26 of the RULES). If the medical leave certificates were not issued on the date of the consultation by the attending physician, they can be issued within 5 days from pressing event by the family doctor based on a recommendation issued by the emergency physician (according to art. 10, para. (2) of the RULES).

The medical leave certificate must be presented to the payer no later than the 5th day of the month following the one for which the leave was granted, according to art. 60 of the RULES, or no later than the end of the month in which the medical certificate was issued for the particular situations provided in art. 9 para. (4), art. 10 and 27 of the RULES.

The patient or, as the case may be, the person representing them, will receive copies 1 (white) and 2 (pink) of the medical certificate; these original forms, which have been transmitted via remote communication means, must be submitted by the insured person to the payers of social health insurance benefits within 30 days from their date of issue (art. 2, para. (8) of the RULES).

For civilians, medical leave can be granted for a maximum of 183 days within a 1-year interval, except for the conditions stipulated in art. 13, para. (3), letters a)-d) of OUG no. 158/2005, and art. 18 para. (3) of the RULES for which the duration may be longer. Starting with day 91, medical leave can be extended by the specialist up to 183 days with the approval of the social insurance expert physician, and in duly justified cases, it can be extended beyond 183 days for a maximum of 90 days with the approval of the specialty commission within the National Institute of Medical Expertise and Work Capacity Recovery (INEMRCM).

For active military personnel, police officers and prison police officers, medical leave can be granted for a maximum of 180 days within a 1-year interval, of which the first 90 days by the specialist physician, and starting with day 91, with the proposal of the medical-military expert commissions. After the completion of the 180 days, recovery medical leave can be granted for another 120 days, and in duly motivated cases for up to a maximum of 550 days, at the proposal of the medical-military expertise commissions, according to art. 61, para. (4) of OUG 158/2005, respectively art. 3 and 5 of M66/2016.