Recommended Forms of Rehabilitation

• Medical
• Social
• Professional

Specify as necessary.

The list of measures is determined in the individual rehabilitation program.

Conclusion on Working Conditions and Nature of Work

Incapacitated

Other forms of social protection are recommended.

Specify as necessary.

Basis

• Certificate No. 811 of examination in the institution of the state medical and social expertise service
  • Social expertise No. 1001
  • 01.10.01
  • Volgodonsk

Signatures and Seals

Head of the state medical and social expertise service institution [Signature] Meshcherskikh

TRUE COPY

Investigator Romanovsky V.V.

Seal 1:
Ministry of Labor and Social Development of the Russian Federation
Main Bureau of Medical and Social Expertise for the Rostov Region
Branch - Bureau of Medical and Social Expertise No. 1
Volgodonsk

Seal 2:
Russian Federation
Directorate of the Federal Security Service

For inquiries 3