How to sign up to our Clinic?
The declaration of selecting a primary care physician can be submitted in three different ways:
- In person at the Clinic
In order to sign up, patients should go to the registration desk with their ID and fill out the declaration. The form of the declaration is available at the Clinic or on the following website: http://www.nfz.gov.pl/dla-swiadczeniodawcy/pliki-do-pobrania/druki/
When accepting the declaration, the registration desk employee is required to check the applicant’s insurance status via the eWUŚ system (art. 56).
In the event of a negative result of the eWUŚ verification, the patient must submit a written statement (providing their name, address, PESEL number or date of birth, and the number and type of identity document) that they are entitled to healthcare services.
- Via the Online Patient Account
In order to sign up via the Online Patient Account, the patient must have a Trusted Profile or an electronic ID. At https://pacjent.gov.pl/, the patient logs in to his Online Patient Account. After entering the “My Account” section, in the “Doctor” tab, they must choose the “Fill in the declaration” option.
- By electronic means
The patient can provide an application bearing a qualified electronic signature, a Trusted Signature or a personal signature, sent via electronic means of communication.
Primary care physicians who can be chosen in the declaration form:
- dr Agnieszka Bromowicz-Kusiak
- dr Aleksandra Dolicka
- dr Danuta Komurkiewicz-Węglarz (children up to 18 years old)
The change of primary care physician
The patient is allowed to change the primary care physician up to two times a year whithout any charge. In case the patient wants to change the primary care physician third time, he will be charged a fee of 80 PLN. The fee should be paid into the account of Lesser Poland Branch of the National Health Fund (in Polish: Małopolski Oddział NFZ):
Bank Gospodarstwa Krajowego Oddział w Krakowie
Batorego 14, 31-135 Kraków
37 1130 1150 0012 11 21 8020 0001