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Primary Healthcare (Polish: Podstawowa Opieka Zdrowotna, POZ) is apart of the health care system that provides access to comprehensive care services at the place of residence.

You can now register at Damian Medical Center and use free medical services, includingphysicianor pediatrician consultations, unlimited access to nursing services, and telephone consultations. We also offer aone-time 50% discount for consultation with aspecialty doctor.

Our Primary Healthcare clinics in Warsaw and Piaseczno:

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Benefits of Primary Healthcare in the Damiana Medical Center in Warsaw

Benefits of using PHC services at Damiana Medical Centre What services can you get? How to sign up forPrimary Healthcare? What are POZ and NFZ? What is the role of aprimary care physician? When should Imake an appointment? Nurse care Basic information Telemedicine Night and holiday services Additional information

What services can you get at Damiana Medical Center?

As part of primary care, we offer more than just the services of afamily doctor or nurse. You and your loved ones can also get completely free:

	physician or pediatric consultation in our center or by phone
	unlimited nursing service
	unlimited number of visits to the physician and pediatrician
	referrals for free diagnostic tests (ultrasound, X-ray, computed tomography) and coronavirus tests
	sick leave in case of illness
	free compulsory vaccinations for children and adults
	prescriptions for drugs (including reimbursed drugs)
	50% one-time discount for aconsultation with aspecialty doctor at the Damian Medical Center
	referrals to aspecialist NHF clinic
	medical transport
	referrals for free hospital treatment and rehabilitation under the National Health Fund
	5% one-time discount for the procedure at the Damian Hospital
	postpartum consultations and check-ups for children and adolescents
	medical decisions and health certificates
	on-line access to e-prescriptions, e-referrals, test results
	on-line application
	visits for the whole family

How to sign up for free medical care?

To become our patient and use free primary care services, you have to submit acompleted application. You can do it online or at the reception of any of our centers.

1. Submit application at Damian Online

You can sign asubmitted declaration with atrusted profile. Your application will be active from 12.00 the next business day.

LOG IN TO DAMIAN ONLINE

2.Submit application at Patient Portal

You can log in to atrusted profile (Profil Zaufany) using your internet banking. When applying, choose Damian Medical Center and then aphysician or pediatrician and anurse.

LOG IN TO PACJENT.GOV.PL

3. Submit your application at the reception of any Damiana Medical Center in Warsaw:.

Submitting the applicationis free of charge.You can download the English versionhere,but please remember to submit your application in Polish.

It is necessary to submit 2 applications for the services of aphysician and anurse, or apediatrician and anurse. Submitting one declaration could interfere with the nursing procedures during the visit.

What are POZ and NFZ?

The public health system in Poland is funded mainly by the National Health Fund (NFZ). Medical care financed by NFZ is divided into 3 types:

• Primary health care (POZ) - includes consultations with afamily doctor, general practitioner, pediatrician, tests, the help of nurses and midwives;
• Specialized outpatient care (AOS) - provided in specialized departments (eg, otolaryngology, ophthalmology, etc.), which have acontract with the National Health Fund;
• Hospital care - medical help in case of emergencies, life-threatening events and planned operations.

Damian Medical Center has acontract with the National Health Fund and provides:

• Basic medical care;
• free tests, procedures, and operations within the National Health Fund.

Who can use free medical care services?

All foreigners working or studying in Poland are covered by compulsory insurance from the National Health Fund (NFZ) and have access to free primary care services.

You can register your family members (spouse, children, grandparents living in the same household with the insured person) with the National Health Fund.

What is the role of a primary care physician?

A primary care physician- is afamily doctor, therapist, or pediatrician. Usually, PCH is our first point of contact when we start having health problems

PCH role:

• examines the patient,
• gives referrals for tests (eg, ECG, ultrasound, X-ray), another specialist or hospital,
• gives referrals for health resorts and for rehabilitation treatment
• decides whether the patient need medical transport,
• provides postpartum consultations
• conduct health check-ups of children and adolescents,
• issues health decisions and medical certificates
• responsible for compulsory vaccinations for children and adolescents

The primary care physician also gives areferral for vaccination against COVID-19.

When should you see your primary care doctor?

If you experience any of these symptoms, make an appointment with the doctor:

• cold, runny nose, cough,
• fever,
• weakness,
• high or low blood pressure, heart rate
• headaches, abdominal and lower abdominal pain, joint pain, back pain, ear pain,
• sciatica,
• getting tired quickly,
• dizziness,
• bladder problems, burning sensation when urinating, or frequent urination
• constipation or diarrhea,
• hair loss, brittle nails,
• nosebleed,
• skin changes, rash, itching,
• thickening under the skin,
• easy bruising,
• lack of appetite or increased appetite,
• sweating,
• thirst,
• sleepiness,
• concentrationdifficulties

Primary care nurse

Primary Healthcare services also include preventive care provided by anurse. This includes preventive, therapeutic, diagnostic, nursing and rehabilitation services, such as:

• postpartum visits in the 3rd and 4th month of age,
• screening tests at 12 months of age and at the age of 2, 4, and 5,
• providing injections and treatments based on orders from primary care physicians and collecting material for diagnostic tests, including at the patient's home.

Basic information

• Free Primary Healthcare within the National Health Fund is available at the Medical Centre in Warsaw (36 Zjednoczenia st.) and in Piaseczno (42B Puławska st). Services are provided Monday to Friday from 8:00 to 18:00.
• Services are provided in the field of general medicine, family medicine, internal medicine and pediatrics as part of outpatient healthcare.
• Services are provided on the basis of adeclaration submitted to Damian Medical Centre for selecting aprimary care physician and nurse.
• Services of aprimary care physician are provided without areferral.
• Patients may change the healthcare provider or primary care physician free of charge no more than twice per calendar year. Any subsequent changes carry afee of PLN 80.
• Patients may change their healthcare provider or primary care physician free of charge if they change their place of residence or the selected primary care physician or nurse has ceased to provide services.
• There is also no fee for patients whose primary care physician is adoctor with 1st or 2nd-degree specialization, or if the patient has reached 18 years of age and the doctor is apediatrician.
• Once the patient turns 18 years of age, declarations made by his/her legal guardian on their behalf remain valid until another primary care physician is selected.
• Services are provided on the day of request in medically justified situations. In the case of chronic diseases, acontinuation of treatment, and when the visit to the clinic does not require medical assistance, services are provided on adate agreed with the patient.
• If apatient suddenly falls ill or their health condition deteriorates while away from home (e.g. on abusiness trip, holiday or while visiting family), they can take advantage of free healthcare services from another health care provider (other than the one indicated in the declaration) who has asigned agreement with the National Health Fund.

Confirmation of the right to benefits

The right to benefits is confirmed on the date of the service through the E-WUŚ system or another document confirming the right to benefits, and if this is not possible, by submitting an appropriate declaration of entitlement to benefits as specified by the Ministry of Health. The right to benefits of achild up to 3 months of age, who has not yet received their own PESEL number, is confirmed by the PESEL number of the child's parent or guardian.

Telemedicine

As part of Primary Healthcare, patients have the option of using telephone advice.

During the teleconsultation, the doctor may issue:

• e-prescription (learn how to use e-prescriptions)
• e-sick leave (read how does the e-sick leave work)
• e-referral (learn more about e-referral)
• e-order for medical products (read instructions of e-order for medical products)

According to the guidelines of the National Health Fund regarding telemedicine consultations, tele-advice should not concern:

• children up to 6 years of age (exception is afollow-up consultation during the treatment that was agreed during astationary visit (e.g prescription of adrug for acontinuation of treatment, issuance of acertificate based on documentation from previous visits)
• the first visit to aPHC,
• consultation in connection with achronic disease in the course of which there was adeterioration or change in symptoms,
• situation related to the suspected cancer.

Patients (including children under 6 years of age) suspected of being infected with SARS-CoV-2 are excluded.

The NHF facility provides apossibility of stationary visits to people with suspected SARS-CoV-2 as well as patients, after making arrangements in the form of tele-advice.

Night and holiday healthcare services

Night and holiday healthcare services are primary care services provided from Monday to Friday from 18:00 to 8:00 the following day and 24 hours aday on public holidays. Patients may seek help from any night and holiday healthcare point in the event of sudden illness or deterioration of health - regardless of the place of stay and the submitted declaration. The doctor on duty provides services:

• on an outpatient basis,
• at the patient's home (in medically justified cases),
• by phone.

Night and holiday healthcare services are available in the following situations:

• sudden illness;
• sudden deterioration of health, but if there are no symptoms suggesting athreat to life or significant health impairment, and the over-the-counter drugs or home remedies did not bring relief;
• if waiting for the clinic to open may have asignificant adverse effect on the patient's health.

Places where night and holiday health care services are provided in Warsaw

The nearest location where night and holiday healthcare services are provided is:

• Bielański Hospital at 80 Cegłowska st., Warsaw - Bielany, tel. (22) 569-01-84

Places where night and holiday health care services are provided in Piaseczno

• St. Anna's Hospital in Piaseczno, 39 Mickiewicza st., phone: (22) 735 41 08
• Masovian Rehabilitation Center Stocer in Konstancin-Jeziorna, 40/42 Długa st., phone: (22) 888 29 20 21

Other locations can be found using the search engine: https://pacjent.gov.pl/nocna-i-swiateczna-opieka-zdrowotna

First Contact Teleplatform

If you feel that your symptoms are getting worse outside the working hours of primary care doctor, you may also call afree nationwide helpline - First Contact Teleplatform. By calling this number you will get necessary medical advice from adoctor or nurse.

How to use FCT?

Call the free, nationwide number: 800 137 200

When is FCT available?

• From Monday to Friday, from 6.00 p.m. to 8.00 a.m.
• On weekends and holidays 24 hours aday.

Who can use FCT?

Teleplatform is available to people insured in Poland (calls from abroad are not supported).

Which languages are available?

Consultations are provided in the following languages:

• Polish,
• English,
• Russian
• Ukrainian,
• sign language

Additional information

Complaints and requests

• orally to an employee of Centrum Medyczne Damiana Holding sp. Zo.o.,
• in writing, by traditional mail or via aform available at the reception desk or online,
• by phone at 22 566 22 22,
• by email to: reklamacje@damian.pl

The processing time for service complaints is 7 business days, and for medical complaints - 14 business days. These deadlines may be extended for substantive reasons. If acomplaint is filed on behalf of arelative, the Damian Medical Centre contacts the patient in order to confirm the complaint and collect any additional necessary information. The Masovian Regional Office of the NHF processes complaints and requests sent as follows:

• by post to the following address: 00-613 Warszawa, ul. Chałubińskiego 8
• to the email address: kancelaria@nfz-warszawa.pl
• via the ePUAP platform (mailbox address: /016ndson16/skrytka)
• by fax at 22 582 84 21

Medical transport within PHC

Medical transport within PHC is handled by the Regional Emergency Services and Medical Transport Station "Meditrans", 22 Poznańska St., 00-685 Warsaw.

Medical transport as part of PHC in Piaseczno is provided by Luxury Medical Care, tel. (22) 257 27 25, or 603 362 342

Transports may be requested by phone (22) 843-58-16 and (22) 853-21-89 from Monday to Friday from 08:00 to 18:00. Transport is provided on the basis of areferral from aprimary care physician.

NHF 24h telephone hotline

The hotline provides the following information:

• healthcare services provided by other healthcare providers who have concluded an agreement with the Masovian branch of the National Health Fund,
• average waiting time for appointments,
• the first available appointment date.

The above information can be obtained by writing to the email address: tip@nfz.gov.pl.

X-ray examinations

Patients with areferral from aprimary care physician for aradiological examination can perform it at Damian Medical Centre on 3/5 Foksal st. in Warsaw. This examination does not require an appointment.

Patients enrolled for PHC in Piaseczno can undergo an examination at the Damian Medical Center in Piaseczno on 42B Puławska St.

Facilities for people with disabilities

The building has an elevator and toilet suitable for people with disabilities.

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