Juristic documents
It is better to start preparing for opening a dentistry by choosing a premises. When examining the options, pay attention to the compliance of the apartment, extension or detached building with the requirements of the SES and firefighters. Or at least make sure that it is possible to bring the premises into compliance with these requirements.
Once you decide on the premises, the first document you put in the folder will be the lease agreement. It describes your relationship with the owner, the terms and amounts of rent, the rules for paying it, the obligations of the parties and their rights, as well as methods for resolving disputes and terminating the contract. If the agreement provides for a long-term lease (11 months or more), it must be registered with Rosreestr or the MFC.
Then you need to register a dental practice by choosing one of the forms of ownership: IP (Individual Entrepreneur) or Limited Liability Company (LLC). Each of them has its own advantages. The main advantage of an individual entrepreneur is the ease of registration. However, if your practice will not be limited to you and a nurse, or if you have a partner, it may be worth choosing an LLC. We will tell you what documents are needed to register a business in the section “Accounting documents”.
Next, you will need:
- permitting documentation from SES (Rospotrebnadzor) and Fire Inspectorate;
- license (or several licenses if a pediatric and surgical department is opened);
- copies of documents of employees and the head of the enterprise or individual entrepreneur confirming his professional level;
- tax number confirming registration.
If you are remodeling the premises, you need approval from the BTI. And if you build or add rooms for your clinic, you will have to obtain approval from the city architecture department and the local administration.
If your clinic plans to install x-ray equipment, you will need to obtain permission to use such equipment.
In addition, you are required to enter into agreements for:
- Disinfection, deratization, disinsection.
- Washing or dry cleaning of staff uniforms and woven household items.
- Removal and disposal of solid waste.
- Removal and disposal of mercury lamps.
- Removal and disposal of biological material.
- Maintenance of medical equipment.
- Study of the working environment and checking the sterility of instruments from the laboratories of the sanitation station.
- Monitoring the operation of autoclaves and other sterilization devices.
- Installation and periodic maintenance of fire alarm systems.
- To conduct routine medical examinations of employees with a medical institution.
You can specify the set of required documentation and collect it yourself, or you can hire an intermediary.
Prices for “Orthopedic dentistry”
All methods of orthopedic dentistry are aimed at preserving and restoring the health and functions of the dentition, including chewing. The services of an orthopedic dentist are resorted to in the absence of one or more dental units. Their restoration is mandatory, because without proper dental treatment, loosening of adjacent teeth and atrophy of the jaw bones can occur. You cannot do without the help of an orthopedist even in case of complete loss of teeth.
The services of an orthopedic dentist are also necessary for patients with significant destruction of the dental crown, when filling does not give the desired result, as well as in the presence of chips and cracks in the tooth enamel.
At Family Clinics you can get advice and treatment from a qualified orthopedic dentist with extensive experience and be confident in the results. We work with metal-ceramic, ceramic and zirconium oxide crowns and offer affordable prices. Our arsenal includes modern prosthetic methods and proven medications to ensure comfortable anesthesia in the dentist's chair. If for some reason it is impossible for you to undergo orthopedic surgery under local anesthesia, this can be done under sedation, in your sleep. To receive this service, a consultation with an anesthesiologist is additionally required.
In what cases should you contact an orthopedic dentist?
First of all, a person himself can notice violations that do not suit him. For example, unsightly shape
or
improper growth
of teeth.
An orthopedist is consulted if one or more teeth are missing or lost
.
Too much mobility of the dentition
is another reason to contact this highly specialized specialist.
Treatment methods
The technology of orthopedic treatment depends on the problem the patient is addressing.
A severely damaged tooth is placed under a crown
of artificial origin, it can be made of
metal ceramics, ceramics and zirconium oxide
. The last of these materials is highly durable. Crowns made from it are installed in places that bear a large chewing load.
Dental restoration can be done by installing a bridge
. This option is used when several teeth located nearby are missing. The bridge structure consists of two crowns that are fixed on supporting teeth and several dentures.
If all teeth or a significant number of them are missing, the patient will need prosthetics
. It will be carried out as a result of the installation of a removable denture or dental implantation.
Removable prosthetics
allows you to quickly and cheaply restore oral aesthetics and chewing functions.
Modern dentures do not require complex care, and those made using clasp technology
can be left in place at night. It was previously noted that in addition to restoring the functions of the oral cavity, the actions of orthopedic dentistry are aimed at improving the aesthetics of this area.
To hide individual teeth flaws, such as cracks and chips, veneers
. They are ceramic or porcelain plates that are installed on problematic dental units.
Accounting documents
In order to legally accept payments from customers, even in cash, you need to install an online cash register. You can avoid this if you are an individual entrepreneur and pay taxes under the patent system. You can also postpone the purchase of a cash register for a grace period and issue checks to customers that are subject to strict accounting.
The online cash register is registered with the Federal Tax Service. This is also done in at least 3 steps:
- We issue a cash register management system (account card for a cash register).
- We conclude an agreement for the purchase of media that stores and transmits fiscal data.
- Connecting to the Internet
If you open a clinic as an LLC, you will have to limit the amount of cash allowed to be kept in the cash register. The rest of the cash should be delivered to the Central Bank. To do this, you will need to enter into an agreement for the collection of funds.
Basic accounting documentation will appear after the opening of dentistry. These are documents confirming the provision of services to clients and receipt of payment from them. This group also includes orders for consumables and equipment, certificates for them, acts of acceptance and transfer of purchased equipment, registration cards confirming the placement of equipment on the balance sheet (if you have opened an LLC), reports to the tax office
These documents, with the exception of certificates for equipment, are not needed to open a business, so we include in the “accounting” group the package of papers required for registering a business.
When registering as an individual entrepreneur, you need to provide only four documents:
- Application with a request to register you as an individual entrepreneur (filled out in the prescribed form).
- A copy of a document confirming the identity of the future entrepreneur (usually a passport, the original is presented, a copy is submitted);
- A receipt confirming payment of the established state contribution;
- individual tax number (TIN).
To register the Society, you will also need a receipt for payment of the contribution to the state, an application for business registration and passports of all members of the society.
In addition, you should prepare:
- a document confirming the voluntary creation of a company - the decision of the founders and the Voting Protocol (if there is more than one founder);
- Statutory documents;
- an order appointing the first person of the clinic (this can be either an employee or the owner of a private practice);
- a document confirming that the clinic has a legal address (letter of guarantee from the landlord, card for the delivery of the premises to the balance sheet).
A certificate of authorized capital or other documents may be required at the discretion of the tax authorities.
Recruitment
The next stage of opening a private clinic is forming a team.
Vladimir Donkin, managing partner of the agency for increasing the profit of medical clinics Donkin and Partners, suggests using the following search channels:
1. Websites for posting vacancies:
- HeadHunter
- Avito
- Zarplata.ru
- SuperJob
- Rabota.ru
2. Profile platforms:
- stomjob.ru
- stomatologclub.ru
- stomdoska.ru
3. Profile medical social networks:
- Doctors of the Russian Federation
- Doctor at work
- Doctors together
4. Social networks. You can post a vacancy on your page and ask your friends to repost it. There are also urban communities and groups of different medical universities on social networks.
5. Universities and colleges. You can invite graduates or students of medical universities to work. As a rule, there are a limited number of such establishments in each city. Call the educational institution and find out the contacts of the person who is responsible for students’ internships. You can also post a vacancy through the student council or trade union committee.
Each clinic determines the number of employees independently. However, there is a main principle: the responsibilities of managers, doctors and administration should be divided.
Conducting medical examinations
Labor laws also oblige the employer to ensure that all employees undergo medical examinations.
Employees must undergo an initial medical examination upon employment, as well as periodic medical examinations during their work activities. The timing of medical examinations is established by order of the Ministry of Health of the Russian Federation dated January 28, 2021 No. 29n.
Let's consider a brief algorithm for conducting a medical examination:
- Compile and approve a list of employees subject to medical examination.
- Within 10 days, send the approved list to the territorial body of Rospotrebnadzor at the location of the organization.
- Conclude a civil contract with a medical organization that will conduct a medical examination.
- Send workers to undergo a medical examination.
It is prohibited to allow employees to perform their job duties without undergoing a medical examination.
Responsibilities of the head of the medical center in the field of occupational safety
In their daily work activities, dental, clinic and medical center employees may be exposed to a variety of workplace hazards:
- cuts from sharp parts of operated tools and equipment;
- burns from heated parts and surfaces of operated equipment;
- electric shocks;
- falling from the stairs;
- infection from contact with patients;
- tripping over electrical wires or any other uneven floor.
All of these potential hazards can sooner or later lead to an accident and, as a result, inspections, lawsuits and fines. Therefore, the employer should be attentive to the issue of organizing labor protection.
Creating safe working conditions for personnel is one of the most important responsibilities of the employer, which is regulated by the labor legislation of the Russian Federation.
What does labor protection consist of in a medical institution? The following main elements can be distinguished:
- development and maintenance of occupational safety documents;
- organizing and conducting briefings;
- organizing and conducting occupational safety training;
- conducting a special assessment of working conditions;
- conducting medical examinations;
- providing workers with personal protective equipment, as well as flushing and disinfecting agents.
Let's take a closer look at each item on the list.
