Recommended Application Form and Required Attachments for Obtaining Information or Making Changes to the Registries of the Central Database of the Electronic Health System

The application and its attachments are submitted by the Applicant – an authorized representative of a healthcare institution or the patient (or their legal representative) to the NHSU by sending a letter using one of the following methods (at your discretion):

  • By email to NHSU ([email protected]) – by an authorized representative of a healthcare institution, as a single file in DOC, DOCX, or PDF format with a qualified electronic signature (QES);
  • By email to NHSU ([email protected]) – by the patient (or their legal representative), as a single file in DOC, DOCX, or PDF format with a qualified electronic signature (QES). If the QES is not available, the application must be signed manually (a scanned copy of the signed application);
  • By postal mail to NHSU at 04073, Kyiv, Stepan Bandera Avenue, 19, in paper form. The application must be completed, printed, and signed manually by the Applicant.

Please note that if you have any questions regarding submitting the application or its attachments, it is recommended to contact the NHSU Contact Center at 1677.