Medical leave certificates can be issued at the Sibiu Emergency Military Clinical Hospital for acute or chronic conditions for which consultations or medical care have been provided, either through hospitalization or outpatient services.

Individuals entitled to medical leave and health social insurance allowances, doctors authorized to issue medical leave certificates, the duration, conditions, and method of issuance are stipulated in the Government Emergency Ordinance (GEO) no. 158/17.11.2005, the Implementing Rules of GEO no. 158/2005 (an integral part of Order no. 15/2018) hereinafter referred to as the RULES, the Instructions regarding the use and completion of medical leave certificates as of 01.07.2020 (an integral part of Order 1192/2020) hereinafter referred to as the INSTRUCTIONS, and Order no. M.66/2016 for the approval of the Regulation on the establishment, organization, operation and duties of medical-military expertise commissions, with subsequent amendments and completions.

Medical leave certificates are issued either on special-regime forms or in electronic format, following a medical consultation, based on the certificate from the payer (issued on paper or sent by remote means according to the model in Annex no. 7 of the RULES), except for medical-surgical emergencies, certain types of burns, including for the recovery period, as provided in art. 18 para. (5) of the RULES, quarantine, infectious-contagious diseases of group A, infectious-contagious diseases for which isolation is instituted, care of patients over 18 years of age with oncological conditions, and the issuance of subsequent medical leave certificates for the same illness episode by the attending physician who is required to prepare a follow-up plan for the evolution of the disease (according to art. 8 and 34 of the RULES, as well as art. 9, para. (1) of the INSTRUCTIONS).

In cases where medical leave certificates are issued for temporary incapacity for work, family doctors and outpatient specialists shall draw up, under the provisions of art. 10 of the RULES, a follow-up plan for the evolution of the disease, which the insured person is obliged to observe.

The issuance of the medical leave certificate for the care of a patient with oncological conditions is made based on the consent of the oncology patient (according to the model in Annex no. 15 of the RULES) and the certificate issued by the health insurance house where the patient is registered, showing the number of days of leave granted for the care of the oncology patient in the last 12 months, according to the certificate model in Annex no. 7² of the RULES, within the maximum number of 45 calendar days in a 1-year interval for an oncology patient (according to art. 11, para. (6) of the INSTRUCTIONS).

In cases of medical-surgical emergencies where the severity of the disease did not require hospitalization, medical leave certificates are usually granted on the date of the consultation by the doctor who attended the emergency (family doctor, specialist from outpatient care, emergency room) for a maximum period of 5 calendar days (according to art. 26 of the RULES). If the medical leave certificates were not issued on the date of consultation by the doctor who attended the emergency, they can be issued within 5 days from the date of the event by the family doctor based on the recommendation issued by the doctor who attended the emergency (according to art. 10, para. (2) of the RULES).

The medical leave certificate must be submitted to the payer no later than the 5th of the month following the one for which the leave was granted, according to art. 60 of the RULES, or no later than the end of the month in which the certificate was issued in particular situations provided in art. 9 para. (4), art. 10, and 27 of the RULES.

The patient, or as the case may be, their representative, will receive copies 1 (white) and 2 (pink) of the medical certificate; these original forms, which have been transmitted by remote means, must be submitted by the insured person to the payers of health social insurance allowances within 30 days from their issuance date (art. 2, para. (8) of the RULES).

For civilians, medical leave can be granted for a maximum of 183 days within a 1-year interval, except for the conditions provided in art. 13, para. (3), letters a)-d) of GEO no. 158/2005, and art. 18 para. (3) of the RULES for which the duration may be longer. Starting with the 91st day, medical leave may be extended by the specialist doctor up to 183 days with the approval of the social insurance expert doctor, and in duly justified cases, it may be extended beyond 183 days for up to 90 days with the approval of the specialty commission within the National Institute for Medical Expertise and Recovery of Work Capacity (INEMRCM).

For active military personnel, police officers, and prison police officers, medical leave can be granted for a maximum of 180 days within a 1-year interval, of which the first 90 days are granted by the specialist doctor, and starting with the 91st day, at the proposal of the medical-military expertise commissions. After the completion of 180 days, recovery medical leave may be granted for another 120 days, and in duly justified cases up to a maximum period of 550 days, at the proposal of the medical-military expertise commissions, according to art. 61, para. (4) of GEO 158/2005 and art. 3 and 5 of M66/2016.