Medical contraindications to gun ownership. The procedure for conducting a medical examination for the presence of medical contraindications to the possession of weapons and chemical and toxicological studies of the presence of narcotic drugs in the human body, ps.

The Russian government has expanded the list of diseases that prevent the ownership of civilian and service weapons. Decree of the Government of the Russian Federation dated February 19, 2015 N 143 Moscow On approval of the list of diseases in the presence of which the possession of weapons is contraindicated, and on amendments to the Rules for the circulation of civilian and service weapons and cartridges for them on the territory of the Russian Federation comes into force from March 4, 2015.

The previous edition of the rules for the circulation of weapons indicated that licenses for weapons are not issued, in particular, in the presence of chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations, as well as in patients with alcoholism, drug addiction or substance abuse.

The new one approved by the Cabinet specifies a specific list of such deviations: in particular, schizophrenia, schizotypal and delusional disorders, mood disorders (affective disorders), neurotic, stress-related and somatoform disorders, personality and behavior disorders in adulthood, mental retardation.

• schizophrenia, mental retardation, split personality are quite easily diagnosed. But neurotic, stress-related, and somatoform disorders, and personality and behavioral disorders in adulthood - these diseases are not always obvious, they can be acquired by a person due to some life circumstances and do not appear immediately.

Also listed are substance use disorders. However, they are not a medical contraindication if there is a stable remission for at least three years, says the note to the relevant paragraph.

• that is, weapons will not be given to people suffering from mental disorders and behavioral disorders associated with the use of psychoactive substances - drug addicts and alcoholics. But there is a caveat: if they do not drink or use drugs for three years, they can be given a weapons permit. In general, at the discretion of the doctor and police officer.

Besides, the restriction for obtaining weapons, as before, will be eye diseases, reducing visual acuity below a certain limit. Thus, citizens will not be able to become gun owners if they have diseases of the eye and its appendages, accompanied by a decrease in visual acuity below 0.5 in the best eye and below 0.2 in the worse eye, or below 0.7 in one eye if there is no vision in the other , or with intolerance to correction (spectacles, contact) with two eyes open, and also accompanied by a concentric narrowing of the field of view of each eye to 20 degrees or less.

• As for the patients of an ophthalmologist, everything is simple: we are talking about people who see practically nothing, who have a 70 percent loss of vision; lenses and glasses do not help.

Analysts at the Ministry of Internal Affairs believe that the government decree is primarily aimed at tightening medical control over gun owners.

Reference:
There are over 6.2 million different guns in the hands of 5 million people in legal use. The population also has a lot of traumatic weapons - 1,360,000 pistols. A sociological study showed that 56 respondents would like to purchase more than 2 units of guns, and 80 percent of owners of already 2 pistols are ready to buy a few more guns - for collection or sport shooting. A third of all civilian weapons are registered in Moscow. There are 515,827 owners of civilian weapons registered in the capital. There are 627,920 trunks on hand. Every year Muscovites purchase about 40 thousand guns. In total, residents of the capital legally have 683 thousand shooting units in their hands - not every European army can boast of such a shooting arsenal.

On approval of the list of diseases, the presence of which prohibits the possession of weapons, and on amendments to the Rules for the circulation of civilian and service weapons and ammunition for them on the territory of the Russian Federation

The Government of the Russian Federation decides:

1. Approve the attached list of diseases, the presence of which prohibits the possession of weapons.

24. Licenses to purchase weapons are not issued to citizens of the Russian Federation if there are grounds provided for by the Federal Law “On Weapons”.

Chairman of the Government of the Russian Federation

D. Medvedev

Previously on the topic of Weapons:

Since the beginning of 2017, Russia has introduced new forms of medical certificates for weapons - 002-О/у and 003-О/у. Nevertheless, the old certificate number 046-1 is still in force. I will tell you how to get each of them below.

We are all different, we all have our own opinions. Some people think that it’s better to feed early in the morning, while others think it’s best to feed in the evening. Someone always hits on takeoff, and someone only hits when the flight is already stable, goes smoothly and you can more accurately take a lead.

Sometimes running around for these certificates and documents, including medical ones, is very annoying, and most importantly, you don’t understand at all why it is needed.

But what everyone everywhere agrees on is that obtaining a medical certificate, as the first step towards acquiring a weapon, no matter what kind, hunting, traumatic (with a muzzle power of more than 7.5 J, I emphasize), is required.

The consequences of the use of weapons by people who are mentally unbalanced, who have diseases that do not allow the sick person to precisely control the situation around them are too severe.

What the law says

It is precisely in view of the seriousness of the situation in medicine and the process of obtaining a certificate that the Law “On Weapons” No. 150-FZ of December 13, 1996 devotes an entire article - the 13th. And, precisely in view of the seriousness of the issue, I will quote one by one excerpts from this article concerning the topic of medical certificates (as amended on July 6, 2016). Please note that excerpts from the law are taken in italics and a different font. Firstly, it immediately says that “the right to purchase civilian firearms of limited destruction have

• citizens of the Russian Federation who have reached the age of 21,
• citizens of the Russian Federation who have not reached the age of 21, who have completed or are undergoing military service,
• as well as citizens serving in state paramilitary organizations and having military ranks or special ranks or class ranks of justice".

On the other side,

“the right to purchase gas weapons, smooth-bore long-barreled self-defense weapons, sports weapons, hunting weapons, signal weapons, bladed weapons intended for wearing with the national costumes of the peoples of the Russian Federation or Cossack uniforms, have citizens of the Russian Federation who have reached the age of 18 years”.

Please note that some regions of Russia have made their own changes and additions to this law, more fully reflecting the cultural traditions of the peoples living in the region. Thus, in some regions it is allowed to reduce the minimum age for obtaining weapons, but this must be done with a special permit and only for smooth-bore hunting weapons. The reduction period cannot be more than 2 years.

In addition to all other documents required when obtaining a weapons license, it is also necessary to provide

“a medical report on the absence of medical contraindications to the possession of weapons, as well as a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body, obtained after undergoing chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body, and other documents provided for by this Federal Law.

A medical report on the absence of medical contraindications to the possession of weapons and a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body, obtained after undergoing chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body, are presented by citizens of the Russian Federation for the first time acquiring civilian firearms, civilian firearms of limited destruction, gas pistols, revolvers, sporting pneumatic weapons or hunting pneumatic weapons.”

“The list of diseases, the presence of which prohibits the possession of weapons, is determined by the Government of the Russian Federation. The procedure for conducting a medical examination, the form of a medical report on the absence of medical contraindications to the possession of weapons and the form of a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body are established by the federal executive body exercising the functions of developing state policy and legal regulation in healthcare sector."

“The validity period of a medical certificate stating that there are no medical contraindications to owning a weapon for obtaining a license to purchase a weapon is one year from the date of its issue. Examination by a psychiatrist, a psychiatrist-narcologist during a medical examination for the presence of medical contraindications to the possession of weapons and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body are carried out in medical organizations of the state or municipal health care system at the place of residence (stay) of a citizen of the Russian Federation.”

“Medical examination for the presence of medical contraindications to the possession of weapons and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body are carried out at the expense of citizens.”

I advise you to pay special attention to the latter.

From the words of lawyers to medical matters

In other words, there is no point in showing up to obtain a weapons license if you do not have a certificate signed:

1. A therapist.
2. A psychiatrist.
3. Narcologist, and
4. An ophthalmologist.

Apart from obvious health conditions, such as epilepsy and drug addiction, a certificate is not issued:

• If the patient is susceptible to diseases of the nervous system;
• If one eye is completely blind;
• If visual acuity in one eye is no more than 0.5, and in the other eye no more than 0.2;
• If there are no three fingers on the hand;
• If there is no index finger and thumb on the hand.

All medical professionals must clearly understand for what purpose the certificate is being issued and where it will be presented. Moreover, I note that in the chain of passing doctors, the therapist is in last place, it is he who issues the final permission.

For quite a long time, the standard form of medical “weapons” certificate No. 046-1 was in use. On January 1, 2017, it was canceled, and two others were introduced, 002 and 003. But no matter what form the certificate is, it is some kind of guarantee that obviously sick or frivolous people will not be allowed to own weapons. Please note that the medical certificate described is issued for a fee, so you must first make sure whether the institution you applied to, and these can be both public and private clinics, has the right to issue such documents.

The validity period of a medical certificate is 6 months, this is a well-known fact. Therefore, the 1-year period specified in the Law is cause for concern. I strongly recommend that you further discuss all these nuances in your region when it comes to the therapist.

New certificates

So, from January 1, 2017, new forms of medical certificates were introduced. At the same time, the old certificates 046-1 continue to be valid (let’s not forget about the general expiration date of six months, in other words, these certificates were issued after July 1, 2016, and they “live” until a maximum of June 30, 2017).

Form of old medical certificate for weapons No. 046-1.

Two new certificates are already called more reputably - conclusions, and have numbers - 002-О/у and 003-О/у.

Form for a new medical certificate for weapons No. 002-О/у.

The procedure and conditions for issuing these certificates are determined by Order of the Ministry of Health of Russia No. 441n dated June 30, 2016 “On the procedure for conducting a medical examination for medical contraindications to gun ownership and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body.”

Please note that the list of doctors remains the same, but to obtain certificate 002-О/у you must also present certificate 003-О/у along with the relevant conclusions.

The fact is that 003-O/u is called “Medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body”

and precedes

002-O/u, whose name is “Medical report on the absence of medical contraindications to owning a weapon.”

I would also like to draw your attention, given how much confusion and misunderstanding there is in this area, that the same order dated June 30, 2016 cancels the Resolutions of the Ministry of Health

• No. 344 of September 11, 2000 - “On medical examination of citizens for the issuance of a license for the right to purchase weapons” (registered by the Ministry of Justice of the Russian Federation on October 10, 2000, registration No. 2415);

• No. 512n dated July 12, 2010 “On amendments to the order of the Ministry of Health of the Russian Federation dated September 11, 2000 No. 344 “On medical examination of citizens for the issuance of licenses for the right to purchase weapons” (registered by the Ministry of Justice of the Russian Federation on August 30, 2010, registration No. 18287).

One hidden but important flaw in all orders

And this is a small, but significant, vital chapter, behind which, however, lies many problems.

The fact is that the Federal Law clearly states that certificates for the right to own weapons are obtained for a fee. But the law does not determine the amount of payment itself, which gives rise to many problems on the ground.

And the situation is such that each region of Russia does whatever it wants. There is no uniform rate for the provision of this service across the country.- somewhere it costs 800 rubles, and somewhere under 4 thousand.

Nuances and conclusions, and where would we be without them?

Now I will list some of the nuances associated with obtaining submitted medical certificates. If you listen to these recommendations, life will seem much more interesting to you.

Firstly, you need to see a narcologist and psychologist only at a medical institution at your place of residence. Secondly, certificate 003-О/у is issued only on the basis of the conclusion of a chemical-toxicological study and the preparation of form No. 454/у-06. Simply put, you will need to submit a urine test to the dispensary. Submission of this analysis is a necessary procedure for all those applying for certificate form No. 003-О/у. Without this test, this certificate will not be issued.

Thus, as a conclusion and conclusion, with which medicine sends you to the commission in charge of weapons licenses:

• medical certificate in form No. 002-О/у dated June 30, 2016 (for the right to own a weapon);
• medical certificate in form No. 003-О/у dated June 30, 2016 (certifying the absence of drugs in the body);
• results of a chemical toxicological study in form No. 454/u-06 (drug test results).

N 143 “On approval of the list of diseases in the presence of which the possession of weapons is contraindicated, and on amendments to the Rules for the circulation of civilian and service weapons and ammunition for them on the territory of the Russian Federation”

Free legal advice:

Chairman of the Government of the Russian Federation

List of diseases in the presence of which possession of a weapon is contraindicated (approved by Decree of the Government of the Russian Federation of February 19, 2015 N 143)

I. Mental and behavioral disorders

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1. Chronic and protracted mental disorders with severe persistent or frequently exacerbating painful manifestations:

1.1. Organic, including symptomatic, mental disorders

1.2. Schizophrenia, schizotypal and delusional disorders

1.3. Mood disorders (affective disorders)

1.4. Neurotic, stress-related and somatoform disorders

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1.5. Personality and behavior disorders in adulthood

1.6. Mental retardation

2. Mental and behavioral disorders associated with the use of psychoactive substances**

F10 - F16, F18, F19

II. Diseases of the eye and its adnexa

3. Diseases of the eye and its adnexa, accompanied by a decrease in visual acuity below 0.5 in the best eye and below 0.2 in the worse eye, or below 0.7 in one eye with no vision in the other, or with intolerance to correction (spectacles, contact) with two eyes open, and also accompanied by a concentric narrowing of the field of vision of each eye to 20 degrees or less

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Н15-21, Н25-27, Н30-35, Н40,

* International Statistical Classification of Diseases and Related Health Problems (10th revision).

** They are not a medical contraindication if there is stable remission for at least 3 years.

A list of diseases has been established for which possession of a weapon is contraindicated.

The list includes a number of mental and behavioral disorders, for example, schizophrenia, mental retardation. Substance use disorders are also contraindications to gun ownership, unless they have been in stable remission for at least 3 years.

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In addition, it is contraindicated to own a weapon in case of certain diseases of the eye and its appendages, accompanied by a certain decrease in visual acuity.

In addition to the names of diseases, the list of contraindications contains their codes according to the International Classification of Diseases.

Decree of the Government of the Russian Federation of February 19, 2015 N 143 “On approval of the list of diseases, the presence of which prohibits the possession of weapons, and on amendments to the Rules for the circulation of civilian and service weapons and ammunition for them on the territory of the Russian Federation”

This resolution comes into force 7 days after the day of its official publication

Free legal advice:

Contraindications for gun ownership

The Russian government has expanded the list of diseases that prevent the ownership of civilian and service weapons. Decree of the Government of the Russian Federation dated February 19, 2015 N 143 Moscow On approval of the list of diseases in the presence of which the possession of weapons is contraindicated, and on amendments to the Rules for the circulation of civilian and service weapons and cartridges for them on the territory of the Russian Federation comes into force from March 4, 2015.

The previous edition of the rules for the circulation of weapons indicated that licenses for weapons are not issued, in particular, in the presence of chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations, as well as in patients with alcoholism, drug addiction or substance abuse.

The new document approved by the Cabinet of Ministers contains a specific list of such deviations: in particular, schizophrenia, schizotypal and delusional disorders, mood disorders (affective disorders), neurotic, stress-related and somatoform disorders, personality and behavior disorders in adulthood, mental retardation.

• schizophrenia, mental retardation, split personality are quite easily diagnosed. But neurotic, stress-related, and somatoform disorders, and personality and behavioral disorders in adulthood - these diseases are not always obvious, they can be acquired by a person due to some life circumstances and do not appear immediately.

• that is, weapons will not be given to people suffering from mental disorders and behavioral disorders associated with the use of psychoactive substances - drug addicts and alcoholics. But there is a caveat: if they do not drink or use drugs for three years, they can be given a weapons permit. In general, at the discretion of the doctor and police officer.

• As for the patients of an ophthalmologist, everything is simple: we are talking about people who see practically nothing, who have a 70 percent loss of vision; lenses and glasses do not help.

Interior Ministry analysts believe that the government decree is primarily aimed at tightening medical control over gun owners.

Reference: 5 million people have over 6.2 million of a wide variety of guns in their hands for legal use. The population has a lot of traumatic pistols. A sociological study showed that 56 respondents would like to purchase more than 2 units of guns, and 80 percent of owners of already 2 pistols are ready to buy a few more guns - for collection or sport shooting. A third of all civilian weapons are registered in Moscow. Owners of civilian weapons are registered in the capital. There are trunks on the hands. Every year Muscovites purchase about 40 thousand guns. In total, residents of the capital legally have 683 thousand shooting units in their hands - not every European army can boast of such a shooting arsenal.

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The Government of the Russian Federation decides:

1. Approve the attached list of diseases, the presence of which prohibits the possession of weapons.

2. Clause 24 of the Rules for the circulation of civilian and service weapons and ammunition on the territory of the Russian Federation, approved by Decree of the Government of the Russian Federation of July 21, 1998 N 814 “On measures to regulate the circulation of civilian and service weapons and ammunition on the territory of the Russian Federation "(Collected Legislation of the Russian Federation, 1998, No. 32, Art. 3878; 2012, No. 37, Art. 5002), stated as follows:

24. Licenses to purchase weapons are not issued to citizens of the Russian Federation if there are grounds provided for by the Federal Law “On Weapons”.

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Contraindications to gun ownership or who can obtain a gun license

Comments from Rossiyskaya Gazeta

The Government of the Russian Federation decides:

1. Approve the attached list of diseases, the presence of which prohibits the possession of weapons.

2. Clause 24 of the Rules for the circulation of civilian and service weapons and ammunition on the territory of the Russian Federation, approved by Decree of the Government of the Russian Federation of July 21, 1998 N 814 “On measures to regulate the circulation of civilian and service weapons and ammunition on the territory of the Russian Federation "(Collected Legislation of the Russian Federation, 1998, No. 32, Art. 3878; 2012, No. 37, Art. 5002), stated as follows:

"24. Licenses to purchase weapons are not issued to citizens of the Russian Federation if there are grounds provided for by the Federal Law “On Weapons.”

Chairman of the Government of the Russian Federation

Free legal advice:

I won't give you a gun

As for the patients of the ophthalmologist, everything is simple: we are talking about people who see practically nothing - who have a 70 percent loss of vision; lenses and glasses do not help.

However, such a person is unlikely to want to buy a hunting rifle or a traumatic pistol - why does he need a gun if he can only feel the target? And if he nevertheless tries to obtain a license for “firearms,” he may automatically attract the interest of other medical specialists - psychiatrists.

But the government decree lists seven types of mental illness.

There is schizophrenia, mental retardation, and split personality.

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Do I need to explain that under no circumstances should such people be given weapons? Actually, they are not given it - not only to a medical specialist, but also to any police officer of the licensing and permitting system, it will be clear at first glance who came to receive permission. Or - renew the license.

But there are also diseases that only a doctor can detect, and even then not immediately. For example, neurotic, stress-related, and somatoform disorders, and personality and behavioral disorders in adulthood. That is, these diseases are not always obvious; they can be acquired by a person due to some life circumstances and do not appear immediately.

For example, a former soldier, firefighter, policeman, driver, even an ambulance doctor may well find themselves in a terrible, stressful situation. And the person, as they say, “blows the roof off.”

But this does not manifest itself all the time, but at some moments, unpredictably - when he is nervous, drinks alcohol. Moreover, it may be quite adequate at the time of undergoing a medical examination, and the doctor simply will not notice anything. Moreover, this person may experience stress and subsequent illness after legally purchasing a weapon. And come, being already sick, for the subsequent renewal of a permit for a gun, carbine or pistol. And his permission will most likely be extended. Practice shows that doctors do not look particularly closely at people who have already owned something that shoots for at least five years. The logic is clear: well, since nothing happened during this time, the person is quite adequate.

Alas, there are dozens of cases where seemingly sane people suddenly opened fire on loved ones, neighbors, passers-by, and passing cars. Moreover, these shooters were not always drunk or on drugs. Having come to their senses, they often do not remember what happened - “suddenly something happened.”

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By the way, police statistics carefully avoid this sensitive topic. There is a column for “illegal use of civilian weapons,” and there is a column for “use in case of necessary self-defense.” And there is simply “an accident.” Question: If a suddenly insane person opens fire with his own legally purchased gun, is it “unlawful use” or an “accident”?

Interior Ministry analysts believe that the government decree is primarily aimed at tightening medical control over gun owners. It is no secret that acquiring the necessary medical certificate is not particularly difficult - we have a lot of private clinics at our service that have a licensed right to conduct specialized medical examinations. Apparently, the new government decree will entail a new mechanism for issuing such medical certificates. It is also possible that it may become more difficult to undergo an examination by a psychiatrist.

One point of the document is curious - weapons will not be given to people suffering from mental disorders and behavioral disorders associated with the use of psychoactive substances. That is, drug addicts and alcoholics. But there is a caveat: if they do not drink or use drugs for three years, they can be given a weapons permit. In general, at the discretion of the doctor and police officer.

By the way, our people, in fact, cannot be called unarmed. There are over 6.2 million different guns in the hands of 5 million people in legal use. That is, for every 100 residents there are up to 9 firearms. However, this is not the highest figure, placing Russia only in 68th place in the world.

But this is fixable - the annual increase in the people's armament is five percent. It turns out that every year the Russians purchase about 300 thousand shooting units. The population has a lot of traumatic pistols in their hands. A sociological study showed that 56 respondents would like to purchase more than 2 units of guns, and 80 percent of owners of already 2 pistols are ready to buy a few more guns - for collection or sport shooting.

Free legal advice:

A third of all civilian weapons are registered in Moscow. Owners of civilian weapons are registered in the capital. There are trunks on the hands. Every year Muscovites purchase about 40 thousand guns. In total, residents of the capital legally have 683 thousand shooting units in their hands - not every European army can boast of such a shooting arsenal.

The Ministry of Health named contraindications to gun ownership

1. “Mental disorders and behavioral disorders (in the presence of chronic and protracted mental disorders with severe persistent or frequently exacerbating painful manifestations).
2. Mental disorders and behavioral disorders associated with the use of psychoactive substances (until the termination of dispensary observation due to stable remission (recovery).
3. Diseases of the eye and its adnexa, accompanied by a decrease in visual acuity below 0.5 in the best eye and below 0.2 in the worse eye or below 0.7 in one eye with no vision in the other, when correction (spectacles, contact) is impossible.” .

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How to get a medical certificate for a weapon?

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Citizens of the Russian Federation, if they have the appropriate permits, have the right to purchase and store weapons and (or) ammunition for them (clauses 19, 54 of the Rules, approved by Decree of the Government of the Russian Federation of July 21, 1998 N 814, art. art. 10, 13 Law of December 13, 1996 N 150-FZ).

To obtain a license to purchase weapons and a permit (its extension) to store weapons or ammunition for them, a number of documents will be required, including a medical certificate confirming the absence of contraindications to the possession of weapons and a medical certificate confirming the absence of narcotic drugs, psychotropic substances and their metabolites in the human body (clause 9.1 of the Administrative Regulations, approved by Order of the Ministry of Internal Affairs of Russia dated 04/25/2012 N 360; clause 9.1.2 of the Administrative Regulations, approved by Order of the Ministry of Internal Affairs of Russia dated 04/26/2012 N 366; clause 9.3 of the Administrative Regulations, approved by Order of the Ministry of Internal Affairs of Russia dated 04/27/2012 N 373; part 15, clause 2, part 20, part 22, article 13 of Law N 150-FZ).

In order to determine whether a citizen of the Russian Federation who intends to own a weapon has (or does not) have diseases for which possession of a weapon is contraindicated, a medical examination is carried out (clause 2 of the Procedure, approved by Order of the Ministry of Health of Russia dated June 30, 2016 N 441n).

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Note. The list of diseases in the presence of which possession of a weapon is contraindicated was approved by Decree of the Government of the Russian Federation of February 19, 2015 N 143.

A medical examination for the presence of medical contraindications to gun ownership includes (clause 7 of the Procedure):

• medical examination by an ophthalmologist;
• medical examination by a psychiatrist;
• medical examination by a psychiatrist-narcologist;
• qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in blood serum (if a psychiatrist-narcologist identifies the corresponding symptoms and syndromes of the disease).

Medical examination and chemical-toxicological studies are carried out at the expense of citizens (Part 21, Article 13 of Law No. 150-FZ; Clause 9 of the Procedure).

To obtain a medical report on the absence of contraindications to owning a weapon and a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body, we recommend following the following algorithm.

Step 1. Contact specialized organizations to undergo a medical examination

You can undergo an examination by an ophthalmologist in medical and other organizations that have a license to carry out medical activities that include performing work (services) for a medical examination for the presence of medical contraindications to owning weapons, ophthalmology. Examinations by a psychiatrist and a psychiatrist-narcologist, as well as (if necessary) qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in blood serum are carried out in state or municipal medical organizations that have the appropriate licenses at your place of residence (stay) ( pp. 4 - 6 of the Order).

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Note. Residents of Moscow can sign up for a medical examination via the Internet using the electronic service “Sign up for a medical commission to obtain a license to purchase weapons and permission to store weapons and ammunition” on the Portal of public services (functions) of Moscow (p. clauses 2.1, 2.3, 2.9 of the Regulations, approved by Order of the Moscow Department of Health dated 08/04/2017 N 531).

A psychiatrist-narcologist will give you a referral for a chemical and toxicological study, which you must undergo to obtain a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body (clause 15 of the Procedure).

In addition, if a psychiatrist-narcologist identifies symptoms and syndromes of the disease, in the presence of which possession of a weapon is contraindicated, an additional laboratory test is carried out, namely a qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in the blood serum (clause 7 of the Procedure).

Based on the results of examinations by a psychiatrist, a psychiatrist-narcologist and an ophthalmologist, certificates are issued (clause 24 of the Procedure).

Note. If, during an examination by a psychiatrist, symptoms and syndromes of a disease are identified, in the presence of which possession of a weapon is contraindicated, you will be referred for a psychiatric examination. If you refuse to undergo it, the psychiatrist will not issue a certificate (clause 23 of the Procedure).

Step 2. Undergo chemical and toxicological studies and obtain an appropriate medical report

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Chemical-toxicological studies of a sample of a biological object (urine) are carried out upon the direction of a psychiatrist-narcologist in drug treatment clinics (narcological hospitals) or other state or municipal medical organizations that have the appropriate license at your place of residence (stay) (clause 8 of the Procedure).

Research is carried out in two stages (clauses 10, 18 of the Procedure):

1) preliminary studies;

2) confirmatory studies, which are not carried out if a preliminary study of narcotic drugs, psychotropic substances and their metabolites is not detected.

The results of chemical and toxicological studies are reflected in a certificate, a copy of which you can receive. If the results of the study are positive, the psychiatrist-narcologist will give you a medical certificate confirming the absence of narcotic drugs, psychotropic substances and their metabolites in the human body (clauses 21 - 22 of the Procedure).

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Step 3. Obtain a medical certificate confirming that there are no medical contraindications to owning a weapon.

A medical report on the absence of medical contraindications to owning a weapon is issued in your presence by a doctor from the medical organization to which you applied, based on the results of medical examinations and laboratory tests (clauses 25, 26 of the Procedure).

The validity period of a medical report on the absence of medical contraindications to owning a weapon for obtaining a license to purchase a weapon is one year from the date of its issuance (Part 21, Article 13 of Law No. 150-FZ; Clause 26 of the Procedure).

Owners of civilian firearms (including limited weapons), gas pistols, revolvers, sports pneumatic weapons and hunting pneumatic weapons are required to submit the above medical reports to the federal executive body authorized in the field of arms trafficking, or its territorial body at least once every five years (Part 22, Article 13 of Law No. 150-FZ; Letter of the Ministry of Internal Affairs of Russia dated September 24, 2015 No. 93/zh-661; Letter of the Russian Guard dated November 25, 2016 No. 3/).

"On the procedure for conducting a medical examination for the presence of medical contraindications to the possession of weapons and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body"

Revision dated 06/30/2016 — Valid from 01/01/2017

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER
dated June 30, 2016 N 441н

ABOUT THE PROCEDURE FOR CONDUCTING A MEDICAL EXAMINATION FOR THE PRESENCE OF MEDICAL CONTRAINDICATIONS TO WEAPON OWNERSHIP AND CHEMICAL-TOXICOLOGICAL STUDIES OF THE PRESENCE OF DRUGS, PSYCHOTROPIC SUBSTANCES AND THEIR METHOD IN THE HUMAN BODY TABOLITOV

the procedure for conducting a medical examination for the presence of medical contraindications to the possession of weapons and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body in accordance with Appendix No. 1;

form N 002-О/у "Medical report on the absence of medical contraindications to owning a weapon" in accordance with Appendix No. 2;

form N 002-О/у-10 “Logbook of registration of issued medical reports on the absence of medical contraindications to gun ownership” in accordance with Appendix No. 3;

form N 003-О/у "Medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body" in accordance with Appendix No. 4.

2. Establish that a medical report on the absence of medical contraindications to owning a weapon is a protected printing product of level “B”.

3. To recognize as invalid:

Order of the Ministry of Health of the Russian Federation dated September 11, 2000 N 344 “On medical examination of citizens for the issuance of a license for the right to purchase weapons” (registered by the Ministry of Justice of the Russian Federation on October 10, 2000, registration N 2415);

order of the Ministry of Health and Social Development of the Russian Federation dated July 12, 2010 N 512n “On amendments to the order of the Ministry of Health of the Russian Federation dated September 11, 2000 N 344 “On medical examination of citizens for the issuance of licenses for the right to purchase weapons” (registered by the Ministry Justice of the Russian Federation August 30, 2010, registration N 18287).

Minister
IN AND. SKVORTSOVA

PROCEDURE FOR CONDUCTING A MEDICAL EXAMINATION FOR THE PRESENCE OF MEDICAL CONTRAINDICATIONS TO OWNING WEAPONS AND CHEMICAL-TOXICOLOGICAL STUDIES OF THE PRESENCE OF DRUGS, PSYCHOTROPIC SUBSTANCES AND THEIR METABO IN THE HUMAN BODY LITHUANIAN

1. This procedure regulates the issues of conducting a medical examination for the presence of medical contraindications to the possession of weapons (hereinafter - medical examination) and chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body (hereinafter - chemical and toxicological studies).

2. A medical examination is carried out in order to establish in a citizen of the Russian Federation who intends to own a weapon the presence (absence) of diseases included in the List of diseases, the presence of which prohibits the possession of weapons, approved by Decree of the Government of the Russian Federation of February 19, 2015 N 143<1>.

<1>Collection of Legislation of the Russian Federation, 2015, No. 9, Art. 1328.

3. Chemical-toxicological studies are carried out for the purpose of detection and subsequent identification of narcotic drugs, psychotropic substances and their metabolites in samples of biological objects (urine).

4. Medical examination is carried out in medical and other organizations engaged in medical activities (hereinafter referred to as medical organizations), regardless of their organizational and legal form, which have a license to carry out medical activities that include the performance of work (services) for “medical examination for the presence of medical contraindications to the possession of weapons", "ophthalmology".

5. An examination by a psychiatrist during a medical examination is carried out in a medical organization of the state or municipal health care system at the place of residence (stay) of a citizen of the Russian Federation undergoing a medical examination (hereinafter referred to as the person being examined), which has a license to carry out medical activities involving the performance of work (services) ) in "psychiatry" and "psychiatric examination".

6. An examination by a psychiatrist-narcologist during a medical examination, as well as a qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in the blood serum of the examinee, is carried out in medical organizations of the state or municipal health care systems at the place of residence (stay) of the examinee, which have a license for the implementation of medical activities involving the performance of work (services) in “psychiatry-narcology” and “laboratory diagnostics” or “clinical laboratory diagnostics”.

7. Medical examination includes medical examinations by medical specialists and laboratory testing in the following scope:

medical examination by an ophthalmologist;

medical examination by a psychiatrist;

medical examination by a psychiatrist-narcologist;

qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in the blood serum of the examinee (if a psychiatrist-narcologist identifies symptoms and syndromes of the disease, in the presence of which possession of a weapon is contraindicated).

8. Chemical-toxicological studies are carried out in drug treatment clinics (narcological hospitals) or other medical organizations of the state or municipal health care system at the place of residence (stay) of the person being examined, which have a license to carry out medical activities that include performing work (services) on “clinical laboratory diagnostics” or “forensic medical examination of physical evidence and the study of biological objects (biochemical, genetic, medical-forensic, spectrographic, forensic biological, forensic histological, forensic chemical, forensic cytological, chemical toxicological).”

9. Medical examination and chemical-toxicological studies are carried out at the expense of citizens<1>.

10. Chemical and toxicological studies are carried out in two stages:

preliminary chemical and toxicological studies using immunochemical methods using analyzers that provide registration and quantitative assessment of research results by comparing the obtained result with a calibration curve;

confirming chemical and toxicological studies using gas and (or) liquid chromatography with mass spectrometric detection using technical means that ensure registration and processing of research results by comparing the results obtained with data from electronic libraries of mass spectra.

11. Preliminary chemical and toxicological studies are carried out no later than 24 hours from the moment of collection of the biological object (urine) in a clinical diagnostic laboratory or chemical and toxicological laboratory of medical organizations specified in paragraph 8 of this Procedure.

12. Confirmatory chemical and toxicological studies are carried out in chemical and toxicological laboratories of medical organizations specified in paragraph 8 of this Procedure.

13. Chemical-toxicological testing is mandatory for the following chemical substances, including their derivatives, metabolites and analogues: opiates, plant and synthetic cannabinoids, phenylalkylamines (amphetamine, methamphetamine), synthetic cathinones, cocaine and methadone, benzodiazepines, barbiturates.

Chemical-toxicological research is carried out on other substances that may lead to adverse consequences during activities associated with a source of increased danger.

14. Medical registrar of one of the medical organizations specified in paragraphs 4 - 6 of this Procedure, to which the person being examined applied for a medical examination, on the basis of an identification document:

selects (or fills out) a medical record of a patient receiving medical care on an outpatient basis (form N 025/у)<1>, and issues to the person being examined a medical report form stating that there are no medical contraindications to owning a weapon, the form of which is provided in Appendix No. 2 to this order, with lines 1 - 3 filled out on the basis of the identity document of the person being examined;

<1>Order of the Ministry of Health of the Russian Federation of December 15, 2014 N 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out” (registered by the Ministry of Justice of the Russian Federation on February 20, 2015 , registration N 36160).

informs the person being examined about the list of medical examinations by medical specialists and laboratory tests that must be completed as part of the medical examination, and about the need to undergo a chemical-toxicological test.

16. The collection of samples of a biological object (urine) for sending for chemical-toxicological testing is carried out in a volume of at least 30 ml in a disposable container for collecting urine in the toilet room of the medical organization specified in paragraph 6 of this Procedure.

17. In order to exclude falsification of a sample of a biological object (urine), the following measurements are carried out during the first 5 minutes after its collection:

temperature using a non-contact device with automatic recording of measurement results (normally, the temperature should be within 32.5 - 39.0 °C);

pH using a pH meter or universal indicator paper (normally pH should be in the range of 4 - 8);

relative density (normally the relative density should be in the range of 1.008 - 1.025).

18. Upon completion of the preliminary chemical-toxicological study, if the biological object (urine) does not contain narcotic drugs, psychotropic substances and their metabolites in the sample, a confirmatory chemical-toxicological study is not carried out.

At the end of the preliminary chemical-toxicological study, if a biological object (urine) contains narcotic drugs, psychotropic substances and their metabolites in the sample, and regardless of their concentration, a confirmatory chemical-toxicological study is carried out. The delivery time for a sample of a biological object (urine) to a medical organization conducting a confirmatory chemical-toxicological study should not exceed 10 working days from the date of collection of the sample of a biological object (urine).

19. The period for conducting a confirmatory chemical-toxicological study should not exceed 3 working days from the moment the sample of the biological object (urine) is received by the chemical-toxicological laboratory.

20. Samples of biological objects (urine) are stored in a chemical-toxicological laboratory for 3 months from the date of conducting confirmatory chemical-toxicological studies, and the resulting mass spectra are stored in electronic form for five years.

21. The results of chemical and toxicological studies are reflected in a certificate of the results of chemical and toxicological studies (registration form N 454/u-06), which is drawn up in the form and in the manner approved by the order of the Ministry of Health and Social Development of the Russian Federation dated January 27, 2006. N 40 “On the organization of chemical-toxicological studies for analytical diagnostics of the presence of alcohol, narcotic drugs, psychotropic and other toxic substances in the human body” (registered by the Ministry of Justice of the Russian Federation on February 26, 2006, registration N 7544) and is submitted to the medical organization, sent a sample of a biological object (urine) to the chemical-toxicological laboratory.

At the request of the person being examined at the medical organization specified in paragraph 6 of this Procedure, he is given a copy of a certificate of the results of chemical and toxicological studies.

22. If, based on the results of a chemical-toxicological study, there are no narcotic drugs, psychotropic substances and their metabolites in a sample of a biological object (urine), a psychiatrist-narcologist of the medical organization specified in paragraph 6 of this Procedure shall issue a medical report on the absence of narcotic drugs in the human body drugs, psychotropic substances and their metabolites, the form of which is provided in Appendix No. 4 to this order, in two copies. One copy of the specified medical report is given to the examinee, the second copy is entered by the psychiatrist-narcologist of the medical organization specified in paragraph 6 of this Procedure into the Medical Record

If narcotic drugs, psychotropic substances and their metabolites are detected in a sample of a biological object (urine), a medical report on the absence of narcotic drugs, psychotropic substances and their metabolites in the human body is not issued.

23. If, during an examination by a psychiatrist, symptoms and syndromes of a disease are identified in the examined person, the presence of which is contraindicated in the possession of weapons, the examined person is sent for a psychiatric examination by a medical commission of a medical organization authorized by the federal executive body in the field of healthcare or the executive body of the subject. of the Russian Federation in the field of healthcare, in accordance with Article 6 of the Law of the Russian Federation of July 2, 1992 N 3185-1 “On psychiatric care and guarantees of the rights of citizens during its provision” (Gazette of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1992 , N 33, Art. 1913, 2013, N 48, Art. 6165).

If the person being examined refuses to undergo the specified psychiatric examination, a certificate based on the results of the examination by a psychiatrist will not be issued.

24. Certificates based on the results of examinations by a psychiatrist, a psychiatrist-narcologist and an ophthalmologist are issued in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated May 2, 2012 N 441n “On approval of the Procedure for issuing certificates and medical reports by medical organizations "(registered by the Ministry of Justice of the Russian Federation on May 29, 2012, registration No. 24366).

25. The results of medical examinations carried out as part of a medical examination (including certificates based on the results of examinations by a psychiatrist, a psychiatrist-narcologist and an ophthalmologist) and laboratory tests, as well as a reasonable conclusion about the presence (absence) of medical contraindications to owning a weapon are entered by a doctor of the medical organization specified in paragraph 14 of this Procedure, in the Medical record of a patient receiving medical care on an outpatient basis (form N 025/у).

26. A medical report on the absence of medical contraindications to owning a weapon is drawn up by a doctor from the medical organization to which the person being examined has applied in accordance with paragraph 14 of this Procedure, based on certificates from medical specialists, the information specified in paragraph 25 of this Procedure, in the presence of the person being examined.

The validity period of a medical certificate stating that there are no medical contraindications to owning a weapon for obtaining a license to purchase a weapon is one year from the date of its issue<1>.

<1>Article 13 of the Federal Law of December 13, 1996 N 150-FZ “On Weapons” (Collection of Legislation of the Russian Federation, 1996, N 51, Art. 5681; 2011, N 1, Art. 10; 2012, N 29, Art. 3993 ; 2013, N 27, article 3477; 2014, N 14, article 1555; N 30, article 4228; 2015, N 1, article 76; N 29, article 4356; 2016, N 1, article 28 ).

If the person being examined refuses to undergo a medical examination or to undergo at least one of the medical examinations by medical specialists and laboratory tests provided for in paragraph 7 of this Procedure, as well as a chemical and toxicological study, issued in accordance with Article 20 of the Federal Law of November 21, 2011. N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165), a medical report on the absence of medical contraindications to gun ownership is not issued .

27. Issued medical reports on the absence of medical contraindications to the possession of weapons are subject to mandatory registration in the Register of issued medical reports on the absence of medical contraindications to the possession of weapons, the form of which is provided in Appendix No. 3 to this order.

Appendix No. 2
to the order of the Ministry of Health
Russian Federation
dated June 30, 2016 N 441н

Medical report series ______ N _____ on the absence of medical contraindications to owning a weapon 1. Last name, first name, patronymic (if any) __________________________ __________________________________________________________________ 2. Date of birth: date _________ month _________________ year ____ 3. Place of registration: subject of the Russian Federation _______________ district ____________________________________________________________ city _____________________ locality _____________________ street ___________________________________ house ____________ apartment _______ 4. Date of issue of the medical report: date _____ month ________ year ____ 5. Medical report: it was revealed that there are no medical contraindications to owning a weapon. 6. Last name, first name, patronymic (if any), signature of the doctor who issued the

The Russian government has expanded the list of diseases that prevent the ownership of weapons, both civilian and service. In, diseases of two, so to speak, categories are listed - mental disorders and eye diseases.

As for the patients of the ophthalmologist, everything is simple: we are talking about people who see practically nothing - who have a 70 percent loss of vision; lenses and glasses do not help.

However, such a person is unlikely to want to buy a hunting rifle or a traumatic pistol - why does he need a gun if he can only feel the target? And if he nevertheless tries to obtain a license for “firearms,” he may automatically attract the interest of other medical specialists - psychiatrists.

But the government decree lists seven types of mental illness.

There is schizophrenia, mental retardation, and split personality.

Do I need to explain that under no circumstances should such people be given weapons? Actually, they are not given it - not only to a medical specialist, but also to any police officer of the licensing and permitting system, it will be clear at first glance who came to receive permission. Or - renew the license.

But there are also diseases that only a doctor can detect, and even then not immediately. For example, neurotic, stress-related, and somatoform disorders, and personality and behavioral disorders in adulthood. That is, these diseases are not always obvious; they can be acquired by a person due to some life circumstances and do not appear immediately.

For example, a former soldier, fireman, policeman, driver, even an ambulance doctor may well find himself in a terrible, stressful situation. And the person, as they say, “blows the roof off.”

But this does not manifest itself all the time, but at some moments, unpredictably - when he is nervous, drinks alcohol. Moreover, it may be quite adequate at the time of undergoing a medical examination, and the doctor simply will not notice anything. Moreover, this person may experience stress and subsequent illness after legally purchasing a weapon. And come, being already sick, for the subsequent renewal of a permit for a gun, carbine or pistol. And his permission will most likely be extended. Practice shows that doctors do not look particularly closely at people who have already owned something that shoots for at least five years. The logic is clear: well, since nothing happened during this time, the person is quite adequate.

Alas, there are dozens of cases where seemingly sane people suddenly opened fire on loved ones, neighbors, passers-by, and passing cars. Moreover, these shooters were not always drunk or on drugs. Having come to their senses, they often don’t remember what happened - “suddenly something happened.”

By the way, police statistics carefully avoid this sensitive topic. There is a column for “illegal use of civilian weapons,” and there is a column for “use in case of necessary self-defense.” And there is simply “an accident.” Question: If a suddenly insane person opens fire with his own legally purchased gun, is it “illegal use” or an “accident”?

Interior Ministry analysts believe that the government decree is primarily aimed at tightening medical control over gun owners. It is no secret that acquiring the necessary medical certificate is not particularly difficult - we have a lot of private clinics at our service that have a licensed right to conduct specialized medical examinations. Apparently, the new government decree will entail a new mechanism for issuing such medical certificates. It is also possible that it may become more difficult to undergo an examination by a psychiatrist.

One point of the document is curious - weapons will not be given to people suffering from mental disorders and behavioral disorders associated with the use of psychoactive substances. That is, drug addicts and alcoholics. But there is a caveat: if they do not drink or use drugs for three years, they can be given a weapons permit. In general, at the discretion of the doctor and police officer.

By the way, our people, in fact, cannot be called unarmed. There are over 6.2 million different guns in the hands of 5 million people in legal use. That is, for every 100 residents there are up to 9 firearms. However, this is not the highest figure, placing Russia only in 68th place in the world.

But this is fixable - the annual increase in the people's armament is five percent. It turns out that every year the Russians purchase about 300 thousand shooting units. The population also has a lot of traumatic weapons in their hands - 1,360,000 pistols. A sociological study showed that 56 respondents would like to purchase more than 2 units of guns, and 80 percent of owners of already 2 pistols are ready to buy a few more guns - for collection or sport shooting.

A third of all civilian weapons are registered in Moscow. There are 515,827 owners of civilian weapons registered in the capital. There are 627,920 trunks on hand. Every year Muscovites purchase about 40 thousand guns. In total, residents of the capital legally have 683 thousand shooting units in their hands - not every European army can boast of such a shooting arsenal.