Cabinet of Ministers Regulations No. 276 in Riga 2 June 2015 (pr. No 27 29) detainees and convicted persons for the implementation of health care issued under the custody of the law holding article 22, third paragraph, of the Penal Procedure Code 78. the third paragraph of article i. General questions 1. determines the arrested or convicted (prisoner) public health care services, procedures in prisons and prison hospital of Latvia provides these services, and the order in which the inmates sent to the health service for receiving treatment outside of prison. 2. A prisoner shall receive free of charge: 2.1. primary health care provided by prison medical persons, except elective dental assistance; 2.2. emergency dental assistance; 2.3. secondary health care provided by prison medical person or Latvian prison hospital, but if the prisoner needed health care services that are not possible to ensure prisons or the prison hospital of Latvia, then based on medical indications, treatment services also outside the prison; 2.4. effective and cost medicines which are cheaper vis-a-vis prison treatment; 2.5. from the State budget paid health services medical institutions outside the prison, based on medical indications, according to the regulations of the health care organization and financing. 3. The prisoner's outpatient health care provides prison medical part, but stationary health care Latvia prison hospital. 4. The rules referred to in point 2.2. emergency dental assistance provided if the prisoner's condition can be a critical impact on their health or lives and need urgent help. 5. Prisoner medicine uses only the prisons staff presence, except when the prison doctors received special instruction. 6. the prisoner's personal funds purchased medicine keep prisons medical part and they are used in accordance with the provisions of paragraph 5. 7. The prisoner's health preventive examination is carried out once a year. Prison Administration Chief each year by the preventive examinations. 8. on the basis of the opinion of the referring physician, forbidden to send prisoners to other institutions, which has acute disease stage and who have not completed a course of treatment. 9. If the prisoner has suffered injury or is poisoned, the medical person after medical care to prison shall submit a written report to the boss about what happened.
II. Health check on arrival at prison prisoner arriving in 10 prisons, medical treatment in person within three days of arrival or immediately after the prison Chief's Assistant supervising (hereinafter referred to as the keep-Assistant) the instructions shall take the prisoner's first health check. 11. If a prisoner is moved to other prisons, the prison treatment the person imprisoned in the health examination is carried out within three days of arrival or immediately after, the supervising Assistant's instructions. 12. If a prisoner is placed the Latvian prison hospital, the hospital's duty doctor two hours after insertion in the prison hospital or immediately after, the supervising Assistant carries out the instructions of the prisoner. 13. when the rules 10, 11 and 12 of this prisoner health screening or prisoner, prison treatment: 13.1. present or continues to fill out a prisoner or patient in the hospital outpatient medical card (hereinafter referred to as the medical card), which records the results of the study, and completed an outpatient card attachments (1., 2., and annex 3); 13.2. viewing the prisoners to find out whether the prisoner is a visible injury; 13.3. offers to take the prisoner study human immunodeficiency virus detection if the prisoner during the last 12 months that the study has not been carried out; 13.4. is sent to a lung x-ray study, if the prisoner during the last 12 months that the study has not been carried out; 13.5. If necessary, prescribing the other prisoners, not mentioned in this paragraph, examinations and treatment. 14. in carrying out these regulations referred to in paragraph 10, the health check, a first-time prisoner offers to make a study of sexually transmitted diseases has been established. 15. If this rule 13.2. viewing referred during the prisoner finds injury, treatment a person fills out a medical card and add the prisoner's injuries overview sheet (annex 4). 16. If a prisoner renounce this rule 13.2, 13.3 and 13.5 inspections referred to in point, study or treatment, he declares in writing its refusal to fill the certificate form (annex 5). If a prisoner refuses to acknowledge his refusal, this fact in the form of a proof with a signature certifying the medical person and two prison officials (employees). 17. If the prisoner has waived that rule 13.2, 13.3 and 13.5 inspections referred to in point, study or medical treatment, but the person has a reasonable suspicion about serious health problems or the prisoner is an obvious injury, treatment of their personal medical card.
III. The prison health care organization in the custody of

18. If you have reason to believe that the prisoner need emergency medical help, keep-Assistant shall immediately inform the prison treatment of the person shall immediately take charge, assessed his medical condition and appropriate competency provides emergency medical assistance. 19. If a prisoner is not possible to provide emergency medical assistance in prisons or prison treatment is not available in person and reasonably suspects the presence of serious health problems in prison or prisoner is obvious injury, keep-Assistant immediately called emergency medical service team. 20. Outpatient health care services for the custody of a prisoner shall receive: 20.1. own initiative addressing the prison doctor, Physician Assistant or practitioner; 20.2. the prison doctor or physician assistant shipping. 21. the primary and secondary health care services receive appropriate treatment, the prisoner's personal referrals or on its own initiative addressing the prison doctors. 22. The prisoner's planned secondary health care for prison treatment makes the prisons specified on the agenda. 23. If a prisoner is not entitled independently to move through the territory of Guantánamo, scheduled primary and secondary health care to prison for medical part of their return for the prisoner's supervising officer. 24. Ambulatory health care services given prison prisoners medical or confined location, or Latvian prison hospital. Elective outpatient health care services are provided to prisons within the agenda of the patient at the time of adoption. 25. If the prisoner needed to receive outpatient health services in Latvian Prison Hospital: 25.1. prison medical Manager with Latvian prison hospital the doctor service date and time of receipt and inform the prison warden; 25.2. the prisons Chief organised the prisoner transfer to a Prison Hospital in Latvia for a period up to one day. 26. If the prisoner needed to urgently send to Latvia in the prison hospital, prison, part of the medical treatment shall be informed by the Latvian prison hospital duty doctor and the prison administration officer.
27. If the prisoner needed to urgently send to Latvia prison hospital outside normal working hours, prison officials and employees acting under this provision of the order referred to in paragraph 19. 28. If the emergency medical service team informs the keep-alive about the need of helpers to transfer prisoners in hospital health care service on the Latvian prison hospital, keep-Assistant shall immediately inform the Olaine Prison caught the man and a Latvian prison hospital duty doctor, who informed about the opportunity to provide a health care service of the Latvian prison hospital. 29. If the emergency medical service teams in the treatment the person finds that the inmates need to transfer immediately to a hospital outside the prison, the prisoners in the fill out a form for transport to a hospital outside the prison (annex 6) and submit it to the supervising Assistant. 30. If these provisions 28. in the case referred to in paragraph required health care services can provide a Latvian prison hospital, keep-Assistant, with the prison administration officer, organized the prisoner transfer. 31. paragraph 28 of these rules If the case referred to in the health care service of the Latvian prison hospital cannot be achieved, the Assistant supervising agreement with the prison administration officer, organized the prisoner transfer to a hospital outside the prison and security guards. 32. If the prisoner wishes to get the custody of these provisions not listed in paragraph 4, the dental assistance for personal finance, he shall submit the application to the prison boss, who organises the provision of such assistance.
IV. arrangements for the dispatch of the prisoner health care services medical institution outside the prison's 33. If the prisoner wishes to receive secondary health care or dental services on personal finance medical institution outside the prison, he shall submit an application to the head of the prison. 34. This provision is referred to in paragraph 33, the application evaluates the prison doctor and medicine head of Latvia's prison hospital or virsārst, providing an opinion on health care. 35. If the prisoner is not a medical indication for service or service you may receive prison or the prison hospital of Latvia, prisons Chief rejects this provision, paragraph 33. 36. If the prisoner is a medical indication that provision referred to in paragraph 32 service medical institution outside the prison and it is impossible to ensure prisons or the prison hospital of Latvia, prison medical Executive or Latvian prison hospital virsārst: 36.1. find out whether the service is financed from the State budget in accordance with the laws and regulations of the health care organization and financing; 36.2. find out the health care service of the approximate cost and the location; 36.3. in coordination with the prison Chief, organized prisoner transfers and security medical institution for providing health care services. 37. at the hospital's Bill on prisoner health care services provided by the rules referred to in paragraph 33, the prison administration officials of relevant financial resources transferred to the hospital's designated bank account.
V. prisoner required medicine or medical product purchasing and procedure

38. If the prisoner wishes to purchase medicines or medical goods, he shall submit an application to the head of the prison with a request to allow buy medicine or medical product on the prisoner's personal funds. Application to evaluate the prison doctor and medical Executive or virsārst Latvian prison hospital and give an opinion on the health care required medication or medical items. 39. If a medicine or medical product purchase is not medically indicated prisoner, prisons Chief rejects this provision, paragraph 38. 40. If the medicinal product or medical goods are medically indicated prisoner, prison medical Executive or Latvian prison hospital virsārst: 24.9. find a medicine or medical product acquisition about costs and the nearest place of purchase; 40.2. organizes the prisoner's personal account, the reservation of the resources; the prisoner's application under 25.0 with the prison warden; 40.4. ensure that prison medical Executive or Latvian prison hospital virsārst organized their acquisition according to the legislation on public procurement and electronic procurement system; 25.2. the transfer of drugs or medical goods prisoner. The prisoner for their signature. Products are stored in accordance with paragraph 6 of these rules.
VI. final question 41. Be declared unenforceable in the Cabinet of Ministers on 14 January 2014. Regulation No 25 "rules on detainees and convicted persons, health care in prisons" (Latvian journal, 2014, no 16). The Prime Minister is the Minister of Justice of Rashness Newsletters amber Rasnač of annex 1 of the Cabinet of Ministers of 2 June 2015 regulations No 276 Outpatient medical card patients in prison administration for medical documentation Form No. 025/u Form No. 043/u 2006 disease Cypher drug intolerance first last place of residence (country/city) sex man.     wife.  
 
Date of birth ID number Criminal article parole beginning sentence end date of arrival prison name card started 20 ___. year ______. _____ _____ _____ _____ Card completed 20 ___. year ______. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ the reason for the conclusion of the card Signālatzīm's Study (specify date). the investigation of lung X ray/Pedikuloz scabs to analysis on HIV/AIDS, the Minister of Justice amber Rasnač in annex 2 of the Cabinet of Ministers of 2 June 2015 regulations No 276 patients outpatient card annex first viewing card ______. year _____. _____ _____ _____ _____ complaints including health history. tuberculosis, viral hepatitis syphilis gonorrhea allergy addictions, drugs, toxic substances objective: body weight – visible damages – the skin-throat-lungs-heart – stomach – psychic condition diagnosis treatment plan survey plan (medical treatment person's name, surname, signature) the Minister of Justice amber Rasnač of annex 3 of the Cabinet of Ministers of 2 June 2015 regulations No 276 of questionnaire morbidity with tuberculosis (TB) TB health history Or is ill with TB?
  Nē       Jā __________. the medical establishment in the year in which the results of Treatment or treatment has been in contact with active TB patients?
  Nē       Jā __________. year TB risk factors alongside the disease HIV/AIDS infection in Chronic kidney disease diabetes alcohol and/or drug usage stomach-intestinal tract diseases sustained use of glucocorticoids Slimming lately TB symptoms ("+", "-", is a symptom-not a symptom): examination date cough > 3 weeks sputum weight loss Appetite lack of chest pain night sweating increased t ° haemoptysis shortness of breath fatigue weight/height of the sputum X-ray examination (medical treatment person's name name, signature) the Minister of Justice amber Rasnač in annex 4 of the Cabinet of Ministers of 2 June 2015 regulations No 276 injuries overview page amber Rasnač Minister of Justice in annex 5 of the Cabinet of Ministers of 2 June 2015 regulations No 276 proof of denial of medical examination, study or treatment I, log off from view, (name, surname) study or treatment.
I've warned about the consequences.         (signature)   (date)
The prisoner refused to sign the receipt.
Medical person (name) (signature) officer or employee (name) (signature) officer or employee (name) (signature) the Minister of Justice amber Rasnač of annex 6 of the Cabinet of Ministers of 2 June 2015 the rules no prisoner conveyance form 76 to a hospital outside the prison in Guantánamo (Guantánamo) emergency medical service teams no ____ ____ ____ ____ the medical person confirms that 20 __. year ___. ___ ___ ___ ___ o'clock. ___ ___ the inmates (first name, last name, social security number, or date of birth)

health reasons need be moved to such a treatment outside prison (name of hospital) (medical treatment person's first name, last name, signature, date) the Minister of Justice Rasnač in amber