SED S015 – Information if treatment is provided for by Member State of stay - scheduled treatment

This request SED is used by an institution of the place of residence that received the request for authorisation of an appropriate (scheduled) treatment outside the Member State

The institution in the competent Member State uses this SED to reply to the request of authorisation (of scheduled treatment outside the Member State of residence) performed by

The Institution of the Place of Stay should indicate all possessed personal data of a person concerned for easier identification of a person by the Competent Institution,

If you are the Institution in the Member State of residence / stay which upon request of the person concerned sends the required medical certificate issued by the doctor appointed

 It is highly important to indicate the data describing the accident or occupational disease, such us a date of accident or date when the occupational disease was diagnosed, the

 The institution of the place of residence which forwards the request on DA006 is obliged to certify in a statement that the person can / cannot be treated within a

 Authorisation to receive scheduled urgent vitally necessary treatment can be given by the institution in the Member State of the residence on behalf of

o “Global ACP_IO reference Liaison Body” – a reference number of the ACP_IO specified in the global part of DA073A which allows to link individual replies with