047/a and 048/a Medical Certificate for Work (preventive health check-up)

*The indicated price is for the basic health check-up. If there are additional risk factors specified in the health check-up procedure regulated by the Minister of Health's Order V-301, additional tests may be prescribed at the doctor's discretion, payable according to Rezus.lt rates.

How to prepare for a work health check-up?

When coming for a work health check-up, bring with you:

1. Identity card.
2. Personal health history (ambulatory card) or a form No. 027/a issued by a family doctor. For those who do not have a valid form No. 027/a (about health condition) issued by a family doctor, or if the clinic where the patient is registered is not in Šiauliai, or for those not registered in Lithuania, the mandatory health check-up is carried out on-site (tests and electrocardiogram performed).
3. Employer's completed and signed personal medical book (Health Passport No. 048/a) or mandatory health check-up medical certificate form (No. 047/a), indicating workplace risk factors. The employer can also provide the corresponding electronic form (E048 or E047) through the ESPBI IS system.

Is it necessary to have a lung X-ray?

If a lung X-ray is required for the issuance of the certificate (taken no later than 1 year ago), a referral for a lung X-ray is issued by UAB Rezus.lt family doctors. In Šiauliai, you can have the X-ray done at the clinic located at Gumbinės g. 33C. The price for the X-ray is 15.00 Eur.

When is a preventive health check-up for work necessary?

• Employees need a health certificate for work; if the doctor does not specify another health check-up date, the employee's health (given the factors listed in the table) is checked once every 2 years.
• For employees who are allowed to work only after an initial check and subsequently periodic checks to ensure they are not suffering from infectious diseases, the employee's health is checked once a year.

The health of employees is checked to:

• Assess whether the employed and working individuals can perform specific work under specific working conditions;
• Protect employees' health from possible occupational risk factors (injuries, etc.);
• Avoid or diagnose occupational diseases as early as possible.

Refusal to undergo a health check when such a check is mandatory for the employee is a gross violation of work duties.