Форма № 027/у. наименование учреждения. печать организации. ВЫПИСКА. из медицинской карты амбулаторного, стационарного больного. ( ФГБУ СКФНКЦ ФМБА России

The medical term (эпикриз на ВК) refers to a medical summary or clinical abstract prepared for a Medical Commission (Врачебная Комиссия, or VK). This document is essential for evaluating complex cases, extending medical leave, or granting disability status. Standard Form and Purpose

While there is no single "blank" for every situation, it is most commonly associated with (Выписной эпикриз).

: An official summary of a patient's health status based on their medical history, used to exchange information between medical facilities.

: Primary and secondary diagnoses, history of the current illness, and physical examination results.

You can download standard templates (Forms 027/u and specialized commission referrals) from official medical and legal repositories:

A standard epicrisis blank typically requires the following information: