Electronic decisions and referrals to the Military Medical Commission: The Ministry of Defence answers the most frequently asked questions

The reform of the Military Medical Commission (MMC) system aims to make the military medical examination as efficient, rapid, and transparent as possible. This comprehensive process involves the digitalization of procedures and the improvement of the regulatory framework.

The first phase of the reform is underway. In January, the Ministry of Defence introduced electronic referrals to MMC through the Reserve+ app for individuals liable for military service. Now, the Ministry is introducing electronic MMC decisions for examinations of both individuals liable for military service and active military personnel, an MMC electronic cabinet within the Medical Information System of the Armed Forces of Ukraine (MIS AFU), and integration of the MIS AFU with the Oberih register.

The Ministry of Defence answers the most frequently asked questions regarding the implementation of the MMC reform.

1. How does the electronic MMC referral function?

The process is straightforward—users only need to log into the Reserve+ app, which is already used by 4 million individuals liable for military service, and submit a request. There is no longer a need to visit an enlistment office and spend time and effort obtaining a paper referral. 

Once the enlistment office signs the electronic referral, the individual receives a notification in Reserve+, and the document appears in the ‘Referral to MMC’ section. They can then proceed directly to the designated healthcare facility for the medical examination.

2. Who can request an electronic referral to MMC?

The service is available to all individuals liable for military service—both those who wish to undergo an evaluation voluntarily and those who have received a paper summons for an MMC examination. They simply need to submit a request via the Reserve+ app.

3. What happens if an electronic referral is generated, but the individual fails to attend the MMC?

Suppose an individual liable for military service voluntarily chooses to undergo a medical examination at MMC but fails to appear. In that case, the referral in Reserve+ remains valid for 15 days from the scheduled examination date. After that, the request must be resubmitted, and a referral with either the same or the updated details will appear in the app.

However, suppose an individual liable for military service receives a summons for a fitness-for-service examination at MMC, submits a request via Reserve+, obtains an electronic referral, and fails to appear within 14 days of the scheduled date. In that case, this constitutes a violation of registration rules and is subject to administrative liability.

4. What is an electronic MMC decision?

An MMC decision is the conclusion issued by the Military Medical Commission after the examination.

Previously, decisions were handwritten and sent to enlistment offices in paper form—a time-consuming process with a risk of data loss during delivery.

The Ministry of Defence has streamlined the process by developing an electronic MMC cabinet within the MIS AFU. This new functionality enables commissions to receive and transmit documents online, speeding up processing and minimizing the risk of data loss.

5. What are the benefits of electronic decisions for individuals liable for military service?

Individuals liable for military service no longer need to personally deliver MMC decisions to enlistment offices or wait for the commission to send paper documents and have them recorded in the system. Electronic data will automatically be transmitted to the Oberih register, allowing the MMC decision to appear in the Reserve+ app much faster.

6. What are the benefits of electronic decisions for active military personnel?

The history of previous MMC examinations for both individuals liable for military service and active military personnel will be stored in the MIS AFU, enabling a comprehensive assessment of an individual’s health during examination.

Electronic decisions will soon allow military personnel to submit requests for payments, benefits, and health-related services directly through the Army+ app.

Additionally, the Ministry of Defence has digitized the certificate of injury circumstances. Commanders can now generate this document in the Electronic Document Management System (СЕДО), after which it is automatically sent to the MMC electronic cabinet. Military personnel no longer need to obtain the original certificate from their commander or carry a paper document—they can proceed directly to the MMC examination.

The MMC electronic cabinet also opens up opportunities for further automation, particularly in simplifying the process of medical leave and discharge for health-related reasons.

7. Is the use of electronic decisions mandatory for all MMCs?

Since March 1, 2025, electronic decisions are generated by MMCs that have registered in the electronic cabinet, completed training, and mastered the functionality. All commissions are required to join the system within a month.

Starting April 1, the electronic format for decisions will be mandatory for all MMCs.

8. What if an MMC cannot access the information system due to technical issues?

If technical access is temporarily unavailable, MMCs may issue decisions on paper. Once technical access is restored, MMC staff must enter the data into the MIS AFU, with a note regarding the document's original in paper form.

9. Will the MMC decision be handed to the individual after the examination?

If the decision is issued as an MMC certificate (for conclusions about fitness for military service or the need for medical treatment, health-related leave, etc.), the commission may print and provide a copy of the electronic decision after the examination.

However, if the decision is issued as a medical certificate (for determining unfitness for military service), the commission must have the conclusion approved by the regular (central or regional) MMC. Such a decision can only be provided in person after official approval.

10. Can an MMC require an individual to deliver documents to the enlistment office personally?

No, the MMC is responsible for submitting the decision to the enlistment office. Thanks to the electronic cabinet, decisions are now generated electronically in the MIS AFU and are automatically sent to the Oberih register and, consequently, to the enlistment office.

11. Can an MMC enter conclusions into the system without conducting an actual examination?

No, it is mandatory for MMCs to conduct examinations. During the examination, doctors within the MMC at healthcare facilities review medical records in the Electronic Healthcare System (EHS) and other medical documents the individual provides, recording their findings in the EHS.

After the examination, MMC staff—including the commission chair, all participating members, and the secretary—certify the electronic decision with qualified electronic signatures (QES). All decisions are recorded in the MIS AFU, simplifying oversight and tracking. This digital transformation enhances the transparency of military medical examinations.

12. What is the process for appealing a decision documented in an electronic MMC decision?

The procedure for appealing remains applicable. If an individual disagrees with the MMC decision, they can file a complaint with the regular (central or regional) MMC or appeal the decision through legal proceedings. This right is stipulated in Chapter 3, Section I of Ministry of Defence Order No. 402.

13. Which regulatory act governs electronic MMC decisions?

Amendments to Ministry of Defence Order No. 402, dated August 14, 2008, “On the Approval of the Regulation on Military Medical Expertise in the Armed Forces of Ukraine,” provide for the introduction of the MMC electronic cabinet, the replacement of paper decision forms with electronic ones, and the simplification of paper reporting.