Terminal Illness & End-of-Life Planning in Uzbekistan: 5-Step Official Checklist

1. 1

   Coordinate Palliative Care, Home Nursing, and Health Coverage

   • Specialist oncology and palliative services: Under the Law on Protection of Citizens' Health and programs overseen by the Ministry of Health of the Republic of Uzbekistan, patients with advanced or life-limiting illnesses are entitled to palliative medical care, pain management, and symptomatic support through regional multidisciplinary medical centers, specialized oncology centers, and local family polyclinics [1] [5].
   • Home patronage and pain relief prescriptions: Register the patient with the territorial family polyclinic (oilaviy poliklinika) at their place of residence so a patronage physician and visiting nurse can establish an ongoing home care plan, monitor symptoms, and issue regulated prescriptions for strong analgesics in accordance with clinical protocols [5].
   • State guaranteed health coverage and social registries: Verify the patient's registration in the electronic healthcare system using their 14-digit personal identification number (JShShIR / PINFL) via the Unified Portal of Interactive Public Services (my.gov.uz) to access state-funded inpatient referrals, preferential medication supply lists, and inpatient palliative care beds [1] [5].
2. 2

   Record Healthcare Preferences and Medical Representation

   • Informed consent and patient rights: Under Uzbekistan's Law on Protection of Citizens' Health, every capable patient has the right to receive clinical information in an accessible form, to give informed voluntary consent to medical intervention, or to refuse specific medical procedures or hospitalization in writing at the healthcare facility [5].
   • Designating a trusted representative in clinical records: While Uzbekistan does not have a standalone statutory living will registry separate from hospital records, the patient can submit a written statement to the treating facility under the Ministry of Health of the Republic of Uzbekistan naming trusted family members authorized to receive confidential medical updates, access medical extracts, and be consulted by physicians if the patient's condition deteriorates [4] [5].
   • Notarized authorization for medical administration: While the ill person retains full legal capacity, they may also execute a notarized power of attorney (ishonchnoma) through a notary supervised by the Ministry of Justice of the Republic of Uzbekistan authorizing a representative to request medical records, submit referrals, and handle administrative interactions with healthcare institutions and insurers [2] [3].
3. 3

   Execute Financial Powers of Attorney and Bank Mandates

   • Notarial powers of attorney while capacity is intact: Under the Civil Code of the Republic of Uzbekistan, a power of attorney (ishonchnoma) can only be executed while the principal has full legal capacity, and it ceases to have legal effect if the principal is subsequently declared legally incapacitated or dies [2] [3]. Act promptly to have a public or private notary record the power of attorney in the national electronic registry (e-notarius) overseen by the Ministry of Justice of the Republic of Uzbekistan [2] [3].
   • Mobile home or hospital notary visits: If your family member cannot travel due to serious illness, notaries and Public Services Centers under the Ministry of Justice of the Republic of Uzbekistan provide off-site (sayyor) visits to the patient's home or hospital ward to verify identity and mental capacity and certify powers of attorney in person [2] [4].
   • Bank mandates and pension collection rules: Specify explicit banking powers (operating accounts, paying bills, managing deposits) in the notarized power of attorney, and note that under Cabinet of Ministers pension regulations, powers of attorney used to collect state pensions or allowances are exempt from state notary duty but require periodic re-confirmation under the rules of the Extrabudgetary Pension Fund under the Ministry of Economy and Finance [2] [3].
4. 4

   Activate Disability Benefits, Caregiver Support, and Sick Leave

   • Medical and Social Expert Commission (TIEK) assessment: Ask the treating family polyclinic to refer the patient's clinical dossier electronically to the Medical and Social Expert Commission (Tibbiy-ijtimoiy ekspert komissiyasi, TIEK) to establish a formal disability group (Group I, II, or III) and determine the need for constant outside nursing care [1] [4].
   • Disability pension and social allowances: Once Group I or Group II disability is certified, submit an application through the Unified Portal of Interactive Public Services (my.gov.uz) or the Extrabudgetary Pension Fund under the Ministry of Economy and Finance to activate a state disability pension or social disability allowance, which is often assigned proactively once TIEK data is logged [1] [3] [4].
   • Caregiver leave and social protection support: Employed family members caring for a seriously ill relative may obtain a temporary incapacity/care certificate (mehnatga layoqatsizlik varaqasi) through the healthcare facility, and caregivers of persons with Group I disability may qualify for social service support and pension service credit recognition [1] [4] [5].
5. 5

   Review the Will, Civil Status Records, and Property Documentation

   • Executing a notarized will (Vasiyatnoma): Under Book Five of the Civil Code of the Republic of Uzbekistan, a will must be made in writing and certified by a notary (or, in exceptional clinical circumstances, by the chief physician or duty doctor of the hospital where the testator is receiving inpatient treatment) while the testator possesses full mental capacity [2]. Note that minor or disabled children, spouses, and parents remain entitled to a statutory compulsory share (majburiy ulush) regardless of testamentary terms [2].
   • Auditing civil status and cadastral records: Verify that the ill person's national ID card, marriage certificate, children's birth certificates, and real estate cadastral records match the exact spelling and JShShIR (PINFL) in the state registries accessible via the Unified Portal of Interactive Public Services (my.gov.uz) so future heirs do not face name-discrepancy delays [1] [2].
   • Cross-border assets and foreign family members: If the ill person owns property outside Uzbekistan or if designated representatives or heirs live abroad, arrange for powers of attorney and civil status extracts to be affixed with an Apostille through the Ministry of Justice of the Republic of Uzbekistan so they are legally recognized across jurisdictions [1] [2].

Official Authorities & Verified Contacts

Official Sources Checked by Clarvia

1. [1]
   Unified Portal of Interactive Public Services (my.gov.uz) - Personal Identification Number (JShShIR) and Public Services — Unified Portal of Interactive Public Services (my.gov.uz)
2. [2]
   Law of the Republic of Uzbekistan on State Duties and Notarial Certification of Powers of Attorney and Wills — Ministry of Justice of the Republic of Uzbekistan (Lex.uz)
3. [3]
   Cabinet of Ministers Resolution No. 592 on State Pension Assignment and Power of Attorney Payment Rules — National Database of Legislation of the Republic of Uzbekistan (Lex.uz)
4. [4]
   Regulations on Disability Pension Assignment and Public Services for Vulnerable Citizens — National Database of Legislation of the Republic of Uzbekistan (Lex.uz)
5. [5]
   Ministry of Health of the Republic of Uzbekistan - Official Portal (gov.uz/en/ssv) — Ministry of Health of the Republic of Uzbekistan