The clinic serves the adult and pediatric populations of the city and region six days a week—on weekdays in two shifts until 8:00 p.m., and on Saturdays until 2:00 p.m. The maximum load is 820 visits per shift. Despite the legislatively mandated time allotted for each patient examination, from 5 to 15 additional appointment slots are allocated daily to virtually every specialist. At the same time, even with these extra slots, securing an appointment with a doctor on the same day is not always possible. Furthermore, patients often only see the doctor's work in the office but forget about the other burdens on specialists—participation in medical, driver's, and conscription commissions, home visits by medical-social expert commissions, consultations with hospitalized patients, mobile work as part of dispensarization, and preventive examinations of enterprise workers.

Ambulatory and clinic care is provided on a planned basis. Appointments are scheduled according to an approved scheme: 75% of the appointment slots are allocated for advance booking (up to three months in advance); 25% is reserved for repeat visits and patients on sick leave; for emergency consultations and when necessary, the required number of slots are additionally allocated to doctors (including specialists) on a day-to-day basis. Online booking is available for up to 50% of the 75 slots designated for advance appointments. If there are remaining slots from the advance booking, they are issued on the day of the appointment. For dispensarization, slots are allocated to specialists according to a schedule (slots are issued by the specialists themselves). Slots for repeat visits for pregnant patients are issued by obstetrician-gynecologists. 100% of slots for the doctor's assistant in ambulatory and clinic work are issued via online advance booking. This structure protects patients with an established diagnosis and those whom the doctor has specifically called in, but it creates a deficit of free "windows" for initial consultations.

Since June 28, 2024, Order No. 917 of the Ministry of Health "On Improving Access to Medical Care" has been in effect, according to which initial appointments with a neurologist, otorhinolaryngologist, cardiologist, and endocrinologist can only be made through a general practitioner or pediatrician (except for dispensary patients). That is, the route is as follows: first, an examination by a general practitioner/pediatrician, and then a referral as indicated.