The provisions which require consultation of the establishment’s medical committee or its chairman, as well as those which provide for the proposal or opinion of the head of the department or, failing that, the head of the functional unit or any other internal structure, do not apply to practitioners carrying out their duties in the establishments mentioned in I of article L. 313-12 of the Code de l’action sociale et des familles. For these practitioners, only the opinion of the establishment director is required.