ORPHF - Forms

Form No.:

PHF 14 & PHF 15 Apply Now

Form Title:

Application Form and Checklist of Documents for Hospital Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 16

Form Title:

Declaration by the Applicant

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 17

Form Title:

Declaration by Director/Officer of the Applicant

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 18

Form Title:

Declaration by Director of the Applicant which is a Company or Body Corporate

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 19

Form Title:

Declaration by the Chief Medical Executive of a Hospital

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 110

Form Title:

Report for Application for Hospital Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 111 Apply Now

Form Title:

Application Form for Variation of Service / Particulars of Hospital

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 112

Form Title:

Checklist of Documents of Healthcare Engineering Systems to be submitted with the letter of intent

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 116

Form Title:

Checklist of Documents of Healthcare Engineering Systems to be available on site for inspection

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 118 Apply Now

Form Title:

Application Form for Renewal of Hospital Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 122

Form Title:

Checklist of Documents for Extension / Redevelopment of Hospital Block

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 22 & PHF 23 Apply Now

Form Title:

Application Form and Checklist of Documents for Day Procedure Centre Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 24

Form Title:

Declaration by the Chief Medical Executive of a Day Procedure Centre

Language:

Chinese & English

Relevant Information:

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 25

Form Title:

Report for Application for Day Procedure Centre Licence

Language:

Chinese & English

Relevant Information:

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 26 Apply Now

Form Title:

Application Form for Variation of Service / Particulars of Day Procedure Centre

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 27

Form Title:

Notification Form for Cancellation of Day Procedure Centre Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 28 Apply Now

Form Title:

Application Form for Renewal of Day Procedure Centre Licence

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 212

Form Title:

Checklist of Documents of Healthcare Engineering Systems of Day Procedure Centre to be submitted with the Application

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 216

Form Title:

Checklist of Documents of Healthcare Engineering Systems of Day Procedure Centre to be available on site for inspection

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

PHF 65

Form Title:

Notification of Changes in Service of Scheduled Nursing Homes

Language:

English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

C-L01-Fa

Form Title:

Application For First Registration Of Clinic

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

C-L05-Fa

Form Title:

Application For Change Of Registration Particulars Of Clinic

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk

Form No.:

C-L05-Fb

Form Title:

Application For Reopen After Closure / Change Of Registration Particulars of Clinic Exempted From Section 7 of The Cap. 343

Language:

Chinese & English

Relevant Information:

Submission of completed form:

Address:

Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong

For enquiry:

Telephone:

(852) 3107 8451

Fax:

(852) 2126 7515

eMail:

orphf@dh.gov.hk