How to fill in the application form of the designated medical institutions?

1, the form with a pen to fill out, the requirements of the handwriting neat and clear, the content of the real, which involves the content must be issued by the relevant departments of the content of the document is consistent. 2, "application content" column by the medical institutions to fill in the qualification of the intention to apply for a fixed-point. 3, the type of organization: hospitals, health centers, village health clinics, pharmacies, other.

Specialized medical institutions to fill out the application?

(1) the table with a pen to fill out the requirements of the handwriting neat and clear, the content is true, which involves the content must be consistent with the content of the relevant departments to issue documents;

(2) "application content" column by the medical institutions to fill in the application for the qualification of fixed-point intention.

(3) The type of organization: hospitals, health centers, village health centers, pharmacies, other.

(4) "large-scale medical equipment list" county-level and above, fill in the number of pieces of equipment more than 10,000 yuan, township health centers fill in the number of pieces of equipment more than 2,000 yuan, other medical institutions fill in the number of pieces of equipment more than 500 yuan.

(5) medical institutions to submit this application, to be attached to the following materials:

1, a copy of the license to practice medical institutions and copies;

2, special diagnostic and therapeutic activities, such as: maternal and child health care, radiation therapy and other licenses and copies;

2, a copy of the license and copy of the medical fee;

3, the use of large-scale equipment, registration (permit) certificate and copy;< /p> 4, medical personnel spending and copying;< /p> 4, medical personnel spending and copying; < /p> 4, medical personnel spending and copying. /p> 4, medical personnel roster, qualification certificates, practice registration certificates and photocopies;

5, the previous year, the basic situation of the medical institutions and electronic documents (including the previous year, outpatient visits and outpatient costs, inpatient visits and hospitalization costs, bed utilization, average hospitalization, cost per bed day, the large-scale medical equipment testing projects, such as the positive rate of the basic situation of the operation of the medical institutions, Staffing, the number of beds and the number of beds actually opened, the configuration of various types of professional and technical personnel, specialties and technical characteristics of the situation);

6, health, drug supervision, pricing and other departments of the inspection of certificates;

7, drug business varieties, charges and price lists (hospitals to provide electronic documents);

8, the main rules and regulations of the internal management;

9, deeds of ownership or rental agreement and a copy (except for public hospitals);

(6) No health technology licensing qualifications, titles are not included in the statistics.

(7) According to the characteristics of the unit to provide no less than ten kinds of single disease types, price catalog. And provide a detailed calculation basis for each single disease.

The fixed-point medical institution applicant can be hospitals, rural health centers, or pharmacies. Medical insurance participants in these fixed-point institutions to buy drugs, treatment of disease can be reimbursed by the medical insurance, if not in the fixed-point medical institution treatment, can not get insurance compensation. And to become a designated medical institution should also meet certain conditions, such as the qualifications of the institution's medical staff, whether the equipment is in line with the provisions and so on.