Sample application form for clinic

I. Applicant conditions

1, by the practitioner himself or herself to apply

2, the applicant must have the city's permanent residence in the district

3, hold the relevant professional "physician's license" or certificate of physician qualification, "nurse practitioner certificate

4, set the subject must be the same as the relevant specialty and engaged in the same professional clinical work for five years More than

5, non-employees (refers to retired, resigned personnel)

6, physical health (with a certificate of medical examination issued by the hospital designated by the District Health Bureau)

Two, in line with the city, the district medical institutions set up planning

1, in the selection of the location of the 2-3 kilometers within the scope of the non-duplicated health care

2, set up the subjects in order to The principle of "filling in the gaps"

3. Compliance with the basic standards for medical institutions stipulated by the state

Refer to the specific requirements for different types of clinics in the Medical Institutions Management Handbook

4. Availability of suitable and qualified premises

1. Proof

2, with the site of the housing department or property management department issued by the consent to open medical institutions

5, have the necessary funds

Registered capital in place, there should be a guarantee of funds to ensure that it carries out medical activities

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Sixth, in line with the requirements of the classification and management of health care institutions