Note: Application materials should be printed on A4 paper (except drawings), stamped page by page, and bound in order; if the submitted materials are copies, they should be copied with "copy of the original" and stamped with the official seal of the unit. The contents of the declaration should be true, complete and clear, and should not be altered. If the applicant does not come in person, the clerk should provide a power of attorney for the applicant.
1. Application for change of registration of medical institutions;
2. Application of hospital (red head document);
3. The original and copy of the original and copy of the License to Practice in Medical Institutions;
4. Other information required to be submitted;
(1) Change of name:
1) Relevant supporting documents for the change of name (documents of the superior Competent authorities documents, the organization's shareholders meeting minutes resolution, etc.);
② medical institution name change announcement (original).
(2) change of address:
① still practicing in the original address only to change the address of the door, issued by the public security organs to prove the material;
② move to a new address should be set up in accordance with the approval process of the new medical institutions.
(3) change the legal representative, the main person in charge:
① hospital change statement;
② new legal representative signature form (including a copy of the ID card, see Schedule 2);
③ new legal representative certificate of office;
④ new legal representative resume;
⑤ new legal representative if the physician's A copy of Physician's Qualification Certificate and Physician's License is also required.
(4) change of diagnostic and treatment subjects:
① new department building layout plan;
② new department work system catalog (must be presented to the original audit);
③ new department equipment list;
④ new department practitioners, nurses roster;
⑤ "physician's qualification certificate", "certificate of physician practice", "certificate of title" and "medical practitioner".
⑤ "physician qualification certificate", "physician title certificate" and a copy of ID card; "nurse practice certificate", "nurse title certificate" and a copy of ID card;
6 administrative approval of the technical expert group review opinion;
⑦ if the change of diagnostic and treatment subjects involving radiotherapy or maternal and child health care, the medical institution should provide the medical institution "radiotherapy license" or "maternal and child health care technology services license" of the positive and copy of other required audit A copy of the "Radiotherapy License" or "License to Practice Maternal and Child Health Technology Services", and other information that needs to be reviewed.
(5) additional beds
① bed layout plan (reflecting the total number of beds that can be set up in the medical institution);
② medical, nursing, technical staff roster;
③ important instruments, equipment list;
④ quality of care related management system catalog;
⑤ sewage, sewage disposal situation;
6 Description of the disposal capacity of the supply room;
7 Review opinion of the Technical Expert Group on Administrative Approval.
(6) Change of registered capital
Recent proof of creditworthiness of the medical institution, i.e., a certificate of creditworthiness issued by a bank (original) or financial certificates issued by higher authorities.
(7) change the business nature of the medical institution
To be submitted to the establishment of the person agreed to change the material, the "approval form for the registration of the classification of medical institutions," the original registration of the administrative department of health to review the views.
(8) change the form of ownership of medical institutions
Related supporting materials for the change in the form of ownership (documents of higher authorities, minutes of meetings, etc.).