Get Affidavit For Doh Hospitals

The Affidavit For DOH Hospitals is a crucial document for the renewal of a hospital's license to operate as regulated by the Department of Health. This guide will provide you with clear, step-by-step instructions to help you fill out this form accurately and efficiently online.

Follow the steps to complete the Affidavit For DOH Hospitals online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter the name of the hospital in the designated field.
3. Provide the complete address, including number and street, city or municipality, region, and telephone and/or fax number.
4. Fill in the information for the chief of hospital or medical director, ensuring to include their designation.
5. Indicate the authorized bed capacity of the hospital.
6. In the section for ancillary and other clinical services, check the appropriate boxes to specify the services the hospital offers, including clinical laboratory and various imaging services.
7. State your name, designation, civil status, and home address in the affidavit section.
8. Make sure to sign the form where indicated, affirming the continuous compliance with standards set by the Department of Health.
9. Complete the notary section, ensuring to provide the community tax certificate number and issuing details as required.
10. Once everything is filled out, save your changes. You can then download, print, or share the completed form as needed.

Start filling out the Affidavit For DOH Hospitals online today for a smooth renewal process.