Get Nhb Application Form- Enrollment - Indian Medical Association

Filling out the NHB Application Form for enrollment with the Indian Medical Association is a straightforward process. This guide is designed to help you navigate each section of the form clearly and effectively, ensuring that you complete it accurately.

Follow the steps to fill out the NHB Application Form online

1. Press the ‘Get Form’ button to receive the application form and open it in the designated tool for editing.
2. Begin by entering the name of the hospital clearly in block letters.
3. Indicate the status of the hospital, whether it is a partnership firm, proprietorship firm, or limited company by checking the appropriate option.
4. Provide the full address of the hospital, ensuring all details are included.
5. Fill in the telephone numbers and mobile numbers in the required format, as these are compulsory fields. Also, include the email address.
6. In the Hospital Data section, specify the bed strength of the hospital.
7. Enter the name of the representing doctor. Ensure to mark any inapplicable options as necessary.
8. Indicate whether the hospital has an ICU (Intensive Care Unit) and an operating theater by selecting Yes or No.
9. Provide the designation of the representing doctor within the hospital.
10. Mention the IMA branch where the representing doctor holds life membership.
11. Include any additional remarks if needed.
12. Ensure to add the hospital's seal as well as the signature of the representing doctor.
13. For the IMA branch verification, leave space for the signature of the President or Secretary.
14. Review the declaration statement, confirming the establishment agrees to the guidelines provided by the Private Hospitals and Nursing Homes Board.
15. Finally, prepare a demand draft for the enrollment fee and attach it to the completed application form before submission.

Complete your NHB Application Form online today for a smoother enrollment process.