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Health PHSRC 04 Ministry of Healthcare and Nutrition Registration Form for Part Time Private General Practices/ Dispensaries/ Medical clinics REGISTRATION NO: Official use only GENERAL INFORMATION.

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How to fill out the Phsrc online

Filling out the Phsrc form is an essential step for registering part time private general practices, dispensaries, or medical clinics. This guide provides clear and supportive instructions to help you complete the form efficiently and accurately.

Follow the steps to successfully complete the Phsrc form online.

  1. Press the ‘Get Form’ button to access the Phsrc form and open it in your preferred online editor.
  2. Begin by entering the name of the person operating or maintaining the institution in the designated field.
  3. Provide the official and private addresses, telephone number, and state your relationship with the institution.
  4. Fill in the name of the medical institution along with its official address, telephone number, email, and website.
  5. Indicate the location of the institution, including the province and district.
  6. As an annexure, provide the details of medical staff, including doctors and specialists engaged under this institution.
  7. Include the name of the medical officer or specialist, the medical college attended, and the country where the degree was obtained.
  8. List additional personnel and their categories, along with their permanent places of employment.
  9. Detail the basic and postgraduate qualifications, including the name of diploma-awarding institutions and registration numbers.
  10. Specify the type of practice (Group, Individual, Other) and the hours of practice.
  11. Indicate the method of record keeping (e.g., computer-based or manual) and any facilities available for consultations.
  12. Provide information on the availability of a medical lab, dispensary, and radiology services.
  13. If applicable, include the number of the radiology license issued by the Atomic Energy Authority.
  14. Describe any additional facilities offered by the institution.
  15. Indicate ownership of the premises and whether practicing as a general practitioner or a specialist, specifying the specialty if applicable.
  16. Outline the method of clinical waste disposal and the sterilization method for instruments and dressings.
  17. Confirm if an appointment system is available and answer if the application is for renewal, attaching a copy of the existing registration.
  18. Include the number of the existing certificate of registration along with the period of validity.
  19. State whether the fee has been paid and attach the original receipt if applicable.
  20. Finally, certify the truthfulness of the information provided, then sign with your name and designation, and include the date.
  21. Once the form is completed, ensure to return it through the relevant Provincial Director of Health Services to the Secretary of the Private Health Services Regulatory Council.

Complete your Phsrc form online today to ensure a smooth registration process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232