Get Formulario Gua De Inspeccin De Centros De Segundo Nivel - Msp Gob

This guide provides clear instructions on how to fill out the Formulario Guía De Inspección De Centros De Segundo Nivel - Msp Gob online. Designed for users of all experience levels, this comprehensive guide aims to ensure accuracy and completeness when submitting your form.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the establishment name in section B, where you are asked to write the name of the center or unit.
3. Provide the street address and number in section C.
4. In section D, fill in the neighborhood or sector where the establishment is located.
5. Specify the municipality in section E.
6. Fill out the province in section F.
7. Enter the ONAPI registration number in section G.
8. Provide the National Taxpayer Registry number in section H.
9. Fill in contact numbers and fax information in section I.
10. Provide an email address in section J, as this is mandatory for communication regarding your file.
11. Indicate the type of institution in section K by selecting one of the listed options such as hospital, clinic, or medical center.
12. Complete the regional health department information in section L.
13. State whether the facility belongs to the public or private health sector in section M.
14. Specify details in sections N and O based on whether the center is public or private.
15. Indicate the service hours in section P.
16. Enter the opening date in section Q.
17. Provide detailed information about the owner and medical director in sections R and S, including their names, identification, and contact information.
18. Fill out personnel statistics in section T, detailing the number of various medical and administrative staff.
19. In section U, check the minimum services provided by the establishment.
20. Complete the infrastructure and facilities requirements in sections 1 through 19, answering Yes, No, or Not Applicable for each item.
21. Finally, ensure all sections are completed accurately and save your changes, download the form, print it, or share it as needed.

Ensure that you submit your completed Formulario Guía De Inspección De Centros De Segundo Nivel - Msp Gob online to facilitate the registration process.