Get Appendix B - Punjab Healthcare Commission - Phc Org

Completing the Appendix B - Punjab Healthcare Commission application form is an essential step for healthcare establishments seeking a license. This guide provides clear instructions to help you navigate the online filling process effectively.

Follow the steps to successfully complete the form online.

1. Press the 'Get Form' button to access the form and open it for editing.
2. In the general information section, fill in details about the healthcare service provider, including name, designation, qualifications, and contact information.
3. Next, provide the healthcare establishment's information, such as the date of establishment, current name, previous name (if applicable), and contact details.
4. Indicate the type of organization by checking the appropriate box that corresponds to the ownership structure of your healthcare establishment.
5. Select the type of healthcare establishment by marking the applicable box that describes the services offered.
6. Detail the specific healthcare services provided by your establishment, listing at least five services in the provided fields.
7. In the management section, include the names and details of the healthcare establishment manager, pharmacy in-charge, and laboratory in-charge, including their qualifications and contact information.
8. Identify the owner of the establishment, providing their name, address, and contact details in the ownership section.
9. If applicable, list any changes of ownership by indicating the previous owner's name.
10. Complete the declaration section by affirming that the information provided is accurate, and sign along with your name and designation.
11. Finally, save your changes and choose to download, print, or share the completed form as necessary.

Begin completing your form online today to ensure a smooth application process.