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Enrolment Form – For Clinics with Medical Practice

Briefing Sessions on Application for Clinic Licence and
Request for Letter of Exemption for Small Practice Clinic
under the Private Healthcare Facilities Ordinance (Cap. 633)

(Enrolment deadline: 12 June 2025)

(1) Please tick "✓" the appropriate box. (Choose ONE briefing session only)


(2) Participant information*

Profession
Name
(Surname) (First name)
Name of clinic/organisation
Type of practice of clinic/organisation
Telephone number
Email address
(for receiving confirmation email)
Confirm email address

Please provide the following information if you wish to apply for CME/CPD

CME/CPD
HKAM – College:
Practising dentists
MCHK/DCHK Registration No.
CAPTCHA

* If more than one person in your clinic/organisation would like to attend the briefing, each person should submit a separate enrolment form.  Each person should provide a separate email.

Important points to note

  1. Confirmation email will be sent to participants upon successful enrolment on or before 19 June 2025. Application will be deemed unsuccessful if confirmation email has not been received.
  2. No parking facilities are available.
  3. All briefing sessions will be conducted in Cantonese.
  4. CME and CPD application are in progress.

PDF Personal Information Collection Statement