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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)

(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
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.
  2. All briefing sessions will be conducted in Cantonese.

PDF Personal Information Collection Statement