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Forms

Private Healthcare Facilities Ordinance (Cap. 633)

Hospital Licence
Form No.:
PHF 14 & PHF 15 e-Licensing
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Form Title: Application Form and Checklist of Documents for Hospital Licence
Language: Chinese & English
Relevant Information:
  • Application for Hospital Licence
  • PHF(E) 11A Code of Practice for Private Hospitals
  • PHF(E) 14A Guidance Notes for Application for Hospital Licence
  • PHF(E) 81A Guidance Notes for Assessing Fitness and Properness of Applicants / Chief Medical Executives for Licence Application
  • PHF 16 Declaration by the Applicant
  • PHF 17 Declaration by Director/Officer of the Applicant
  • PHF 18 Declaration by Director of the Applicant which is a Company or Body Corporate
  • PHF 19 Declaration by the Chief Medical Executive of a Hospital
  • PHF 110 Report for Application for Hospital Licence (Cap. 633)
  • Certificate of Design to Healthcare Engineering Requirements – Electrical Installation
  • Certificate of Design to Healthcare Engineering Requirements - Specialized Ventilation System
  • Certificate of Design to Healthcare Engineering Requirements - Medical Gas Pipeline System
  • Certificate of Compliance with Healthcare Engineering Requirements - Electrical Installation
  • Certificate of Compliance with Healthcare Engineering Requirements - Specialized Ventilation System
  • Certificate of Compliance with Healthcare Engineering Requirements - Medical Gas Pipeline System
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Form No.:
PHF 111 e-Licensing
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Form Title: Application Form for Variation of Service / Particulars of Hospital
Language: Chinese & English
Relevant Information:
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House
32 Oi Kwan Road
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Day Procedure Centre Licence
Form No.:
PHF 22 & PHF 23 e-Licensing
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Form Title: Application Form and Checklist of Documents for Day Procedure Centre Licence (Cap. 633)
Language: Chinese & English
Relevant Information:
  • Application for Day Procedure Centre Licence
  • PHF(E) 21A Code of Practice for Day Procedure Centres (Revision 2020)
  • PHF(E) 22A Guidance Notes for Application for Day Procedure Centre Licence
  • PHF(E) 81A Guidance Notes for Assessing Fitness and Properness of Applicants / Chief Medical Executives for Licence Application
  • PHF 24 Declaration by the Chief Medical Executive of a Day Procedure Centre
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part A (General)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part A (Annex)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B1 (Surgical Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B2 (Endoscopic Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B3 (Dental Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B4 (Chemotherapy)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B5 (Haemodialysis)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B6 (Interventional Radiology and Lithotripsy)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B7 (Anaesthestic Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B8 (Radiotherapy)
  • PHF(E) 82A Guidelines on Fire Safety for Private Healthcare Facilities
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Form No.:
PHF 26 e-Licensing
Download PDF
Form Title: Application Form for Variation of Service / Particulars of Day Procedure Centre
Language: Chinese & English
Relevant Information:
  • Application for Variation of Service / Particulars of Day Procedure Centres
  • PHF(E) 21A Code of Practice for Day Procedure Centres (Revision 2020)
  • PHF(E) 26A Guidance Notes for Application for Variation of Service / Particulars of Day Procedure Centres
  • PHF(E) 81A Guidance Notes for Assessing Fitness and Properness of Applicants / Chief Medical Executives for Licence Application
  • PHF 24 Declaration by the Chief Medical Executive of a Day Procedure Centre
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part A (Annex)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B1 (Surgical Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B2 (Endoscopic Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B3 (Dental Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B4 (Chemotherapy)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B5 (Haemodialysis)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B6 (Interventional Radiology and Lithotripsy)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B7 (Anaesthestic Procedure)
  • PHF 25 Report for Application for Day Procedure Centre Licence - Part B8 (Radiotherapy)
  • PHF(E) 82A Guidelines on Fire Safety for Private Healthcare Facilities
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Scheduled Nursing Home
Form No.:
PHF 65
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Form Title: Notification of Changes in Service of Scheduled Nursing Homes
Language: Chinese & English
Relevant Information:
  • PHF(E) 61A Standards for Scheduled Nursing Homes
  • PHF(E) 65A Guidance Notes for Changes in Management and Services of Scheduled Nursing Homes
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk

Medical Clinics Ordinance (Cap. 343)

Medical Clinic Registration
Form No.:
C-L01-Fa
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Form Title: Application For First Registration Of Clinic
Language: Chinese & English
Relevant Information:
  • Regulation of Medical Clinics
  • Code of Practice For Clinics Registered Under The Medical Clinics Ordinance (Cap. 343)
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Form No.:
C-L05-Fa
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Form Title: Application For Change Of Registration Particulars Of Clinic
Language: Chinese & English
Relevant Information:
  • Regulation of Medical Clinics
  • Code of Practice For Clinics Registered Under The Medical Clinics Ordinance (Cap. 343)
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk
Form No.:
C-L05-Fb
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Form Title: Application For Reopen After Closure / Change Of Registration Particulars of Clinic Exempted From Section 7 of The Cap. 343
Language: Chinese & English
Relevant Information:
  • Regulation of Medical Clinics
  • Code of Practice For Clinics Registered Under The Medical Clinics Ordinance (Cap. 343)
Submission of completed form:
Address: Office for Regulation of Private Healthcare Facilities
Department of Health
6/F, Guardian House,
32 Oi Kwan Road,
Wan Chai, Hong Kong
For enquiry:
Telephone: (852) 3107 8451
Fax: (852) 2126 7515
eMail: orphf@dh.gov.hk