Health Regulation Department. Healthcare Facilities Licensing Procedures
|
|
- Nelson Cameron
- 5 years ago
- Views:
Transcription
1 Health Regulation Department Healthcare Facilities Licensing Procedures
2 INDEX New Healthcare Facility... Renewal of Healthcare Facility... Cancellation of Healthcare Facility... Changing of Healthcare Facility Name... Changing of the Responsible Medical Director... Changing of Partner name... Adding Medical Specialty to the Health Facility... Changing Healthcare Facility Location... Removing Medical Specialty from healthcare Facility... Request Eye Test Form book... Sick Leave Purchase... Sick Leave Attestation... Transfer Ownership... Changing of Service Agent Hours Pharmacy Service... Renewal of healthcare Professional through Facility management
3 Create username & password at: eservices.dha.gov.ae/ Web/default.aspx Submit New Facility Application * Pay for Initial Approval fees Review Documents & Issue Initial Approval Letter Conduct Final Inspection Pay for Final Approval fees Apply for final approval ** Fulfill facility requirments & setup Add medical director and Healthcare Professionals Pay for issue license fees Issue Final Approval letter and facility New Healthcare Facility * Requirements for new facility application for Initial Approval: 1. Upload Passport copy for owner and / partners 2. Upload Visa copy for owner and/ partners 3. Upload Emirates ID for owner and partners 4. Upload Layout / floor plan for facility 5. Upload Proposal letter from owner / partners / or who has Power of Attorney 6. Upload Affection plan from Ejari or Dubai Municipality 7. Upload Copy of Facility s Trade Name Reservation Letter from Dubai Economic Department (DED) or Free zone 8. Upload undertaking letter signed by owner / partners / or who has Power of Attorney 1 2
4 Note: Health Regulation Department (HRD) will review the application and it might be either: approved or rejected or may require more documents Once the application is approved: the HRD shall issue an Initial Approval letter Validity Limit of initial approval letter: o Hospitals and Day Surgical centers: 12 months o All other facility categories: Six Months Based on HRD Initial Approval Letter, DED or Free Zone Authority will issue Facility Trade license ** Requirements for Final Approval: 1. Upload No objection certificate (NOC) from owner to assign Medical Director (MD) 2. Upload the Final Trade license issued by Dubai Economic Department (DED) or Free zone Facility Category Initial approval fees Final approval fees Issue license fees Hospital/Day Surgical AED 2020 AED 4020 Please visit the Center / website as it Convalescence on the facility subcategory Other Facility AED 1020 AED 2020 Please visit the Categories: website as it depends on the facility subcategory Initial Approval: within 10 working days upon completion of the requirements above Final approval: depends upon the outcome of the final inspection report 3. Add Medical director and healthcare professionals 4. Upload Valid building contract Note: The healthcare facility license will be issued based on the following: a. The onsite final inspection report which must include full compliance to the facility licensure requirements b. The healthcare facility management must add the medical director and healthcare professionals To view the facility licensing criteria and documents needed check below link: HealthFacilities/Licensingservices/Pages/Newfacilitylicense.aspx The must ensure fulfilling of the facility set up requirements and completion of the final approval within the Validity Limit of the Initial Approval Letter 3 4
5 Login by username & password at: eservices. dha.gov.ae/ Web/ default.aspx Submit the application: Renew Facility Payment Upload Trade * Issue license *Notes: Renewal of Healthcare Facility 1. Trade license must be uploaded whether issued by Dubai Economic Department (DED) or Free zone 2. The Healthcare Facility needs to renew all the expired licenses of healthcare professionals before starting the facility license renewal process 3. The Healthcare facility license can be renewed three month prior to expiry date 4. The renewed healthcare facility license will be valid for 12 months from issuing date. Depending on the facility category, kindly refer to the fees list accessed on; / Directorates HealthRegulation / MedicalComplaint / Documents / New% 20HRD% 20 Fees pdf Five working days 5 6
6 Login by username & password at: eservices.dha.gov.ae/ Web/default.aspx Filll application for Cancelling Facility * Cancel Facility * Requirements: Cancellation of Healthcare Facility 1. The Healthcare facility management must ensure that all active healthcare professional licenses must be transferred or cancelled before the onset of facility cancellation process 2. The Healthcare facility management must ensure all violations are settled before onset of the cancellation process. 3. The Healthcare facility management must ensure that the cancellation process starts before the expiration of their current facility license 4. Upload No objection certificate (NOC) from the owner 5. Upload undertaking letter signed by owner / or partners / or who has power of attorney 6. The cancellation request must be submitted online prior to the expiration of the facility license to avoid any penalties. Note: The Healthcare facility management must ensure submitting the cancellation letter to DED or free zone authority Free of charge. 5 working days 7 8
7 Login by username & password at: eservices. dha.gov.ae/ Web/ default.aspx Fill Change Facility Name Application* Review and approve Pay fees Change Facility Name *Requirements: Changing of Healthcare Facility Name 1. Upload Copy of Facility s Trade Name Reservation Letter from Dubai Economic Department (DED) or Free zone 2. Upload No objection certificate (NOC) letter from the owner / partners 3. Upload undertaking letter signed by owner / or partners / or who has power of attorney Change facility name: AED 1020 Five working days 9 10
8 Login by username & password at: eservices. dha.gov.ae/ Web/ default.aspx Fill application for Changing Medical Director * New Medical Director approval of his appointment ** Pay fees Review and Approve Issue license *Requirements: Changing of the Responsible Medical Director 1. A formal Undertaking letter typed on facility head letter stating the approval of the assignment of the new Medical director. This letter must be signed by the owner / partners or the authorized person with power of Attorney 2. Select New Medical director from the active healthcare professional licenses listed in the facility account (must be a physician or dentist) Note**: the selected new medical director will receive a pending task in his Sheryan account requesting his approval for this new assignment AED 1020 Five working days 11 12
9 Login by username& password at: eservices. dha.gov.ae/ Web/ default.aspx Fill Change Partner application form * Review and Approve Pay fees Review and issue the hew Healthcare facility license Upload new DED or feezone authority trade license *Requirements: Changing of Partner name 1. The facility management must ensure that the facility has no violations pending with prior to commencing this process. 2. Upload No objection certificate (NOC) from owner or court agreement 3. Upload New owner s or partner s name as well as the personal information i.e. passport copy, visa and Emirates ID 4. Upload undertaking letter signed by the owner / or the one who has power of attorney 5. Upload the Court agreement letter or letter from owner 6. Upload New DED license AED 1020 Five working days 13 14
10 If no addition to the facility setup is needed Login by username & password at: eservices.dha.gov.ae/ Web/default.aspx Fill application for Add Specialty to Facility * Review/ approve and Issue license If addition to the facility setup is needed Login by username & password at: dha.gov.ae/ Web/default. aspx Fill New Facility Application* Pay fees Review documents & Issue Initial approval letter Fulfill facility requirement for final approval Issue facility Pay Issue fees Final inspection and issue final approval Pay Final Approval fees Adding Medical Specialty to the Health Facility *Requirements: 1. Upload Proposal letter about the new service from owner / or partners / or who has power of attorney 2. Upload Layout and floor plan for the healthcare facility showing the new service 3. Upload No objection certificate (NOC) from owner / or partners / or who has power of attorney 4. Upload undertaking letter from owner / or partners / or who has power of attorney 5. Upload Schematic design drawings in AutoCAD format showing the new service floor layout with clear measurements for each room and area and labeled as per the required services 15 16
11 Note: If the addition to the medical specialty doesn t require setup addition then the license will be issued without final inspection Facility Category Initial approval fees Final approval fees Issue license fees Hospital/Day Surgical AED 2020 AED 4020 Please visit the Center / Health Regulation Convalescence Dept as this has a special calculation depending on the validity of the existing license Other Facility AED 1020 AED 2020 Please visit the Categories: Health Regulation Dept as this has a special calculation depending on the validity of the existing license Initial Approval: 5 working days Final approval: working days 17 18
12 Login by username & password at: dha.gov.ae/ Web/default. aspx Fill application of changing Facility online* Pay feest Review documents & Issue Initial approval letter Fulfill requirments for facility setup Issue Final Approval and Facility Conduct Final Inspection Pay fees Apply for final approval ** Changing Healthcare Facility Location * Requirements for Initial Approval of Changing healthcare facility location: 1. Upload Layout and floor plan for facility 2. Upload Proposal letter from owner / or partners / or who have power of attorney 3. Upload No objection certificate (NOC) letter from the owner/partners 4. Upload Affection plan from Ejari or Dubai Municipality certificate or The Free zone Licensing authority showing the land plot number issued 5. Upload undertaking letter signed by owner / or partners / or who has power of attorney 6. Upload Schematic design drawings in AutoCAD format showing the proposed floor layout with clear room measurements for each room/area and labeled as per services Note: Health Regulation Department (HRD) will review the application and it might be either: approved or rejected or may require more documents 19 20
13 Once the application is approved: the HRD shall issue an Initial Approval letter Validity Limit of initial approval letter: o Hospitals and Day Surgical centers: 12 months o All other facility categories: Six Months Based on HRD Initial Approval Letter, DED or Free Zone Authority will issue Facility Trade license The healthcare facility license will be issued based on the following: a. The onsite final inspection report which must include full compliance to the facility licensure requirements b. The healthcare facility management must add the medical director and healthcare professionals To view the facility licensing criteria and documents needed check below link: HealthRegulation/HealthFacilities/Licensingservices/Pages Newfacilitylicense. aspx The must ensure fulfilling of the facility set up requirements and completion of the final approval within the Validity Limit of the Initial Approval Letter Facility Category Initial approval fees Final approval fees Hospital/Day Surgical AED 2020 AED 4020 Center / Convalescencee Other Facility Categories: AED 1020 AED 2020 Initial Approval: within 10 working days upon completion of the requirements above Final approval: depends upon the outcome of the final inspection report 21 22
14 Login by username & password at: eservices.dha.gov.ae/ Web/default.aspx Fill application to Remove Specialty from Facility * Review / approve and issue license * Requirements: Removing Medical Specialty from Healthcare Facility Upload No objection certificate (NOC) from owner / or partners / or who has power of attorney Note: 1. Removing a Medical Specialty from the healthcare Facility might change the facility subcategory 2. New will be issued after removing the specialty Free of charge Five working days 23 24
15 Login by username & password eservices.dha. gov.ae/web/ default Select number of books required Select number of books required Pay for selected book * Update the facility account on RTA website Request Eye Test Form book Each book consists of 50 sheets and costs AED 2500 and Each sheet cost: AED
16 Note: The maximum limit of allowed purchase quantity is 1000 sick leave per transaction. Sik Leave Purchase Each Certificate cost: AED 60 Same working day 27 28
17 Notes: All sick leaves must be issued electronically for patients. If the number of sick leave days exceeds 5 days then the sick leave certificate must be approved by the health regulation department. Sik Leave Attestation The Healthcare facility must attach a comprehensive medical report for the patient Free of charge Five working days 29 30
18 Login by username & password at: eservices. dha.gov.ae/ Web/ default.aspx Fill application of Transfer Ownership * Review and Approve Pay fees Review and Approve Upload new DED trade license Issue license Requirements: 1. The healthcare facility management must ensure that the facility has no violations pending with prior to commencing this process Transfer Ownership 2. Upload No objection certificate (NOC) from the owner / partner 3. Upload Court Agreement 4. Upload New Owner information including Passport, Visa and Emirates ID Note: New Owner should be local with share Not less than 51% Ownership share Law is Not applicable in Free Zone area Depends on facility category, kindly check the fees list, that is available on the link: HealthRegulation/MedicalComplaint/Documents/New%20HRD%20Fees pdf Five working days 31 32
19 Login by username& password at: eservices. dha.gov.ae/ Web/ default.aspx Fill application Change Partner * Review and Approve Pay Fees Review and Approve Upload new DED trade Issue license *Requirements: 1. The healthcare facility management must ensure that the facility has no violations pending with prior to commencing this process Changing of Service Agent 2. Upload New Service Agent passport copy 3. Upload Undertaking letter signed by owner / partners typed on facility head letter. 4. Upload Court Agreement OR Transfer letter from Owner 5. After Approval of, the facility management must upload the New DED (Dubai Economic Department) AED 1020 Five working days 33 34
20 Requirements: The pharmacy must ensure: 1. Applying for the service through Add Specialty to Facility 2. The availability of 4 licensed pharmacists during the 24 hrs. 3. Full operation during the 24 hrs under any circumstances 24 Hours Pharmacy Service 4. Displaying the approval letter for 24 HRs clearly in the pharmacy Note: Renewal of 24 HRs service can be done one month prior the expiry date Free of charge Two Working Days 35 36
21 Login by username & password at: eservices. dha.gov.ae/ Web/ default.aspx Fill application for Renew Facility * Pay fees Upload DED trade license Issue license and delivered by courier *Requirements: Renewal of Healthcare Professional through Facility management 1. Upload Valid passport copy including Visa copy ( if applicable) 2. Upload Malpractice Insurance 3. Upload Primary Source Verification Report (PSV) if available 4. Upload Required CME hours as per the Professional Qualifications Requirements (PQR) accessed on: Healthcare%20Professionals%20Qualification%20Requirements%20 (PQR)% pdf 5. Upload Medical fitness Test for applicants above 65 years old. Fitness test must be conducted in facilities Health care professional Title Fees Courier fees Physicians/Dentists AED 3020 AED 20 Nurses/Allied Health/TCAM AED 1020 AED 20 Five working days 37 38
Applicant Kit. Oman Medical Specialty Board (OMSB) Your tool for a fast and easy application
Applicant Kit Oman Medical Specialty Board (OMSB) Your tool for a fast and easy application Table of Contents 1. Getting Started 2. Requirements 3. How to Apply 4. Fees 5. Track Your Application & Download
More informationAPPLICATION FOR HEALTH PROFESSIONAL LICENSURE
APPLICATION FOR HEALTH PROFESSIONAL LICENSURE Passport Size Photograph Please complete this application on the computer then print and sign. Hand-written applications will not be accepted. Section 1: Application
More informationLIBERTY DENTAL PLAN. Provider Credentialing Application. (* Required Fields) *OFFICE PHONE #: ( ) EMERGENCY PHONE #: ( ) *FAX #: ( )
(Complete one application per Provider) (* Required Fields) Credentialing Information: Owner: Associate: *PROVIDER NAME: DDS DMD Other (specify) *DATE OF BIRTH: / / Gender: Male Female Owning Dentist Name:
More informationApplicant Kit. Your tool for a fast and easy application (QCHP) Qatar Council for Healthcare Practitioners
Applicant Kit Qatar Council for Healthcare Practitioners (QCHP) Your tool for a fast and easy application Table Of Content 1. Getting Started 2. Requirements 3. How to Apply 4. Fees 5. Track Your Application
More informationApplicant Kit. Your tool for a fast and easy application. Health Authority - Abu Dhabi (HAAD) DataFlow Verification Process
Applicant Kit DataFlow Verification Process Health Authority - Abu Dhabi (HAAD) Your tool for a fast and easy application Table Of Content 1. Getting Started 2. Specifications 3. How to Apply 4. Requirements
More informationInstitute of Chartered Accountants of Jamaica (ICAJ)
Institute of Chartered Accountants of Jamaica (ICAJ) Steps for Filing Mandatory Continuing Professional Development (CPD) Returns Online Contents Overview... 1 Recording Your CPD Activities for 2012 going
More informationCreating A Patient Portal Link From More Patient Button
Creating A Patient Portal Link From More Patient Button Go to More Patient and click on the Export PHI tab. From this tab, click on Create Patient Portal Link. Note: Allow Internet Based Delivery Of Reminders
More informationLIBERTY DENTAL PLAN. Dental Hygienist - Credentialing Application. City: State: DEGREE: City: State: DEGREE:
*Required Fields LIBERTY DENTAL PLAN Dental Hygienist - Credentialing Application Please complete one application per Dental Hygienist Demographic Information: Male Female *HYGIENIST NAME: RDH Other *DATE
More informationAPPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY
APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY Legal Name of Organization Business License / Registration Number Mailing Address City Phone Postal Code Email The above
More informationFees for Healthcare Operators and Professionals Effective from 1 st April, 2012
Fees for Healthcare Operators and Professionals Effective from 1 st April, 2012 Note: Fees are inclusive of all related & miscellaneous administrative services to form a package price. Initial Application
More informationApplication Guidelines for Exchange Students
Application Guidelines for Exchange Students Fall 2018 Pusan National University Study at PNU as an Exchange Student Who can apply? Enrolled students from PNU partner universities who are officially nominated
More informationCredentialing Application for Hospitals and Facilities
Instructions Credentialing Application for Hospitals and Facilities 1. Please accurately and legibly complete all sections of this Credentialing Application, and mark non-applicable fields with N/A. If
More informationClient Handbook. Foundation Establishment
Client Handbook Foundation Establishment Contents: I. Introduction II. Foundations III. In Principle Approval IV. Operating Location V. Registered Agent VI. DIFC Client Portal a. First Time Access to DIFC
More informationMPF Philanthropy Community User Guide
MPF Philanthropy Community User Guide Table of contents MPF Community Login Pages... 2 How to Register to MPF Community... 2 How to Login to MPF Community... 2 How to Reset Password on MPG Community...
More informationALLIED HEALTH PROFESSIONAL CREDENTIALING APPLICATION FORM
ALLIED HEALTH PROFESSIONAL CREDENTIALING APPLICATION FORM Independent Practitioners: Acupuncturist, Audiologist, Dietitian, Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed
More information*NOTICE * THIS APPLICATION WAS REVISED IN JUNE 2015 PLEASE READ CAREFULLY -
*NOTICE * THIS APPLICATION WAS REVISED IN JUNE 2015 PLEASE READ CAREFULLY - Initial License Application To Operate a Specialty Care Assisted Living Facility: SCALF Regulations regarding the application
More information[Second Reprint] SENATE, No. 278 STATE OF NEW JERSEY. 217th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2016 SESSION
[Second Reprint] SENATE, No. STATE OF NEW JERSEY th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 0 SESSION Sponsored by: Senator JOSEPH F. VITALE District (Middlesex) SYNOPSIS Requires surgical practices
More informationContinuing Professional Development (CPD) Policy. Terms and Conditions. CPD Terms and Conditions (21/12/10)
Continuing Professional Development (CPD) Policy Terms and Conditions CPD Terms and Conditions (21/12/10) TABLE OF CONTENTS 1. CPD PROGRAM OVERVIEW... 2 2. AIMS OF THE CPD PROGRAM... 2 3. OTHER DEFINITIONS...
More informationLexisNexis (TM) New Jersey Annotated Statutes
Page 1 1 of 1 DOCUMENT LexisNexis (TM) New Jersey Annotated Statutes *** This section is current through New Jersey 214th Legislature *** 2nd Annual Session (P.L. 2011 Chapter 175 and JR 8) State Constitution
More informationHP0860, LD 1241, item 1, 124th Maine State Legislature An Act To Require Licensing for Certain Mechanical Trades
PLEASE NOTE: Legislative Information cannot perform research, provide legal advice, or interpret Maine law. For legal assistance, please contact a qualified attorney. Be it enacted by the People of the
More informationSOUTH CAROLINA DEPARTMENT OF TRANSPORTATION Office of Public Transit. Grants Management System (GMS) User Guide
SOUTH CAROLINA DEPARTMENT OF TRANSPORTATION Office of Public Transit Grants Management System (GMS) User Guide Table of Contents User Accounts... 3 Create User Accounts... 3 Login Procedure... 3 Annual
More informationPRACTICE INFORMATION AND LETTER AGREEMENT FORM. COMPLETE, SIGN AND RETURN TO: One Huntington Quadrangle Suite 1N09 Melville, NY 11747
PRACTICE INFORMATION AND LETTER AGREEMENT FORM COMPLETE, SIGN AND RETURN TO: One Huntington Quadrangle Suite 1N09 Melville, NY 11747 PERSONAL DATA Last Name First Name License Number Tax I.D. Number for
More informationBefore applying online or registering for application, Candidates should have the following:-
INSTRUCTIONS For Online generation of Eligibility Certificate Form Under Graduate Course (MBBS / BDS/ BAMS/BUMS/BNYS/ BHMS/B.Sc Nursing/PB-B.Sc nursing /B.Pharm/BPT/AHS) Before applying online or registering
More informationSECURITY GUARD. LICENSE First Time Licensees or New Qualifier
INDIANA PRIVATE INVESTIGATOR AND SECURITY GUARD LICENSING BOARD OBTAINING YOUR INDIANA SECURITY GUARD AGENCY LICENSE First Time Licensees or New Qualifier Contents Instructions......... 1 Quick Steps.........
More informationCounselling and Career Development Services. Student Affairs Office. Employer User Manual
Counselling and Career Development Services Student Affairs Office Employer User Manual Last Update: September 2017 About Ed Job Plus An Online Job Search and Information System Ed Job Plus is an online
More informationGENERAL INFORMATION. English Spanish Arabic Chinese French German Hmong Hindi Laotian Philippine Vietnamese Other
**INCOMPLETE APPLICATIONS WILL DELAY THE CREDENTIALING PROCESS** 1. Please print or type ALL responses. 2. If you need additional space to complete a section, please attach additional sheets. 3. If you
More informationName of Sex: M F Applicant: Last First Middle. Date of Birth: Social Security Number: Phone: ( ) City State Zip. Phone: ( ) City State Zip
SCHNEIDER REGIONAL MEDICAL CENTER 9048 SUGAR ESTATE ST. THOMAS, U.S.V.I 00802 APPLICATION FOR TEMPORARY PRIVILEGES (USED FOR URGENT PATIENT NEED AND LOCUM TENENS) COMPLETE THE APPLICATION IN FULL. PRINT
More informationEnsure that the application is legible; please print in ink or type information onto form.
GENERAL INSTRUCTIONS Submit 3 copies of each application. Keep a 4 th copy for your records Attach 3 copies of all supporting documentation. For example: Specifications of the proposed project, including
More informationFellowship Nomination System Documentation
Fellowship Nomination System Documentation Overview The Fellowship Nomination System is designed to allow programs to manage their candidates for fellowships. News and information regarding the fellowship
More informationGenentech Corporate Giving and Grants Tip Sheet Philanthropic Charitable Support. What is Philanthropic Charitable Support Checklist...
Genentech Corporate Giving and Grants Philanthropic Charitable Support! Table of Contents What is Philanthropic Charitable Support... 2 Checklist..... 2 I. Log in... 3 II. Organization Registration (one
More informationGUIDELINES FOR BUSINESS IMPROVEMENT GRANT PROGRAM BY THE COLUMBUS COMMUNITY & INDUSTRIAL DEVELOPMENT CORPORATION
GUIDELINES FOR BUSINESS IMPROVEMENT GRANT PROGRAM BY THE COLUMBUS COMMUNITY & INDUSTRIAL DEVELOPMENT CORPORATION Section 1. Purpose. The purpose of this program is to promote the development and expansion
More informationThis is a Legal Document. By completing and signing this you certify under
APPLICATION FOR WYOMING LICENSED PRACTICAL NURSE (LPN) LICENSURE BY ENDORSEMENT *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this you certify
More informationThe Who, What, When, and Wheres
Ambulatory Care Program: The Who, What, When, and Wheres of Credentialing and Privileging The Who, What, When, and Wheres The Who, What, When, and Wheres Note that this was originally documented as a three-part
More informationNURSING HOME ADMINISTRATOR REQUIREMENTS AND INSTRUCTIONS
South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone:
More informationNASI Per Diem Malpractice
Dear Nurse Anesthetist, We appreciate your interest in NASI s Per Diem Malpractice Insurance. This service is for those providers who need a supplemental policy for working an assignment outside of their
More informationSri Lanka Legislative Drafting Workshops
Boston University OpenBU Seidman Research Papers http://open.bu.edu Workshops and Papers Sri Lanka Legislative Drafting Workshops Seidman, Robert B. https://hdl.handle.net/2144/22400 Boston University
More informationINVESTING IN PRIVATE HEALTHCARE INSTITUTIONS AND PHARMACEUTICAL ESTABLISHMENTS IN SAUDI ARABIA.
Healthcare is one of the most promising sectors for investors in Saudi Arabia and is estimated to be growing at 5% per annum. This growth is being given renewed impetus by the Vision 2030 document, released
More informationInstructions and Resource Page for Application for a License to Operate a Child Care Facility
Instructions and Resource Page for Application for a License to Operate a Child Care Facility Instructions: All information on this application must be truthful and correct. Complete this application in
More informationBCBS NC Blue Medicare Credentialing Instructions
BCBS C Blue Medicare Credentialing Instructions Licensed Certified Social Worker (LCSW) Certified Substance Abuse Counselor (CSAC) Licensed Clinical Addiction Specialist (LCAS) Licensed Marriage and Family
More informationIndustry Cluster Grants Program Implementation Grant Application Materials
Industry Cluster Grants Program Implementation Grant Application Materials Industry Cluster Grants Program details can be found at: http://commerceri.com/services/taxes-incentives/ Rhode Island Industry
More informationTeacher Guide to the Florida Department of Education Roster Verification Tool
Teacher Guide to the 2016-17 Florida Department of Education Roster Verification Tool Table of Contents Overview... 1 Timeline... 1 Contact and Help Desk... 1 Teacher Login Instructions... 2 Teacher Review,
More informationAPPLICATION FOR WYOMING LICENSED REGISTERED NURSE with ADVANCE PRACTICE RECOGNITION *All licenses expire December 31 of every EVEN year*
APPLICATION FOR WYOMING LICENSED REGISTERED NURSE with ADVANCE PRACTICE RECOGNITION *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this document,
More informationyes No Maybe, please indicate anticipate date that family will join the applicant
Simplified Student Visa Framework (SSVF) Genuine Temporary Entrant (GTE) Assessment Form Note: Please access and read the international student section, policy and procedures section at www.mgit.edu.au
More informationCredentialing Application
Credentialing Application 1. NAME Last First MI Degree Gender 2. BIRTH, SOCIAL SECURITY & E-MAIL ADDRESS Date of Birth Social Security # E-Mail Address 3. PRACTICE, OFFICE & SPECIALTY INFORMATION 3.1 Please
More informationCommercial Scale. Direct Ownership-Application. Renewable Energy Projects over 10kW. Commercial Block program details can be found at:
Commercial Scale Direct Ownership-Application Renewable Energy Projects over 10kW Commercial Block program details can be found at: http://commerceri.com/finance-business/renewable-energy-fund/commercial-scale-projects/
More informationRegistration for Supplemental Nursing Services Agency
HEALTH REGULATION DIVISION For MDH Use Only Fee Deposit # Deposit Date Initials Registration for Supplemental Nursing Services Agency In accordance with Minnesota Statutes, Section 13.41, ALL DATA SUBMITTED
More information2019 AANS Annual Scientific Meeting Abstract Instructions
Visit MyAANS and login. Login Enter in your user ID and password. If you forgot your user ID and/or password, please use the Login Help link. Do not create another account if you cannot remember your password.
More informationSenior Member Welcome Booklet Beginning Your Service
Senior Member Welcome Booklet Beginning Your Service Published by Civil Air Patrol Professional Development Maxwell AFB, Alabama WELCOME TO CIVIL AIR PATROL Welcome to Civil Air Patrol. Your membership
More informationNAMSS Comparison of Accreditation Standards
The verification requirements listed are considered minimum standards each organization must meet to achieve accreditation. Accreditors periodically differ as to what is considered an acceptable source
More informationEye Medical Provider Practice Application
and subsidiaries Eye Medical Provider Practice Application How to Join the Avesis Network. Complete and sign the application Complete and sign the W-9 Complete and sign the Credential Verification Release
More informationNAMSS Comparison of Accreditation Standards
The verification requirements listed are considered minimum standards each organization must meet in order to achieve accreditation. Accreditors periodically differ as to what is considered an acceptable
More informationVNSNY CHOICE PRACTITIONER CREDENTIALING APPLICATION
Attached please find an application for participation with VNSNY CHOICE. Upon completion, please forward this application to: VNSNY CHOICE Attn: Provider Relations Network Development 1250 Broadway - 11th
More informationTemporary Use and Vendor Stand Online Permit Submittal
Temporary Use and Vendor Stand Online Permit Submittal A Temporary Use Permit is an open-air small business that is there for a limited time for the uses listed below. Temporary Use Duration Extension
More informationFor tuition prices please contact our school.
For tuition prices please contact our school. FAST TRACK HEALTH CARE EDUCATION APPLICATION INSTRUCTIONS AND CHECKLIST Please fill out the application completely. Then you can print and mail or bring it
More informationYavapai Combined Trust. Offering as of July 1, 2018:
Yavapai Combined Trust Offering as of July 1, 2018: Talk to a anytime Teladoc is a national network of U.S. board-certified doctors available on-demand 24/7/365 to diagnose, treat and prescribe medication,
More informationCERTIFICATION CHECKLIST
CERTIFICATION CHECKLIST FORM 7 - Background Release Form (This form must be notarized.) A Form 7 must accompany and initial applications. This is to provide the West Virginia Department of Education permission
More informationGenentech Corporate Giving and Grants Tip Sheet Fellowship Funding
Genentech Corporate Giving and Grants Fellowship Funding Table of Contents What is Fellowship Funding... 2 Checklist..... 2 I. Log in... 3 II. Organization Registration (one time only)... 3 III. Funding
More informationCHAPTER 29 PHARMACY TECHNICIANS
CHAPTER 29 PHARMACY TECHNICIANS 29.1 HOSPITAL PHARMACY TECHNICIANS 1. Proper Identification as Pharmacy Technician 2. Policy and procedures regulating duties of technician and scope of responsibility 3.
More informationGORDON COUNTY BOARD OF COMMISSIONERS REQUEST FOR PROPOSALS FOR A COMMUNITY DEVELOPMENT BLOCK GRANT WRITER/ADMINISTRATOR
GORDON COUNTY BOARD OF COMMISSIONERS REQUEST FOR PROPOSALS FOR A COMMUNITY DEVELOPMENT BLOCK GRANT WRITER/ADMINISTRATOR DATE RFP RELEASED June 13, 2013 1 PURPOSE OF THIS REQUEST FOR PROPOSAL (RFP) The
More informationCITY OF GOLDEN, COLORADO Parks and Recreation Department
CITY OF GOLDEN, COLORADO Parks and Recreation Department Accredited by the Commission for Accreditation of Park and Recreation Agencies Rod Tarullo, Parks & Recreation Director REQUEST FOR QUALIFICATIONS
More informationCHILD CARE LICENSING REGULATION
Province of Alberta CHILD CARE LICENSING ACT CHILD CARE LICENSING REGULATION Alberta Regulation 143/2008 With amendments up to and including Alberta Regulation 152/2016 Office Consolidation Published by
More informationRegional Greenhouse Gas Initiative, Inc. Request for Proposals #18-01 RGGI Auction Services Contractor. June 18, 2018
Regional Greenhouse Gas Initiative, Inc. Request for Proposals #18-01 RGGI Auction Services Contractor June 18, 2018 PROPOSAL DUE DATE: July 23, 2018, 5:00 p.m. Eastern Daylight Time The Regional Greenhouse
More informationNCLEX Administration Website Boards of Nursing/ Regulatory Body Guide Version
NCLEX Administration Website Boards of Nursing/ Regulatory Body Guide Version 14.8.1 Pearson is a trademark of Pearson Education, Inc. 2003-2014 Pearson Education, Inc. All rights reserved. Candidate contact
More informationANCHORAGE, ALASKA AR No
Submitted by: Chair of the Assembly at the Request of the Mayor Prepared by: Municipal Clerk s Office and Planning Department For reading: April 25, 2017 ANCHORAGE, ALASKA AR No. 2017-144 1 2 3 4 5 6 7
More informationGOVERNMENT OF KARNATAKA :: DEPARTMENT OF LABOUR ONLINE SERVICES PROCEDURE
1 GOVERNMENT OF KARNATAKA :: DEPARTMENT OF LABOUR ONLINE SERVICES PROCEDURE Service Registration of Establishment under the Building and Other Construction Workers(Regulation of employment and Conditions)
More informationSC Uniform Managed Care Provider Credentialing Application
SC Uniform Managed Care Provider Credentialing Application I. PERSONAL INFORMATION Solo Practice Group Practice Name: Last First M.I. Suffix Degree Maiden and/or other name List W-9 name if different Place
More informationHow to Use Provider Data Management Tools in Availity
September 2017 How to Use Provider Data Management Tools in Availity Florida Blue conducts all provider data activities through Availity 1. Please refer to the Table of Contents (with embedded links) below
More informationChild Care Licensing System Reference Guide for Consolidated Municipal Service Managers and District Social Services Administration Boards
Child Care Licensing System Reference Guide for Consolidated Municipal Service Managers and District Social Services Administration Boards Version: February 2018 Document Update Summary Document Update
More information*NOTICE * THIS APPLICATION WAS REVISED IN JULY 2016 PLEASE READ CAREFULLY -
*NOTICE * THIS APPLICATION WAS REVISED IN JULY 2016 PLEASE READ CAREFULLY - Change of Ownership License Application To Operate a Cerebral Palsy Treatment Facility Regulations affecting the application
More informationiapply Instructional Guide RMIT International Admissions System For Agents
iapply Instructional Guide RMIT International Admissions System For Agents Introduction About this Guide This Guide is prepared for Agents to help with performing key tasks in the International Admissions
More informationCOCHIN SHIPYARD LIMITED KOCHI-15 (P&A DEPARTMENT) No.P&A/2(230)/16-Pt 10 April 2017 SELECTION OF FIREMAN & SAFETY ASSISTANTS ON CONTRACT BASIS
COCHIN SHIPYARD LIMITED KOCHI-15 (P&A DEPARTMENT) No.P&A/2(230)/16-Pt 10 April 2017 SELECTION OF FIREMAN & SAFETY ASSISTANTS ON CONTRACT BASIS Cochin Shipyard Limited, a premier Mini Ratna Company of Government
More informationEXTENDING YOUR UK VISA WHAT YOU NEED TO KNOW. kaplanpathways.com/other-uk-universities Search KaplanPathways
EXTENDING YOUR UK VISA WHAT YOU NEED TO KNOW kaplanpathways.com/other-uk-universities Search KaplanPathways CONTENTS Page 3 Applying in the UK If I am on a Tier 4 visa, can I apply in the UK? What documents
More information105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR : THE REGISTRATION ANDOPERATION OF TEMPORARY NURSING SERVICE AGENCIES
105 CMR 157.000: THE REGISTRATION ANDOPERATION OF TEMPORARY NURSING SERVICE AGENCIES Section 157.001: Purpose 157.002: Authority 157.003: Citation 157.010: Scope and Applicability 157.020: Definitions
More informationNational Association of Long-Term Care Administrator Boards
National Association of Long-Term Care Administrator Boards NABVerify User Guide Health Services Executive Application Process (Updated November 6, 2017) 1 Table of Contents I. NABVerify System A. System
More informationYou MUST refer to the Explanatory Notes & Checklist to complete the application form.
Application for Initial Assessment of Office Use Only Professional Qualification in General Dentistry AS-1 V11 Ref No: / Section A You MUST refer to the Explanatory Notes & Checklist to complete the application
More informationApplication for Home Care Licensure General Instructions
Application for Home Care Licensure General Instructions General Instructions This application form should be used by individuals and organizations seeking initial approval to operate as a licensed home
More informationIC Chapter 19. Regulation of Pharmacy Technicians
IC 25-26-19 Chapter 19. Regulation of Pharmacy Technicians IC 25-26-19-1 "Board" Sec. 1. As used in this chapter, "board" refers to the Indiana board of pharmacy established by IC 25-26-13-3. IC 25-26-19-2
More informationDRAFT PROPOSAL REQUIREMENTS
DRAFT PROPOSAL REQUIREMENTS 1. Purpose The is expected to be issued on February 07, 2018 and will be applicable to both procurement events scheduled for the first half of 2018. The procurement events are
More information2015 Complete Overview of the NCQA Standards Session Code: TU13 Time: 2:30 p.m. 4:00 p.m. Total CE Credits: 1.5 Presenter: Frank Stelling, MEd, MPH
2015 Complete Overview of the NCQA Standards Session Code: TU13 Time: 2:30 p.m. 4:00 p.m. Total CE Credits: 1.5 Presenter: Frank Stelling, MEd, MPH Introduction to NCQA Credentialing Standards NAMSS Educational
More information2018 AANS Annual Scientific Meeting Abstract Instructions
1. Visit MyAANS and login. Enter in your user ID and password. If you forgot your user ID and/or password, please use the Login Help link. 2. Click the My Meetings icon for the dropdown box, and select
More informationGenentech Corporate Giving and Grants Tip Sheet Healthcare-Related Charitable Support
Genentech Corporate Giving and Grants Healthcare-Related Charitable Support Table of Contents What is Healthcare-Related Charitable Support... 2 Checklist..... 2 I. Log in... 3 II. Organization Registration
More informationRegistration of a new pharmacy premises
Registration of a new pharmacy premises Send your completed application to: Pharmacy premises Applications to Register Customer Service Team General Pharmaceutical Council 25 Canada Square London E14 5LQ
More informationHOSPITAL-ANCILLARY-CLINIC PROVIDER CREDENTIALING APPLICATION
INSTRUCTIONS: In order to be considered complete: 1. All information must be legible. Please print or type all information 2. Application must be completed in its entirety 3. Must be signed and dated 4.
More informationYALE-NEW HAVEN HOSPITAL MEDICAL STAFF POLICY & PROCEDURE CONFLICT OF INTEREST
YALE-NEW HAVEN HOSPITAL MEDICAL STAFF POLICY & PROCEDURE CONFLICT OF INTEREST Definitions External financial interests can create conflicts when they provide an incentive to a Medical Staff member to affect
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE
Medical Examiners Chapter 540-X-18 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-18 QUALIFIED ALABAMA CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED
More informationPROCEDURE AND CHECKLIST FOR APPROVAL OF BUILDING PLANS AND REGISTRATION/RENEWAL OF LICENCE OF FACTORY UNDER FACTORIES ACT, 1948
PROCEDURE AND CHECKLIST FOR APPROVAL OF BUILDING PLANS AND REGISTRATION/RENEWAL OF LICENCE OF FACTORY UNDER FACTORIES ACT, 1948 Department of Labour and Employment Contents A. Approval of building Plans...
More informationGreen Building Council of Australia CPD Policy. Terms and Conditions revised 20th July 2011
Green Building Council of Australia CPD Policy Terms and Conditions revised 20th July 2011 Updated: 11 August 2011 Contents 1. CPD Program Overview 3 2. Aims of the CPD Program 3 3. Definitions 3 4. Commencement
More informationMEDICAL STAFF CREDENTIALING APPLICATION FORM For MD; DO; DDS; DMD; DC; DPM; PharmD; PhD; PsyD; OD.
MEDICAL STAFF CREDENTIALING APPLICATION FORM For MD; DO; DDS; DMD; DC; DPM; PharmD; PhD; PsyD; OD. APPLICANT NAME: SPECIALTY: In order to expedite the credentialing process, please complete every item
More informationANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING
ANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING Please attach copies of all applicable documents to the application: Copy of all Federal, State and/or local licenses required to operate
More informationHIRING FOREIGN NATIONALS: What to Know, Whom to Contact, What to Do
HIRING FOREIGN NATIONALS: What to Know, Whom to Contact, What to Do As the United States Citizenship and Immigration Service (USCIS) notes on their website, Immigration Direct (http://www.immigrationdirect.com/us-visas.jsp):
More informationConflict of Interest Committee Submission Guide
Conflict of Interest Committee Submission Guide Training materials for using IRBNet are available at: http://www.irbnetresources.org/ (userid: kettering, password: training) Guides and submission forms
More informationArizona Department of Education
State of Arizona Department of Education Request For Grant Application (RFGA) RFGA Number: ED07-0028 RFGA Due Date / Time: Submittal Location: Description of Procurement: February 9, 2007, at 3:00 P.M.
More informationRun Management Reports Tutorial
Run Management Reports Tutorial July 2014 Login to InstyMeds Go to the InstyMeds Web site at: http://webinstymeds.com Enter Username Enter Password Click Login button Click on Reports 2 Select the desired
More informationMARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland
MARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland 21215 www.mbp.state.md.us E-mail: mdh.mbppadispense@maryland.gov : ADDENDUM FOR PHYSICIAN ASSISTANT (PA) TO DISPENSE PRESCRIPTION DRUGS INSTRUCTIONS
More informationCRNA INITIAL CREDENTIALING APPLICATION
CRNA INITIAL CREDENTIALING APPLICATION Revised 01/12 GENERAL INSTRUCTIONS LocumTenens.com CVO must credential all providers prior to placement into any practice location. All information requested in this
More informationIacocca International Internship Program (IIIP) Request for Proposals - Group Programs Summer 2018 Submission Deadline: September 15, 2017
PROGRAM OVERVIEW Iacocca International Internship Program (IIIP) Request for Proposals - Group Programs Summer 2018 Submission Deadline: September 15, 2017 Please direct all inquiries and submissions to:
More informationANCHORAGE, ALASKA AR No
Submitted by: Chair Gray-Jackson at the Request of the Mayor Prepared by: Municipal Clerk s Office and Planning Department For reading: December 6, 2016 ANCHORAGE, ALASKA AR No. 2016-329 1 2 3 4 5 6 7
More informationB. Observation Only Supervised by a school s instructor and/or Valley Children s Hospital preceptor or privileged provider.
Policy/Procedure Number PC-1108 Policy/Procedure Name Clinical Student Program Type of Policy/Procedure Provision of Care - Operations Date Approved 02/14 Date Due for Review 02/17 Policy/Procedure Description
More informationADVERTISEMENT FOR RECRUITMENT OF JR.ENGINEER (CIVIL)
No.18477 /OMC Date: 29.12.2017 1 ADVERTISEMENT FOR RECRUITMENT OF JR.ENGINEER (CIVIL) IMPORTANT DATES Sl. No Description Date and Time 01 Opening date of online submission of application 03.01.2018 (1.00
More informationTown of Windham Request for Proposals (RFP s) for Animal Control Services
Town of Windham Request for Proposals (RFP s) for Animal Control Services PART A: PURPOSE OF REQUEST The Town of Windham is seeking Proposals from individuals or organizations interested in providing animal
More information