Application Form

Health Facility License Application

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Application

Health Facility License Application

Apply for license to operate health facilities (clinics, hospitals, pharmacies).

Processing Time

45-60 working days

Fee

ZMW K300.00

Ministry

Ministry of Health and Child Care

Personal Information

Full Name *

Email Address *

Phone Number *

National Registration Card (NRC)

Address

Application Details

Purpose of Application *

Type of Health Facility *

Bed Capacity (if applicable)

Required Documents *

Facility Plans and Drawings *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Equipment List *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Staff Qualifications *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Health and Safety Certificates *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Waste Management Plan *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Fire Safety Certificate *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

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