MEDICAL CLINICS (FORMS) REGULATIONS - CHAPTER 343A MEDICAL CLINICS (FORMS) REGULATIONS - LONG TITLE Empowering section VerDate:30/06/1997 (Cap 343 section 15) [1 January 1964] (L.N. 150 of 1963) MEDICAL CLINICS (FORMS) REGULATIONS - REGULATION 1 Citation VerDate:30/06/1997 These regulations may be cited as the Medical Clinics (Forms) Regulations. MEDICAL CLINICS (FORMS) REGULATIONS - REGULATION 2 Register of clinics VerDate:30/06/1997 The register of clinics required to be kept under section 4 of the Ordinance shall be in Form 1 in the Schedule. MEDICAL CLINICS (FORMS) REGULATIONS - REGULATION 3 Certificate of registration VerDate:30/06/1997 Certificates of registration under section 5 of the Ordinance shall be in Form 2 or 3 in the Schedule, as the circumstances of each case may require. MEDICAL CLINICS (FORMS) REGULATIONS - SCHEDULE SCHEDULE VerDate:30/06/1997 FORM 1 [regulation 2] Register of Clinics 1 2 3 4 5 6 7 Registered Name of Clinic Name of Person Registered in respect of Clinic Address of Person specified in column 6 Certificate No. Date of Issue Date of Expiry in English in Chinese Address of Clinic in English in Chinese 8 9 10 Reference to Conditions of Registration Whether exempted from sections 6 and 7 Reference to Conditions of Exemption from sections 6 and 7 FORM 2 [regulation 3] Certificate of Registration of clinic not exempted from section 7 of the Ordinance MEDICAL CLINICS ORDINANCE (Chapter 343) CERTIFICATE OF REGISTRATION NO. .................. (Valid until 19 ) THIS IS TO CERTIFY that the undermentioned clinic is registered in the register of clinics under the Medical Clinics Ordinance- Particulars of clinic- Name (In English) ........................................................................... ....................... (In Chinese) ........................................................................... ...................... Address ........................................................................... ...................................... Particulars of person registered in respect of above clinic- Name (In English) ........................................................................... ....................... (In Chinese) ........................................................................... ...................... Address ........................................................................... ...................................... Particulars of registered medical practitioner appointed pursuant to section 7 of the Medical Clinics Ordinance- Name (In English) ........................................................................... ....................... (In Chinese) ........................................................................... ...................... Address ........................................................................... ...................................... Note: Registration of the above-named person in respect of the above-named clinic is subject to the conditions specified ........................................................................... ....................... ........................................................................... .......................................................... (here indicate where conditions are specified, e.g. overleaf, or-in the annexure hereto marked ........................................................................... ........., or as the case may be). Dated this ................. day of .................................., 19......... ............................................... Registrar of Clinics (L.N. 47 of 1967) FORM 3 [regulation 3] Certificate of Registration of clinic exempted from section 7 of the Ordinance MEDICAL CLINICS ORDINANCE (Chapter 343) CERTIFICATE OF REGISTRATION AND EXEMPTION NO. ............ (Valid until 19 ) THIS IS TO CERTIFY that the undermentioned clinic is registered in the register of clinics under the Medical Clinics Ordinance, but is exempted from the provisions of section 7 of the aforesaid Ordinance- Particulars of clinic- Name (In English) ........................................................................... ....................... (In Chinese) ........................................................................... ...................... Address ........................................................................... ...................................... Particulars of person registered in respect of the above clinic- Name (In English) ........................................................................... ....................... (In Chinese) ........................................................................... ...................... Address ........................................................................... ...................................... Note: Registration of the above-named person in respect of the above-named clinic and the grant of the exemption hereby certified is subject to the conditions respectively specified ........... ............................................................. (here indicate where conditions are specified, e.g. overleaf, or in the annexure hereto marked .............................................................., ....................................................................... or as the case may be). Dated this ............. day of ........................................., 19 ......... ............................................... Registrar of Clinics (L.N. 47 of 1967)