HKLII Hong Kong Regulations

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MEDICAL CLINICS (FORMS) REGULATIONS - SCHEDULE 

SCHEDULE
FORM 1
[regulation 2]
Register of Clinics

1
2
3
4
5
6
7
Certificate No.
Date of Issue
Date of Expiry
Registered Name
of Clinic
Address of
Clinic
Name of Person Registered in respect of Clinic
Address of Person specified in column 6
in English
in Chinese
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- Particulars of person registered in respect of above clinic- (In Chinese) .................................................................................................
Particulars of registered medical practitioner appointed pursuant to section 7 of the Medical Clinics Ordinance-
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- (In Chinese) .................................................................................................
Particulars of person registered in respect of the above clinic- (In Chinese) .................................................................................................
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)

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