‫ أﺑﻮ ﻇﺒﻲ‬- ‫هﻴﺌﺔ اﻟﺼﺤﺔ‬

‫إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ‬
‫ﺗﻤَﻴﺰ ﻓﻲ اﻟﺮﻋﺎﻳﺔ اﻟﺼﺤﻴﺔ‬

Health Authority - Abu Dhabi
Facility Licensing Department

Reliable Excellence in Health Care

Checklist for medical facility transaction
Requirements for renewal health facility license:

:‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﺠﺪﻳﺪ ﺗﺮﺧﻴﺺ ﻣﻨﺸﺄة ﺻﺤﻴﺔ‬

1-

Internet application form.

2-

3-

Original copy of a medical waste disposal contract between the
facility and an approved company from Environment Authority ( Not
required for school clinic – optical center – rehabilitation center
depend on inspection report)
Stamp of the facility & medical staff.

4-

Facility Director registration form .(In case of any changes)

5-

Facility Public Relation Officer registration form. (In case of any
changes)
Medical services price list. (In case of any changes)

678-

Original copy of medical malpractice insurance(in case registering of
insures scheme)
Fees.

Requirements for changing owner of health facility :

.‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬

-1

‫ﻋﻘﺪ اﺗﻔﺎق ﻣﻊ ﺷﺮآﺔ ﻣﻌﺘﻤﺪة ﻣﻦ هﻴﺌﺔ اﻟﺒﻴﺌﺔ ﻟﻠﺘﺨﻠﺺ ﻣﻦ اﻟﻨﻔﺎﻳﺎت اﻟﻄﺒﻴﺔ‬
‫اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ )ﻏﻴﺮ ﻣﻄﻠﻮب ﻓﻲ ﺣﺎل اﻟﻌﻴﺎدة اﻟﻤﺪرﺳﻴﺔ – ﻣﺮآﺰ‬
(‫اﻟﺒﺼﺮﻳﺎت – ﻣﺮاآﺰ اﻟﺘﺄهﻴﻞ إﻋﺘﻤﺎدًا ﻋﻠﻰ ﺗﻘﺮﻳﺮ اﻟﺘﻔﺘﻴﺶ‬

-2

.‫ﺧﺘﻢ اﻟﻤﻨﺸﺄة واﻟﻜﻮادر اﻟﻄﺒﻴﺔ‬

-3

(‫ )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬.‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﺪﻳﺮ ﻟﻠﻤﻨﺸﺄة‬

-4

(‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﻨﺪوب ﻟﻠﻤﻨﺸﺄة )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬

-5

(‫ﻗﺎﺋﻤﺔ أﺳﻌﺎر اﻟﺨﺪﻣﺎت اﻟﻄﺒﻴﺔ )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬

-6

‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ)ﻓﻲ ﺣﺎل اﻟﻤﺸﺎرآﺔ ﻓﻲ‬
(‫ﺑﺮﻧﺎﻣﺞ اﻟﻀﻤﺎن اﻟﺼﺤﻲ‬
.‫اﻟﺮﺳﻮم‬

-7
-8

:‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻣﺎﻟﻚ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬

1-

Internet application form.

2-

Copy of the passport & family book of applicant and partner.

3-

Original copy of sale/Transfer contract certified by Notary Public.

45-

Original copy of both parties authorized signature certified from
Ministry of Justice.
The original license for the facility.

6-

Facility Director registration form.

7-

Facility Public Relation Officer registration form.

8-

Health insurance declarations (in case registering of insures scheme)

9-

Fees.

.‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬

-1

.‫ﺻﻮرة ﻋﻦ ﺟﻮاز ﺳﻔﺮ وﺧﻼﺻﺔ اﻟﻘﻴﺪ ﻟﻜﻞ ﻣﻦ ﻃﺎﻟﺐ اﻟﺘﺮﺧﻴﺺ واﻟﺸﺮﻳﻚ‬

-2

.‫ﻋﻘﺪ اﻟﺘﻨﺎزل ﻣﺼﺪق ﻣﻦ آﺎﺗﺐ اﻟﻌﺪل‬

-3

.‫اﻋﺘﻤﺎد ﺗﻮﻗﻴﻊ اﻟﻄﺮﻓﻴﻦ ﻣﺼﺪق ﻣﻦ وزارة اﻟﻌﺪل‬

-4

. ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬

-5

.‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﺪﻳﺮ ﻟﻠﻤﻨﺸﺄة‬

-6

. ‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﻨﺪوب ﻟﻠﻤﻨﺸﺄة‬

-7

‫اﻟﺘﻌﻬﺪات اﻟﺨﺎﺻﺔ ﺑﺎﻟﺘﺄﻣﻴﻦ اﻟﺼﺤﻲ )ﻓﻲ ﺣﺎل اﻹﺷﺘﺮاك ﻓﻲ ﺑﺮﻧﺎﻣﺞ‬
.( ‫اﻟﻀﻤﺎن اﻟﺼﺤﻲ‬
.‫اﻟﺮﺳﻮم‬

-8

Requirements for changing health facility name:

-9

:‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ أﺳﻢ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬

1-

Internet application form.

23-

Original copy of the Approval of the Department of Planning and
Economy of the name of the facility.
The original license for the facility

4-

Stamp of the facility.

5-

Fees.
For further information for* Internet transaction form & fees available at:
1-Facility Licensing Department health authority.
2- Health Authority – Abu Dhabi website.
For further information please visit our website

www.haad.ae/haad
November 2008

.‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬

-1

.‫ﻣﻮاﻓﻘﺔ داﺋﺮة اﻟﺘﺨﻄﻴﻂ واﻻﻗﺘﺼﺎد ﻋﻠﻰ أﺳﻢ اﻟﻤﻨﺸﺄة‬

-2

‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬

-3

‫ﺧﺘﻢ اﻟﻤﻨﺸﺄة‬

-4

.‫اﻟﺮﺳﻮم‬

-5

:‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﺨﺎﺻﺔ* ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ & اﻟﺮﺳﻮم ﻣﺘﻮﻓﺮة ﻓﻲ‬
‫ إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ هﻴﺌﺔ اﻟﺼﺤﺔ‬-1
.‫ ﻣﻮﻗﻊ هﻴﺌﺔ اﻟﺼﺤﺔ – أﺑﻮ ﻇﺒﻲ ﻋﻠﻰ اﻹﻧﺘﺮﻧﺖ‬-2
‫ﻟﻤﺰﻳﺪ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺮﺟﺎء زﻳﺎرة ﻣﻮﻗﻌﻨﺎ ﻋﻠﻰ اﻻﻧﺘﺮﻧﺖ‬

(‫ ﺗﻌﻬﺪات‬7) ‫اﻟﺘﻌﻬﺪات اﻟﻤﺮﻓﻘﺔ ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -2 . ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -3 -4 5- Fees. 2- :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻣﻮﻗﻊ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬ .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1 Application Form NFA 1. NFA 1.‫اﻟﺮﺳﻮم‬ -5 Requirements for changing health facility location: 1- Internet application form. 2- The original license for the facility 3- Fees.0 ‫ﺗﻌﺒﺌﺔ اﻟﻨﻤﻮذج‬ -2 34- Copy of facility map.‫ ﻣﻮﻗﻊ هﻴﺌﺔ اﻟﺼﺤﺔ – أﺑﻮ ﻇﺒﻲ ﻋﻠﻰ اﻹﻧﺘﺮﻧﺖ‬-2 ‫ﻟﻤﺰﻳﺪ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺮﺟﺎء زﻳﺎرة ﻣﻮﻗﻌﻨﺎ ﻋﻠﻰ اﻻﻧﺘﺮﻧﺖ‬ www. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ Internet application form. 2- The declaration attached to internet application (7 declarations). -1 .‫ﺻﻮرة ﻋﻦ ﻣﺨﻄﻂ اﻟﻤﻨﺸﺄة‬ . 4- The original license for the facility.haad. ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -4 . .‫ﻗﺎﺋﻤﺔ اﻟﻌﻤﻠﻴﺎت‬ -3 .ae/haad November 2008 -1 .‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ‬ -3 . 2- Original copy of medical malpractice insurance.‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1 Application Form NFA 1.‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ‬ -2 .‫اﻟﺮﺳﻮم‬ -5 :‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﺨﺎﺻﺔ* ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ & اﻟﺮﺳﻮم ﻣﺘﻮﻓﺮة ﻓﻲ‬ ‫ إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ هﻴﺌﺔ اﻟﺼﺤﺔ‬-1 . 2- :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻧﻮع اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ أو إﺿﺎﻓﺔ ﺗﺨﺼﺺ‬ . 3- Operation list.0.‫اﻟﺮﺳﻮم‬ -4 :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻹﻟﻐﺎء ﺗﺮﺧﻴﺺ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬ Requirements for health facility temporary closing : 1- .0 ‫ﺗﻌﺒﺌﺔ اﻟﻨﻤﻮذج‬ -2 3- Copy of facility map.‫اﻟﺮﺳﻮم‬ -4 Requirements for Hospital service: 1- Internet application form.Health Authority – Abu Dhabi website. 4- Fees.NFA 1.‫اﻟﺮﺳﻮم‬ -3 :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻹﻏﻼق ﻣﺆﻗﺖ ﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬ .‫ﺻﻮرة ﻋﻦ ﻣﺨﻄﻂ اﻟﻤﻨﺸﺄة‬ -3 4- Fees. For further information for* Internet transaction form & fees available at: 1-Facility Licensing Department health authority. . . For further information please visit our website :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ اﻹﺷﺘﺮاك ﻓﻲ ﺑﺮﻧﺎﻣﺞ ﺿﻤﺎن اﻟﺼﺤﻲ‬ . . .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1 ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -2 .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1 . The original license for the facility. :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﻼﺳﺘﻔﺎدة ﻣﻦ ﺧﺪﻣﺎت ﻣﺴﺘﺸﻔﻰ‬ Requirements for cancel health facility license: 1- Internet application form. 2.Requirements for changing health facility type OR add specialty: 1- Internet application form. . 5- Fees. 3- Original copy of medical malpractice insurance.0.‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ Requirements for registration for insurance scheme program : 1- Internet application form.

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