Inquiry form - Health Policies & Standards Dept (HPSD) Date: October 26, 2023

Important Notes:

 Please use this form to give details about your query.

 Complete the form accurately, and provide supporting documents (If any).
 We may need further information on your query, in this case we will notify you on it.
 Reply will be provided within 7 working days.

Enquirer Information:

Health Professional.
Health Facility.
Others. If Others, please specify the related topic:
Click or tap here to enter text.

Contact Details:

Full Name: Click or tap here to enter text.

Email Address: Click or tap here to enter text.

Facility Name: (As per DHA License) Click or tap here to enter text.

Facility Category: (As per DHA License) Click or tap here to enter text.

Facility License No.: (As per DHA License) Click or tap here to enter text.

Professional Title: (As per DHA License) Click or tap here to enter text.

Professional License No. or Unique ID Click or tap here to enter text.

If others, please mention: Click or tap here to enter text.

Please tick () to identify the type of your Query or relevant topic:

Clarification on the issued regulatory document:

ID Issue# Issue Date Effective Date Revision Date Page#

MP_1.11.03_F01 01 Sep 14, 2023 Sep 14, 2023 Sep 14, 2026 1/1
 DHA Health Policies.
DHA Health Regulation.
DHA Health Standards.
DHA Health Guideline.
DHA Health Professional License.
DHA Health Inspection.
Others, If Others, please specify the related topic:
Click or tap here to enter text.

Have you submitted any relevant query on the same topic before? If yes, please identify with
justifications:

No.
Yes. If Yes, please include details on of the previous submitted inquiry (add your reference):
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Have you submitted any relevant query on the same topic before? If yes, please identify with
justifications:

No
Yes. If Yes, please include details on of the previous submitted inquiry (add your reference):
Click or tap here to enter text.

Have you read the related regulatory document about this topic in DHA website?

Yes
If No, please go through DHA website to search your topic:
(https://www.dha.gov.ae/en/licensing-regulations-policies )

Upon reading, if the inquiry was not addressed in the related Document on DHA website,
please provide details on your inquiry:

Click or tap here to enter text.

ID Issue# Issue Date Effective Date Revision Date Page#

MP_1.11.03_F01 01 Sep 14, 2023 Sep 14, 2023 Sep 14, 2026 2/1
ID Issue# Issue Date Effective Date Revision Date Page#

MP_1.11.03_F01 01 Sep 14, 2023 Sep 14, 2023 Sep 14, 2026 3/1