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Health Authority - Abu Dhabi ‫ أﺑﻮ ﻇﺒﻲ‬- ‫هﻴﺌﺔ اﻟﺼﺤﺔ‬

Facility Licensing Department ‫إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ‬


Reliable Excellence in Health Care ‫ﺗﻤَﻴﺰ ﻓﻲ اﻟﺮﻋﺎﻳﺔ اﻟﺼﺤﻴﺔ‬

Checklist for medical facility transaction

Requirements for renewal health facility license: :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﺠﺪﻳﺪ ﺗﺮﺧﻴﺺ ﻣﻨﺸﺄة ﺻﺤﻴﺔ‬

1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1


2- Original copy of a medical waste disposal contract between the ‫ﻋﻘﺪ اﺗﻔﺎق ﻣﻊ ﺷﺮآﺔ ﻣﻌﺘﻤﺪة ﻣﻦ هﻴﺌﺔ اﻟﺒﻴﺌﺔ ﻟﻠﺘﺨﻠﺺ ﻣﻦ اﻟﻨﻔﺎﻳﺎت اﻟﻄﺒﻴﺔ‬ -2
facility and an approved company from Environment Authority ( Not ‫اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ )ﻏﻴﺮ ﻣﻄﻠﻮب ﻓﻲ ﺣﺎل اﻟﻌﻴﺎدة اﻟﻤﺪرﺳﻴﺔ – ﻣﺮآﺰ‬
required for school clinic – optical center – rehabilitation center (‫اﻟﺒﺼﺮﻳﺎت – ﻣﺮاآﺰ اﻟﺘﺄهﻴﻞ إﻋﺘﻤﺎدًا ﻋﻠﻰ ﺗﻘﺮﻳﺮ اﻟﺘﻔﺘﻴﺶ‬
depend on inspection report)
3- Stamp of the facility & medical staff. .‫ﺧﺘﻢ اﻟﻤﻨﺸﺄة واﻟﻜﻮادر اﻟﻄﺒﻴﺔ‬ -3
4- Facility Director registration form .(In case of any changes) (‫ )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬.‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﺪﻳﺮ ﻟﻠﻤﻨﺸﺄة‬ -4
5- Facility Public Relation Officer registration form. (In case of any (‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﻨﺪوب ﻟﻠﻤﻨﺸﺄة )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬ -5
changes)
6- Medical services price list. (In case of any changes) (‫ﻗﺎﺋﻤﺔ أﺳﻌﺎر اﻟﺨﺪﻣﺎت اﻟﻄﺒﻴﺔ )ﻓﻲ ﺣﺎل اﻟﺘﻐﻴﻴﺮ‬ -6

7- Original copy of medical malpractice insurance(in case registering of ‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ)ﻓﻲ ﺣﺎل اﻟﻤﺸﺎرآﺔ ﻓﻲ‬ -7
insures scheme) (‫ﺑﺮﻧﺎﻣﺞ اﻟﻀﻤﺎن اﻟﺼﺤﻲ‬
8- Fees. .‫اﻟﺮﺳﻮم‬ -8
Requirements for changing owner of health facility : :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻣﺎﻟﻚ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1
2- Copy of the passport & family book of applicant and partner. .‫ﺻﻮرة ﻋﻦ ﺟﻮاز ﺳﻔﺮ وﺧﻼﺻﺔ اﻟﻘﻴﺪ ﻟﻜﻞ ﻣﻦ ﻃﺎﻟﺐ اﻟﺘﺮﺧﻴﺺ واﻟﺸﺮﻳﻚ‬ -2
3- Original copy of sale/Transfer contract certified by Notary Public. .‫ﻋﻘﺪ اﻟﺘﻨﺎزل ﻣﺼﺪق ﻣﻦ آﺎﺗﺐ اﻟﻌﺪل‬ -3
4- Original copy of both parties authorized signature certified from .‫اﻋﺘﻤﺎد ﺗﻮﻗﻴﻊ اﻟﻄﺮﻓﻴﻦ ﻣﺼﺪق ﻣﻦ وزارة اﻟﻌﺪل‬ -4
Ministry of Justice.
5- The original license for the facility. . ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -5
6- Facility Director registration form. .‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﺪﻳﺮ ﻟﻠﻤﻨﺸﺄة‬ -6
7- Facility Public Relation Officer registration form. . ‫اﺳﺘﻤﺎرة ﺗﻌﻴﻴﻦ ﻣﻨﺪوب ﻟﻠﻤﻨﺸﺄة‬ -7
8- Health insurance declarations (in case registering of insures scheme) ‫اﻟﺘﻌﻬﺪات اﻟﺨﺎﺻﺔ ﺑﺎﻟﺘﺄﻣﻴﻦ اﻟﺼﺤﻲ )ﻓﻲ ﺣﺎل اﻹﺷﺘﺮاك ﻓﻲ ﺑﺮﻧﺎﻣﺞ‬ -8
.( ‫اﻟﻀﻤﺎن اﻟﺼﺤﻲ‬
9- Fees. .‫اﻟﺮﺳﻮم‬ -9
Requirements for changing health facility name: :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ أﺳﻢ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1
2- Original copy of the Approval of the Department of Planning and .‫ﻣﻮاﻓﻘﺔ داﺋﺮة اﻟﺘﺨﻄﻴﻂ واﻻﻗﺘﺼﺎد ﻋﻠﻰ أﺳﻢ اﻟﻤﻨﺸﺄة‬ -2
Economy of the name of the facility.
3- The original license for the facility ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -3
4- Stamp of the facility. ‫ﺧﺘﻢ اﻟﻤﻨﺸﺄة‬ -4
5- Fees. .‫اﻟﺮﺳﻮم‬ -5

For further information for* Internet transaction form & fees available at: :‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﺨﺎﺻﺔ* ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ & اﻟﺮﺳﻮم ﻣﺘﻮﻓﺮة ﻓﻲ‬
1-Facility Licensing Department health authority. ‫ إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ هﻴﺌﺔ اﻟﺼﺤﺔ‬-1
2- Health Authority – Abu Dhabi website. .‫ ﻣﻮﻗﻊ هﻴﺌﺔ اﻟﺼﺤﺔ – أﺑﻮ ﻇﺒﻲ ﻋﻠﻰ اﻹﻧﺘﺮﻧﺖ‬-2
For further information please visit our website ‫ﻟﻤﺰﻳﺪ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺮﺟﺎء زﻳﺎرة ﻣﻮﻗﻌﻨﺎ ﻋﻠﻰ اﻻﻧﺘﺮﻧﺖ‬
www.haad.ae/haad
November 2008
Requirements for changing health facility type OR add :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻧﻮع اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ أو إﺿﺎﻓﺔ ﺗﺨﺼﺺ‬
specialty:
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1
2- Application Form NFA 1.0. . NFA 1.0 ‫ﺗﻌﺒﺌﺔ اﻟﻨﻤﻮذج‬ -2
3- Copy of facility map. .‫ﺻﻮرة ﻋﻦ ﻣﺨﻄﻂ اﻟﻤﻨﺸﺄة‬ -3
4- The original license for the facility. . ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -4
5- Fees. .‫اﻟﺮﺳﻮم‬ -5
Requirements for changing health facility location: :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﺘﻐﻴﻴﺮ ﻣﻮﻗﻊ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬

1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1


2- Application Form NFA 1.0. .NFA 1.0 ‫ﺗﻌﺒﺌﺔ اﻟﻨﻤﻮذج‬ -2
3- Copy of facility map. .‫ﺻﻮرة ﻋﻦ ﻣﺨﻄﻂ اﻟﻤﻨﺸﺄة‬ -3
4- Fees. .‫اﻟﺮﺳﻮم‬ -4
Requirements for Hospital service: :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻟﻼﺳﺘﻔﺎدة ﻣﻦ ﺧﺪﻣﺎت ﻣﺴﺘﺸﻔﻰ‬
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1
2- Original copy of medical malpractice insurance. .‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ‬ -2
3- Operation list. .‫ﻗﺎﺋﻤﺔ اﻟﻌﻤﻠﻴﺎت‬ -3
4- Fees. .‫اﻟﺮﺳﻮم‬ -4
Requirements for cancel health facility license: :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻹﻟﻐﺎء ﺗﺮﺧﻴﺺ اﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1
2- The original license for the facility ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -2
3- Fees. .‫اﻟﺮﺳﻮم‬ -3
Requirements for health facility temporary closing : :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ ﻹﻏﻼق ﻣﺆﻗﺖ ﻟﻤﻨﺸﺄة اﻟﺼﺤﻴﺔ‬
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1

Requirements for registration for insurance scheme :‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﺨﺎﺻﺔ اﻹﺷﺘﺮاك ﻓﻲ ﺑﺮﻧﺎﻣﺞ ﺿﻤﺎن اﻟﺼﺤﻲ‬
program :
1- Internet application form. .‫ﻣﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -1

2- The declaration attached to internet application (7 declarations). .(‫ ﺗﻌﻬﺪات‬7) ‫اﻟﺘﻌﻬﺪات اﻟﻤﺮﻓﻘﺔ ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ‬ -2
3- Original copy of medical malpractice insurance. .‫اﻟﺘﺄﻣﻴﻦ ﺿﺪ اﻷﺧﻄﺎء اﻟﻄﺒﻴﺔ اﻟﻨﺴﺨﺔ اﻷﺻﻠﻴﺔ‬ -3

4- The original license for the facility. . ‫اﻟﺮﺧﺼﺔ اﻷﺻﻠﻴﺔ ﻟﻠﻤﻨﺸﺄة‬ -4

5- Fees. .‫اﻟﺮﺳﻮم‬ -5

For further information for* Internet transaction form & fees available at: :‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﺨﺎﺻﺔ* ﺑﻤﻌﺎﻣﻠﺔ اﻹﻧﺘﺮﻧﺖ & اﻟﺮﺳﻮم ﻣﺘﻮﻓﺮة ﻓﻲ‬
1-Facility Licensing Department health authority. ‫ إدارة ﺗﺮاﺧﻴﺺ اﻟﻤﻨﺸﺂت اﻟﺼﺤﻴﺔ هﻴﺌﺔ اﻟﺼﺤﺔ‬-1
2- Health Authority – Abu Dhabi website. .‫ ﻣﻮﻗﻊ هﻴﺌﺔ اﻟﺼﺤﺔ – أﺑﻮ ﻇﺒﻲ ﻋﻠﻰ اﻹﻧﺘﺮﻧﺖ‬-2

For further information please visit our website ‫ﻟﻤﺰﻳﺪ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺮﺟﺎء زﻳﺎرة ﻣﻮﻗﻌﻨﺎ ﻋﻠﻰ اﻻﻧﺘﺮﻧﺖ‬
www.haad.ae/haad
November 2008