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Useful Information

Lists of Forms

1.   Regulatory Affairs

2.   Medical Report / Medical Record

3.  Prevention and Control of Disease

4.   Statutory or Voluntary Reporting

File Formats:

The online forms require digital signature by either digital certificate or “iAM Smart” .

PDF Adobe PDF (Adobe Acrobat Reader lets you view and print PDF files.)
Online Form Online Form
Microsoft Word Microsoft Word
Form No. (if any) and Name of Form Online PDF Word Document Remarks More information
Healthcare Facilities
Human Reproductive Technology and Embryo Research
Application for AIH Licence (First-time Application) PDF Supporting Documentation Form
(Curriculum Vitae)
2961 8955
hrtc@dh.gov.hk
More Information
Application for AIH Licence (Renewal) PDF
Application for Treatment Licence (First-time Application) PDF
Application for Treatment Licence (Renewal) PDF
Application for Research Licence (First-time Application) PDF
Application for Research Licence (Renewal) PDF
Application for Licence to Store Gametes, Embryos and/or Testicular/Ovarian Tissue (First-time Application) PDF
Application for Licence to Store Gametes, Embryos and/or Testicular/Ovarian Tissue (Renewal) PDF
Private Healthcare Facilities
Private Healthcare Facilities Ordinance (Cap. 633)
PHF 14 & PHF 15
First Application for Hospital Licence
PHF 14 & PHF 15 First Application for Hospital Licence Personal Information
Collection Statement
3107 8451
orphf@dh.gov.hk
More Information
PHF 111
Application for Variation of Service / Particulars of Hospital
PHF 118
Renewal of Hospital Licence
PHF 22 & PHF 23
First Application for Day Procedure Centre Licence
PHF 26
Application for Variation of Service / Particulars of Day Procedure Centre
PHF 27
Cancellation of Licence
PDF
PHF 65
Notification of Changes in Service of Scheduled Nursing Home
PDF
Medical Clinics Ordinance (Cap. 343)
C-L01-Fa
First Registration of Clinic
PDF Word 3107 8451
orphf@dh.gov.hk
More Information
C-L05-Fa
Application for Change of Registration Particulars of Clinic
PDF Word
C-L05-Fb
Application For Reopen After Closure / Change Of Registration Particulars of Clinic Exempted From Section 7 of The Cap. 343
PDF Word

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Form No. (if any) and Name of Form Online PDF Word Document Remarks More information
Healthcare Products
Chinese Herbal Medicines and Proprietary Chinese Medicines
Traders
Form 1A
Application Form for Retailer Licence in Chinese Herbal Medicines
Online Form PDF Documentation Checklist
Handbook of the Application
Licensing arrangements of Chinese herbal medicines tradeshow licence
2319 5119
cmro@dh.gov.hk
More Information
Form 1B
Application Form for Wholesaler Licence in Chinese Herbal Medicines
Online Form PDF Documentation Checklist
Handbook of the Application
Form 1C
Application Form for Wholesaler Licence in Proprietary Chinese Medicines
Online Form PDF Documentation Checklist
Handbook of the Application
Form 1D
Application Form for Manufacturer Licence in Proprietary Chinese Medicines
Online Form PDF Documentation Checklist
Handbook of the Application
Guidance Notes on Application (External Packing)
Form 11
Application Form for Renewal of Chinese Medicines Trader Licences
Online Form PDF Documentation Checklist
Guidance Notes
Form 12
Application Form for Change of Address Specified in Chinese Medicines Trader Licences
Online Form PDF Guidance Notes
Application Form for Sale of Chinese Herbal Medicines via the Internet Online Form PDF Guidance Notes
Form 1E
Application Form for Certificate for Manufacturer (Good manufacturing practice in respect of proprietary Chinese medicines)
Online Form PDF Documentation Checklist
Guidance Notes
Guidelines for the Trade
3908 7296
cmro@dh.gov.hk
More Information
Form E1A
Form of the exemption application in accordance with section 158(1) by a person or institution concerned with education or scientific research in relation to Chinese herbal medicines
Online Form PDF Application Guidelines
(Chinese version only)
2319 5119 (Chinese Medicines Traders)
3904 9130 (Registration of proprietary Chinese medicines)
cmro@dh.gov.hk
More Information
Form E1B
Form of the exemption application in accordance with section 158(1) by a person or institution concerned with education or scientific research in relation to manufacturer licence or wholesaler licence in proprietary Chinese medicines
Online Form PDF Application Guidelines
(Chinese version only)
Proprietary Chinese Medicines
Application Form for Registration of Proprietary Chinese Medicines Online Form PDF Checklist (1)
Checklist (2)
Checklist (3)
Guidance Notes
3904 9130
cmro@dh.gov.hk
More Information
Application Form for Renewal of Registration of Proprietary Chinese Medicines Online Form PDF Document Checklist
(Chinese version only)

Guidance Notes
(Chinese version only)
Reply Slip for Confirmation of Non-renewal of Registration of Proprietary Chinese Medicines Online Form PDF
Application Form for Certificate of Sale of Proprietary Chinese Medicines Online Form PDF Guidance Notes
(Chinese version only)
Application Form for Variation of Registered Particulars of Registered Proprietary Chinese Medicines Online Form PDF Guidance Notes
Application Form for Certificate for Clinical Trial and Medicinal Test Online Form PDF Checklist
Guidance Notes
Guidance Notes for Holders
Form E1C
Form of the exemption application in accordance with section 158(1) by a person or institution concerned with education or scientific research in relation to proprietary Chinese medicine registration by institution
Online Form PDF Application Guidelines
(Chinese version only)
2319 5119
(Chinese Medicines Traders)
3904 9130
(Registration of proprietary Chinese medicines)
cmro@dh.gov.hk
More Information
Form E1D
Form of the exemption application in accordance with section 158(1) by a person or institution concerned with education or scientific research in relation to proprietary Chinese medicine registration by Chinese medicine manufacturer
Online Form PDF Application Guidelines
(Chinese version only)
Drugs
Dealers
Application e-Form for Antibiotics Permit Online Form PDF Guidelines
Checklist
3107 2194
pharmgeneral@dh.gov.hk
More Information
Application e-Form for Wholesale Dealer Licence of Pharmaceutical Products PDF Guidelines
Checklist
Application e-Form for Wholesale Dealer's Licence to Supply Dangerous Drug PDF Guidelines
Checklist
Application e-Form for Licence for Listed Seller of Poisons (Medicine Companies) Online Form PDF 3107 2196
pharmgeneral@dh.gov.hk
More Information
Application e-Form for Registration of Premises of an Authorized Seller of Poisons (Pharmacy) Online Form PDF 3107 3477
pharmgeneral@dh.gov.hk
More Information
Application e-Form for Licence for Manufacturer of Pharmaceutical Products Online Form PDF 2594 7647
gmp@dh.gov.hk
More Information
Application e-Form for Licence to Manufacture Dangerous Drug
Application e-Form for Licence for Manufacturer Pharmaceutical Product (Secondary Packaging) Online Form PDF
Application e-Form for Licence to Manufacture Dangerous Drug (Secondary Packaging)
Drug / Pharmaceutical Product / Substance
Application e-Form for Free Sale Certificate of Pharmaceutical Product / Certificate of Pharmaceutical Product Online Form PDF 2594 7647
gmp@dh.gov.hk
More Information
Application e-Form for Licence for Manufacturer of Pharmaceutical Products Online Form PDF
Registration of Pharmaceutical Product/Substance Online Form PRS 2.0 enquiry:
3974 4195
General enquiry:
3974 4175
More Information
Certificate for Clinical Trial/Medicinal Test under the Standard Scheme Online Form General enquiry:
3974 4180
More Information
Certificate for Clinical Trial/Medicinal Test under the Listed Scheme
Import and Export Licence (for pharmaceutical products and medicines) Online Form PLAMMS enquiry:
3974 4159
General enquiry:
3974 4180
More Information
Import Certificate (for Dangerous Drugs)
Import and Export Licence (for Dangerous Drugs)
Removal Licence (for Dangerous Drugs)
Diversion Licence (for Dangerous Drugs)
Medical Device - Medical Device Administrative Control System (MDACS)
Medical Device Trader Listing Applications
MD-IP+D
Application for Inclusion on the List of Importers / Distributors (via MDIS)
Online Form Guidance Notes-07
Guidance Notes-09
MDIS enquiry:
3702 5356
mdis_support@nexify.com.hk
General enquiry:
3107 8484
mdd_app@dh.gov.hk
More Information
LM
Application for the Listing of Local Manufacturers (via MDIS)
Guidance Notes-08
MD203
Renewal and Change Application Form for Listed Importers/Distributors
Online Form PDF 3107 8484
mdd_app@dh.gov.hk
More Information
LM-Change/Renewal
Renewal / Change Form for Listed Local Manufacturers
Online Form PDF
Medical Device Listing Applications
MD101
Application for the Listing of Class II/III/IV General Medical Devices (via MDIS)
Online Form Guidance Notes-02 MDIS enquiry:
3702 5356
mdis_support@nexify.com.hk
General enquiry:
3107 8484
mdd_app@dh.gov.hk
More Information
MD102
Application for the Listing of In-Vitro Diagnostic Medical Devices (IVDMD) (via MDIS)
Guidance Notes-06
MD105
Change Application Form for Listed Medical Devices
PDF 3107 8484
mdd_app@dh.gov.hk
More Information
MD-Renewal
Renewal Form for Listed Medical Devices
PDF
MD-CCL
Essential Principles Conformity Checklist for General Medical Devices
PDF Guidance Notes-02
MDIVD-CCL
Essential Principles Conformity Checklist for In Vitro Diagnostic Medical Devices
PDF Guidance Notes-06
MD108
Post-Market Surveillance Report Form
PDF
Application for Conformity Assessment Body Recognition
CAB-AA
Application for Recognition (or Change of Scope of Recognition) Under the
Conformity Assessment Body Recognition Scheme of the MDACS
PDF Guidance Notes-04 3107 8484
mdd_app@dh.gov.hk
More Information
Update Information for Listed Traders and Conformity Assessment Bodies (CAB) under Medical Device Administrative Control System (MDACS) Online Form
Other Applications
MD-NMPA
Application Form for Certificate to National Medical Products Administration
PDF
Radioactive Substances and Irradiating Apparatus
Radioactive Substances Licence
RSF1
Application for a Licence in accordance with Regulation 3 of the Radiation (Control of Radioactive Substances) Regulations
Online Form PDF List of all forms and fees 2886 1551
rs@erls.gov.hk
More Information
RSF2
Application for Renewal of Radioactive Substances Licence
PDF
RSF3
Application for Amendment of Radioactive Substances Licence
PDF
Irradiating Apparatus Licence
DH1271(s) & FORM IA-P1
Application for a Licence to Possess an Irradiating Apparatus for its installation and testing, to prepare for application for a licence to possess and use the irradiating apparatus in a functional state
Online Form PDF List of all forms and fees 2886 1551
ia@erls.gov.hk
More Information
DH 1271(S) & IA-P2
First Application for a Licence to Possess an Irradiating Apparatus in a Functional State
PDF
IA-P-R2
Application for Renewal of a Licence to Possess an Irradiating Apparatus in a Functional State
PDF
DH 1271(S) & IA-U1
First Application / Renewal for a Licence to Use an Irradiating Apparatus for Purposes of Exposure of the Human Body
PDF
DH 1271(S) & IA-U2
First Application / Renewal for a Licence to Use an Irradiating Apparatus for Purposes Other than on Human Body
PDF
DH 1271(S) & IA-S & IA-Iae
First Application / Renewal for a Licence to Deal in or with Irradiating Apparatus
PDF
DH1271(s) & FORM IA-P1
Application for a Licence to Possess an Irradiating Apparatus in a non-functional state, only for storage
PDF
IA-P-R1
Application for Renewal of a Licence to Possess an Irradiating Apparatus in a Non-Functional State
PDF
Import Licence for Radioactive Substance and Irradiating Apparatus
TRA-RSIA (2014)
Import Licence Form for radioactive substance and irradiating apparatus
Online Form PDF 3620 3814
More Information
Regulated Products under the Human Organ Transplant Ordinance
Application Form for Exemption of Regulated Products under the Human Organ Transplant Ordinance Online Form PDF Guidance Notes 2961 8944
hot_rpe@dh.gov.hk
More Information
Notice of Appeal-Specified Form PDF Word Guidance Notes on Lodging Appeal
under section 7F of the Human Organ
Transplant Ordinance (Cap. 465)


Personal Information
Collection Statement
3509 8959

Form No. (if any) and Name of Form Online PDF Word Document Remarks More information
Health-Related Services
Animals (Control of Experiments)
Form 1
Application Form for licence / endorsement / permit under the Animals (Control of Experiments) Ordinance
Online Form PDF Explanatory Notes and Samples
(New)


Explanatory Notes and Samples
(Renewal)


Guide to Application
2961 8975
ro_al@dh.gov.hk
More Information
Form 6
Record of Experiments
PDF Explanatory Notes and Samples
Form 7
Return of Experiments
Online Form PDF Explanatory Notes and Samples
Radiation Monitoring Services
RMS-09
Application for Radiation Monitoring Services
Online Form PDF rhd-rms@dh.gov.hk
More Information
RMS-19
Personal detail form of each dosimeter user
PDF
Tobacco and Alcohol Control
Prescribed Notice (Liquor) Application Form PDF 2961 8823
taco@dh.gov.hk
More Information
Order for Health Education Material PDF
Order for No Smoking Sign and Poster PDF
Elderly Health Service
Membership Application Online Form PDF 2121 8621
ehsenq@dh.gov.hk
More Information
Request for Health Education Printed Material Online Form PDF

Form No. (if any) and Name of Form Online PDF Word Document Remarks More information
Medical Report / Medical Record
Families Clinics / Education and Training Centre in Family Medicine
Application for Medical Report / Copy of Medical Record Online Form PDF Personal Information
Collection Statement
3163 4593
More Information
Maternal & Child Health Centres / Woman Health Centres
Update of Personal Particulars / Transfer of Health Record Online Form PDF Personal Information
Collection Statement
2961 8855
enquiry_fhsweb@dh.gov.hk
More Information
Application for Medical Report (Child) Online Form PDF
Application for Copy of Child Health Record Online Form PDF
Application for Medical Report (Adult) Online Form PDF
Application for Copy of Health Record/ Investigation Report (Adult) Online Form PDF
Parent/Legal Guardian Consent Form (Disclosure of Personal Data to 3rd Party) Online Form PDF
Client Consent Form (Disclosure of Personal Data to 3rd Party) Online Form PDF
Authorisation for collection of copy of health record/ copy of investigation report/ medical report Online Form PDF
Methadone Clinics
Access to records of drug abuser (with written consent of the drug abuser)
(Note : No specified application form, please call or email for more details)
2835 1831
gr_nda@dh.gov.hk
More Information
Child Assessment Service
Medical Report / Certificate Request Form Online Form PDF Personal Information
Collection Statement
2246 6659
More Information
Dermatological Clinics / Social Hygiene Clinics
Application for Medical Report Online Form PDF Personal Information
Collection Statement
2150 7370
shshoadmin@dh.gov.hk
More Information
Elderly Health Service
Application for Copy of Medical Record (e.g. laboratory results) Online Form 2121 8621
ehsenq@dh.gov.hk
More Information
Authorisation Letter (for disclosure of personal information and health records to authorised person) Online Form
Application for / Withdrawal from receiving SMS Reminders of Appointments Online Form PDF
Application for Medical Report Online Form
Special Preventive Programme
Application for Medical Report Online Form PDF Personal Information Collection Statement 2116 2888
More Information
Student Health Service
Application for Medical Report / Copy of Medical Record Online Form PDF Personal Information Collection Statement 2349 4212
shsenquiries@dh.gov.hk
More Information
Tuberculosis and Chest Service
Application for Medical Report / Copy of Medical Record / X-ray film / disc Online Form PDF Personal Information Collection Statement 2572 0715
tbc_hq@dh.gov.hk
More Information

General Format, Manner and Procedure for the Acceptance of Electronic Information by virtue of the Electronic Transactions Ordinance

18 Oct 2024