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DOTAPPAMB001 Form 17 Series 2018 TO BE FILLED OUT BY DOT AUTHORIZED PERSONNEL ONLYREPUBLIC OF THE PHILIPPINES Office of Tourism Standards and RegulationAPPLICATION FORM Ambulatory ClinicAPPLICATION

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How to fill out application-form-for-ambulatory-clinicpdf

01

Download the application form from the website or pick it up from the ambulatory clinic.

02

Fill out all the required personal information such as name, address, contact details, etc.

03

Provide information about your medical history, current health concerns, and any medications you are taking.

04

Sign and date the form to confirm that all the information provided is accurate.

05

Submit the completed application form to the ambulatory clinic either in person or through email.

Who needs application-form-for-ambulatory-clinicpdf?

01

Individuals who want to become patients at the ambulatory clinic and receive medical care from the healthcare providers there.

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What is application-form-for-ambulatory-clinicpdf?

Application form for ambulatory clinicpdf is a document used for applying to establish an ambulatory clinic.

Who is required to file application-form-for-ambulatory-clinicpdf?

Healthcare providers or organizations looking to establish an ambulatory clinic are required to file the application form.

How to fill out application-form-for-ambulatory-clinicpdf?

The application form should be filled out with accurate and complete information regarding the establishment of the ambulatory clinic, as well as any required documentation.

What is the purpose of application-form-for-ambulatory-clinicpdf?

The purpose of the application form is to formally apply for permission to operate an ambulatory clinic and provide necessary information to regulatory authorities.

What information must be reported on application-form-for-ambulatory-clinicpdf?

The application form typically requires information on the clinic's location, services offered, staffing, operating hours, and compliance with regulations.

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