Download forms from the links below

Health Facility Inspection Checklists

  1. Level 2
  2. Level 3A
  3. Level 3B
  4. Level 4
  5. Level 5
  6. Level 6A
  7. Level 6B

Other Forms

  1. Application for Indexing of Medical & Dental students
  2. Application for Internship Qualifying Examination
  3. Application for Pre-registration examination for Foreign trained doctors
  4. Internship Assessment Form-Medicine/Dentistry
  5. Internship Completion Certificate – Medical
  6. Internship Completion Certificate – Dental
  7. Application for Dental Internship Training Facility Inspection
  8. Application for Medical Internship Training Facility Inspection
  9. Application for Medical or Dental Internship License
  10. Application for Peer Review Exam
  11. Application for Permanent Registration as a Medical or Dental Practitioner
  12. Application for Medical Dental Practitioners Reciprocal Registration Recognition under East Africa Community Protocol
  13. Application for Private Practice License (NEW)
  14. Application for Recognition of Specialty/ Sub-specialty Status
  15. Specialist Referee Request Form
  16. Application for Temporary License for Foreign Doctors
  17. Application for Temporary License for Foreign Doctors (Working in Faith Based Facilities)
  18. Application for Certificate of Status
  19. Requirements for Opening a Health Institution
  20. Application for Registration of Private Medical or Dental Institution (NEW)
  21. Application for Renewal of Private Medical or Dental Institution License 2019
  22. Application for New Accreditation as a CPD Provider
  23. Application for Renewal of CPD Accreditation
  24. Application for Lodging Complaint
  25. Medical Practitioners and Dentists (Forms and Fees)(Amendment) Rules 2012
  26. Application to conduct a Medical or Dental Camp
  27. Referral Form for Medical Management Abroad

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