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HCP Offline Form Submission
OFFLINE SUBMISSION FORM
Name of the Health Facility
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Type of Health Facility
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Contact Telephone
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Email Address
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Confirm Email Address
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Full Physical Address
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Full Physical Address
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Full Physical Address
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Category of Care Applying For
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Full Name of Health Professional In-Charge
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Full name of Proprietor
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Passport Photograph of Proprietor
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Attach 4 Pictures (Premises and Inside). You can Upload All of the Pictures Here At Once
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Letter of recommendation from professional bodies (NMA, PCN, MLSN, NNAMN etc.)
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Are You Registered with the Ondo State Ministry of Health?
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Are you registered with the Corporate Affairs Commission (CAC)?
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HOME
ABOUT US
OBJECTIVES
STAFF
HEALTH PLANS
ABIYAMO SCHEME
BHCPFP (ILERA LORO)
ORANGHIS
ENTITY
GLOSSARY
DOWNLOADS
ACTIVITIES
GALLERY
HCP APPLICATION
TPAs EOI
WE ARE HERE!
Menu
HOME
ABOUT US
OBJECTIVES
STAFF
HEALTH PLANS
ABIYAMO SCHEME
BHCPFP (ILERA LORO)
ORANGHIS
ENTITY
GLOSSARY
DOWNLOADS
ACTIVITIES
GALLERY
HCP APPLICATION
TPAs EOI
WE ARE HERE!
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