Institution Registration Form

ASSOCIATION OF HEALTHCARE FUNDERS OF ZIMBABWE APPLICATION FORM

REGISTRATION OF PRIVATE HOSPITALS AND NURSING HOMES

(i)        Form to be completed in full.

(ii)       Where any question is “not applicable”, please state accordingly.

(iii)      Where a specific answer cannot be given and a comment is required to be made, a section has been provided for this under item 23.

(iv)       Return completed form to The Executive Secretary, Association of Healthcare Funders of Zimbabwe, (AHFoZ) Box 2026, Harare.

(v)        The Hospital/Institution must be registered with The Health Professions Council before an inspection is undertaken by AHFoZ officials.

AHFoZ Registration Fee:
$ 435.00 25 beds or more
$ 380.00 19 to 24 beds
$ 330.00 10 to 18 beds

In order to retain the Payee Number, the holder must renew each year before the 31st of March.

1. PERSONAL DETAILS FOR THE PERSON IN-CHARGE

Step 1 of 2

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  • 1.3 Registration with Health Professions Council:

    1.3.1 Registered as: