Application for approval of an association of users of the health system - Form A (Form 12623*02)
Ministry of Health - Cerfa n° 12623*02
Allows an association or union of associations to apply for national or regional approval for its action in the field of quality of care and patient care.
Does not allow for the renewal of a license.
For associations, this application must be supplemented by a form B for each association affiliated to the union.
Go to the online administrative form
Verified 31 August 2021 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
For national accreditation (contact the Health Branch)
Ministry of HealthFor regional approval
Regional Health Agency (RHA)
Cerfa n°12624*02
This sheet B is intended to supplement the application for approval of a union of associations of users of the health system and must be completed by each association affiliated to the union. :
Approval certificate for an association member of a union - Sheet B
For details, please use the practical information sheets :
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