Formulaire
Application for renewal of authorization of an association of users of the health system - Form Aa (Form 14161*01)
Cerfa 14161*01
Allows an association or union of associations to apply for renewal of its national or regional accreditation for its action in the field of quality of care and care of patients.
Does not allow a 1re application for approval.
For associations, this application must be supplemented by the updated list of member associations, and in the case of new association(s) affiliated to the union, by a sheet(s) B.
To whom shall I send this form ?
For the renewal of a national accreditation (contact the Health Branch)
Ministry of HealthFor the renewal of a regional license
Regional Health Agency (RHA)
Download Approval certificate for an association member of a union - Sheet B
FACULTATIF - This sheet B is intended to supplement the application for renewal of the authorization of a union of associations of users of the health system and must be completed by each new association affiliated to the union since the previous granting of the authorization. :
PDF - 1.5 MB
Formulaire annexe
For details, please use the practical information sheets :
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Émetteur du formulaire administratif : Ministry of Health
Verified 31 August 2021 - Directorate for Legal and Administrative Information (Prime Minister)