Saturday, 04 May 2024
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Licensing Type

Medical Clinic License(SIBP)

Law Basis

Regional Rules of Pekalongan City Number 6 Year 2009 about the Change of the Regional Rules of Pekalongan City Number 8 Year 2002 about the Licensing Retribution of arranging the Private Healthy Worker and Service Facilities.

Requirements

  • Photocopy of Legal Foundation Establishment Certificate from Notary( especially which has a legal entity ).
  • For the personal request is needed the Work Experience which is ratified by the Authorized Institution Leader where he worked.
  • Photocopy of Disturbance License.
  • Location Permits / Recommendation from the Healthy Service Leader.
  • Organization Structure of the Service with the duty and function description.
  • Photocopy of paramedical and doctor practical license.
  • Location and Building Plan Drawing.
  • Available Drugs List in Medical Clinic.
  • Statemanet Letter of obeying to the valid rules and institution (legacy stamp).
  • Disturbance License (HO). 

Processing Time and Fee

  • The processing time is 5  days.
  • Fee : Free

Download Forms

Contact Us

Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu (DPMPTSP) Kota Pekalongan

Jl. Jaksa Agung R. Soeprapto No. 1, Kota Pekalongan

Telp : 0285 - 432086
Fax : 0285 - 420428
Email : oss@pekalongankota.go.id