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南投縣政府衛生局-醫事人員歇業申請流程及應檢附資料 |
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具 結 書--醫事人員死亡 申請留存證書 |
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南投縣醫事人員異動表 |
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南投縣一定規模以下建築物免辦理變更使用執照認定標準-切結書 |
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南投縣診所申請歇業市招拆除證明表 |
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南投縣政府衛生局管制藥品收支結存申報表 |
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洗腎診所廢棄物表單(初) |
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全民健康保險特約診所基本資料表 |
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協助診所TPR申請表單-參考(初) |
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執照遺失具結書表格 |
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各類師死亡申請註銷證書之申請書 |
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西醫診所美容醫學查核表(初) |
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醫事人員停業、復業申請書 |
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醫事人員停業、復業申請書 |
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南投縣政府衛生局-醫事人員執業申請流程及應檢附資料 |
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南投縣政府衛生局診所設立設施勘查表-稽查員 |
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南投縣診所調劑設置現場勘查表 |
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南投縣政府衛生局診所設立機構自評表 |
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未妨礙防火避難設施或構造設備等切結書--衛生局用 |
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南投縣政府衛生局歇業申請書 |
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南投縣政府衛生局機構暨人員各項變更申請書 |
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南投縣診所復健治療設施現場勘查表 |
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南投縣政府衛生局醫療機醫事人員申請開業.執業申請書格式 |
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新版死亡證明書(103年1月1日) |
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一般診斷証明書(英文版) |
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出生証明書 |
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入會申請書 |
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南投縣診所申請開業、遷址交通及平面圖格式 |
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南投縣診所門診手術室設備現場勘查表 |
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南投縣診所透析治療室設備現場勘查表 |
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南投縣診所放射線診斷設施現場勘查表 |
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南投縣診所檢驗設施現場勘查表 |
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南投縣診所產房設施現場勘查表 |
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南投縣診所嬰兒室設施現場勘查表 |
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在(離)職證明書版本 |
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聲明書(行政院衛生署醫事管理線上報備支援系統故障) |
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醫 師 公 約 |
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