Registration forms

Form title / no.	Description
eHealth Registration Online Submission	Healthcare provider (HCP) registering with the Electronic Health System (eHealth)
Additional Healthcare Service Location (HSL) Form HSL01	Providing information of additional HSL (only applicable to HCP with more than one HSL)
HCP / HSL Amendment Form HCPA01	Amending registered HCP / HSL information, adding / removing HSL, adding / replacing user administrator, adding / replacing HCP authorised person / HSL contact person, etc.
User Account Creation Request Form User Account Creation Request Form	Creating account for user administrator, healthcare professional, patient registration staff, etc.
Withdrawal Request Form HCPW01	Withdrawing HCP registration from eHealth
Letter of Declaration for HCP Acting as Substitute Decision Maker (SDM) of Healthcare Recipient (HCR) Letter of Declaration for HCP Acting as SDM of HCR (Chinese version only)	HCP registering with eHealth as an SDM on behalf of patient(s)

Registration forms (Operating Organisation)

Form title / no.	Description
User Account Creation Request Form (Operating Organisation) User Account Creation Request Form	Creating account for user administrator, healthcare professional, patient registration staff, etc.
Declaration by Operating Organisation Declaration by Operating Organisation	This declaration is to be completed by Operating Organisation engaged by the HCP. The HCP must collect and verify the information on the declaration and submit it to Electronic Health Record Registration Office.

 

You may contact the Electronic Health Record Registration Office at (852) 3467 6230 or email ehr@ehealth.gov.hk for assistance.

Underpaid mail items will be rejected. Please pay sufficient postage to ensure mail items can duly reach us.