IMA-A.P.STATE MEDICAL ESTABLISHMENT BOARD. COME, JOIN THE MOVEMENT !

An earnest appeal to all IMA members of A.P. STATE who are running hospitals,clinics,labs and imageology centers-

Dear doctor,
Seasons greetings.

You all know that the private medical establishments- the clinics or corporate type multi-specialty hospitals including diagnostic labs are facing so many regulations, acts and also bound to pay number of taxes.

Its fact, whenever any problem raises, our IMA stood fore front and leading the movement for the welfare of the medical fraternity.

Every doctor remembers the sincerity and concern of our IMA in the promulgation of medical protection act and small hospital friendly amendments to private hospital reg. & regulation act.

Infact, IMA-H.Q. established the “private hospital board”- a separate wing under its purview to look after the demands and travails of the private health care sector in our country.

You all well versed that the laws and acts stipulated for health sector by union govt. of India – like clinical establishment regulation act, labour act. ESI act and other acts in connection with direct & indirect taxes have to be dealt at national level. For this purpose all private medical establishments must come in congregation under the protective umbrella of IMA. In this regard, the IMA-H.Q. directed every state IMA to establish a separate wing to facilitate smooth and able service to the private medical establishments.

So, Every state IMA formed the private medical establishment board accordingly and doing wonders in their respective states. So, its high time that our A.P. state IMA has to initiate this movement to safe guard the interests of the private medical establishments and accordingly decided to establish - "IMA-A.P.STATE Private Medical establishment Board” an unique arm for the cause of private health sector in Andhra Pradesh.


SO, I request you to send the data of all private hospitals – clinics, labs, small hospitals, multi-specialty hospitals in your branch purview, in the prescribed format I am herewith sending - at the earliest possible time.
(Please COPY this PMB reg.form and take multiple copies and distribute to all your branch members who have private medical establishments.)
Please utilize the services of IMA
It’s for the sake of member’s welfare.

With best regards

Yours in the service of IMA

DR.CH.SRINIVASA RAJU
SECRETARY
IMA-A.P. STATE Private Medical establishment Board”.
N.R.PET
ELURU.
mobile:94901-72569.
ENROLMENT FORM

INDIAN MEDICAL ASSOCIATON
A.P.STATE Private Medical establishments Board

APPLICATION FOR ENROLLMENT
(To be filled in BLOCK LETTERS only)


1. Name & Address of the Hospital (including mobile, email id):





2. Status (Strike off whichever is not applicable) & year of establishment: :

Proprietorship firm / Partnership firm / Private Limited Company / Public Limited Company.

3. Bed Strength and name of the sophisticated equipment you have)


4. Representing Doctor’s Name & designation & reg.no
(Should be the Proprietor (or) a partner (or) a member of the board of Directors of the Hospital and should also be a Life Member of IMA)


5. Name of the IMA Branch in which the representing Doctor is a Life Member:

6. Weather the establishment registered with DM&HO or not? if yes, HOSPITAL Reg.no :

7. Weather the establishment has authorization from biomedical waste authorities?

8. If you have u-scan, is it registered under PC-PNDT ACT?

9. Have you or your hospital covered under professional indemnity insurance?

10. Number & description of staff you have:

DECLARATION

I hereby declare that my / our establishment will abide by the guidelines given by the Private medical establishments Board of IMA now and then which is a basic qualification for enrollment in the Board.
I am also aware that the decisions of the State Council of IMA A.P. State Branch are final with regard to any matter concerned with the Private Hospitals Board of IMA A.P. STATE. I am also aware that Special contribution can be raised at the time of need as decided by the managing committee of PMB /SWC / COUNCIL of IMA-A.P. STATE


SEAL OF THE HOSPITAL SIGNATURE OF THE REPRESENTING DOCTOR.

NOTE :.
The enrollment fee will have to be paid by Demand Draft drawn in favor of “IMA PMB FUND ACCOUNT” as per guide lines and should be sent along with this application form.

Send the filled up application along with DD to:
SECRETARY -IMA PMB ,101-IMA BUILDING, KOTI,SULTAN BAJAAR, HYDERABAD.

To be filled in by the IMA Branch in which representing Doctor is a Life Member.

The above statements made by the applicant have been verified to be true and is being recommended for enrollment in the Private medical establishments Board of IMA- A.P.state.


SIGNATURE OF THE PRESIDENT/ SECRETARY of the local IMA branch


SEAL OF THE local IMA BRANCH .



FOR PMB OFFICE PURPOSE:

Application& Reg.fee RECEIVED ON: _____________________

Issued ENROLLMENT NO: ______________________________


DETAILS REGARDING ENROLLMENT FEE : D.D.no: Bank name:

Any other remarks:

AUTHORISED SIGNATURE &SEAL OF PMB _____________________________

enrolment fee:
Clinics . Below 20 beds. 20 to 50 beds. Above 50 beds. labs , radiology.
100/- 200/- 300/- 1000/- 200/- 300/-

Please note:
1.The reg.fee may be enhanced by the recommendation and ratification of PMB managing committee, state working committee and state council of IMA-A.P. state.
2. Use separate paper for any extra details

thank q.