Registration Forms

For HCP Registration

Form No. Form Title Description Language Form
HCP01 Registration Form HCP registering with eHRSS English

Sample
HSL01 Additional Healthcare Service Location (HSL) Form Providing information of additional HSL (Only applicable to Healthcare Provider (HCP) with more than one HSL) English

Sample
HCPA01 HCP / HSL Amendment Form Amending registered HCP / HSL information, adding / removing HSL, adding / replacing user administrator, adding / replacing HCP authorised person / HSL contact person, etc. English
/ User Account Creation Request Form Creating account for user administrator, healthcare professional, patient registration staff, etc. English
HCPW01 Withdrawal Request Form Withdrawing HCP registration from eHRSS English

For patient registration / giving sharing consent

Form No. Form Title Description Language Form
RE(C)01 Registration and Sharing Consent Form (by patient) Registering with eHRSS and giving sharing consent to healthcare provider by patient (via healthcare provider) Bilingual
RE(C-SDM)01 Registration and Sharing Consent Form (by Substitute Decision Maker) Registering with eHRSS and giving sharing consent to healthcare provider by SDM (via healthcare provider) Bilingual
RC01 Sharing Consent Form Giving sharing consent to healthcare provider by patient or by SDM Bilingual

You may contact Electronic Health Record Registration Office at 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.

(Please download Adobe Reader to view the PDF file)