Registration Forms

Form No. Form Title Description Language Form
HCP01 Registration Form Healthcare Provider (HCP) registering with the Electronic Health Record Sharing System (eHRSS) English

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

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
/ Letter of Declaration for HCP Acting as Substitute Decision Maker (SDM) of Healthcare Recipient HCP registering with eHRSS as an SDM on behalf of patient(s) Chinese

You may contact Electronic Health Record Registration Office at 3467 6230 or email for assistance.

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

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