Registration forms

Form title / no.	Description
Registration Form HCP01 Sample Form	Healthcare provider (HCP) registering with the Electronic Health Record Sharing System (eHealth)
Additional Healthcare Service Location (HSL) Form HSL01 Sample Form	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)

 

You may contact the 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.