Schedule
(See rule 3)(Standards to be maintained by doctor/medical practitioner engaged in practice in Medicine/Dentistry in a clinic or in Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory).(I)Staff. - (1) The Medical Practitioner shall be assisted by para-medical staff, including qualified Nurse/s and Technician/s (wherever required), with Attendants/Servants, etc.(2)They should be free from communicable or contagious diseases and medically examined at the time of appointment and thereafter at every six months.(3)They should wear clean clothes or identifiable uniforms.(II)Facilities - The premises should include-(3)A Reception/Lobby area;(4)Equipments and Instruments of good quality and inadequate quantity to carry out the various required tasks;(5)Beds with mattresses and linen;(6)Adequate number of toilets with water facility;(7)Fully equipped Operation Theatre and Labour Room;(8)Proper method of disposal of Bio-Medical Waste as per the Bio-Medical Waste (Management and Handling) Rules, 1998, as amended from time to time.(III)In case of Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory, names, addresses and license numbers of all the practicing doctors/medical practitioners including that of honorary doctors shall be displayed at conspicuous place.(IV)Minimum standards as laid down under trade license issued by the Municipal Corporation/Municipal Council/Village Panchayat concerned shall be maintained.(V)In addition to above, proper hygiene and cleanliness, adequate water and power supply quality equipment/instruments, beds with mattresses and linen, shall be provided and always maintained neat and clean.Form I[See rule 4 (1)]Application for License/Renewal of License to practice Medicine/Dentistry in a Clinic/Hospital/ /Nursing Home/Diagnostic Centre/Pathological Laboratory.ToThe Competent Authority,Directorate of Health Services,Campal, Panaji-Goa.Sir/Madam,I wish to apply for license(s) to practice Modern Medicine/Dentistry/Alternate Medicine in a Clinic/to establish Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory.Details of the Applicant:Name:Age:Sex:Qualifications:Specialization:Registration Number of Medical Council/Board:Name of the Medical Council/Board:Address of Clinic/Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory:Residential Address:Telephone No. Fax: Mobile No. E-mail: Website:(If applying for more than one place of practice, please give the address of each Clinic/Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory)-(3)Copies of documents to be attached to the application:-(1)Proof of qualifications/specialization;(2)Registration Certificate from Goa Medical Council/Goa Dental Council/Goa Board of Indian System of Homoeopathy and Medicine;(3)Trade license(s) from Municipal Corporation/Council/Village Panchayat concerned;(4)Ownership documents of the Clinic/Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory;(5)Fee of Rs. 250. - by demand draft drawn in favour of Director.• I certify that the details furnished are true to the best of my knowledge.• I agree to abide by the provisions of the Goa Medical Practitioners Act, 2004 (Goa Act 9 of 2004) and Rules framed thereunder.• I undertake to inform the Competent Authority immediately in the event of any changes in the details furnished heretofore.Signature of the Applicant: .............................................Date: .......................................Details of the Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory:To be filled if the applicant is Owner/Co-owner/Trustee or connected with the management of Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory.Name of the Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory-Location: House No.: Street: Ward No.: City/Village:Name of the Owner:Name of the Medical Superintendent/Medical Director:Age: Sex: Qualifications:Tel. Nos.: Office: Residence: Mobile: E-Mail ID:Details about the Medical Practitioners attached to the Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory:(1)Name: Sex:Age:Qualifications:Location:(2)Name: Sex:Age:Qualifications:Location:(3)Name: Sex:Age:Qualifications:Location:(Please attach a separate sheet if the space provided is insufficient).• I certify that the details furnished are true to the best of my knowledge.• I agree to abide by the provisions of the Goa Medical Practitioners Act, 2004 and the Rules framed thereunder.• I undertake to inform the Competent Authority immediately in the event of any change in the details furnished heretofore.• I undertake that the Medical Practitioners without license under the said Act Shall Not be allowed to attend on any patients in the Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory.Signature of the Applicant: .......................................Date:Form II[See rule 4 (4)]License No. Dated:License for a Clinic/Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory.Ο Modern MedicineΟ DentistryΟ Alternate MedicineLicense is hereby granted to Dr. .............................................................. for running/establishing Clinic/Hospital/Nursing Home/Diagnostic Centre/Pathological Laboratory, under the provisions of the Goa Medical Practitioners Act, 2004 (Goa Act 9 of 2004) and the rules framed thereunder, at the following address/es:-(ii)(1) This License, unless renewed, shall be valid till ..........................................................(2)The Licensee has paid the prescribed fees of Rs. 250. - by demand draft under receipt No. ....................................... dated ........................................(3)This License shall be displayed at the Clinic/Hospital/Nursing Home/Diagnostic Centre/ /Pathological Laboratory (where there is more than one place of practice, photocopies thereof shall be displayed at all such places).(4)The Licensee shall intimate to the Competent Authority any changes in the addresses mentioned above.(5)The Licensee shall observe and maintain the standards as specified in Schedule appended to the Goa Medical Practitioners Rules, 2010.SealCompetent AuthorityNotifications22.
/1/2003-I/PHD.. - In exercise of the powers conferred by sub-section (2) of section 1 of the Goa Medical Practitioners (Amendment) Act, 2008 (Goa Act 08 of 2009) (hereinafter referred to as the "said Act"), the Government of Goa hereby appoints the 17th day of February, 2011, as the date on which the provisions of the said Act shall come into force.22.
/1/2003-I/PHD(B).. - In exercise of the powers conferred by sections 3 and 3A of the Goa Medical Practitioners Act, 2004 (Goa Act 9 of 2004) (hereinafter referred to as the "said Act"), the Government of Goa hereby fixes 17th day of February, 2011, as the date for the purposes of the proviso to sections 3 and 3A of the said Act.22.
/1/2003-I/PHD.. - In pursuance of sub-rule (2) of rule 1 of the Goa Medical Practitioners Rules, 2011 (hereinafter called as the "said Rules"), the Government of Goa hereby appoints the 17th day of February, 2011 as the date on which the said Rules shall come into force.