✨ Hospital License Application Form
1278
THE NEW ZEALAND GAZETTE.
[No. 35
Sink-room (for cleansing and storage of bedpans, &c.)—Description:
W.C.s: (a) For staff only, ; description, .
(b) For patients only; description, . (c) Total, .
Operating-room—Description:
Labour-room—Description:
Fire-escapes: . Description:
Food-storage—Description:
Fire-prevention appliances—Description: . Position: .
Where maternity cases are received, in addition to medical and
surgical cases, the rooms to be reserved for such cases to be indicated.
The number of each room on this form to correspond with number
of each room on plan.
| Room No. | Length. | Breadth. | Height. | Number of Patients to be treated in Each Room. | Means of Ventilation. | Room No. | Length. | Breadth. | Height. | Number of Patients to be treated in Each Room. | Means of Ventilation. |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 16 | ||||||||||
| 2 | 17 | ||||||||||
| 3 | 18 | ||||||||||
| 4 | 19 | ||||||||||
| 5 | 20 | ||||||||||
| 6 | 21 | ||||||||||
| 7 | 22 | ||||||||||
| 8 | 23 | ||||||||||
| 9 | 24 | ||||||||||
| 10 | 25 | ||||||||||
| 11 | 26 | ||||||||||
| 12 | 27 | ||||||||||
| 13 | 28 | ||||||||||
| 14 | 29 | ||||||||||
| 15 | 30 |
ROOMS FOR STAFF AND FAMILY USE ONLY.
| Room No. | Length. | Breadth. | Height. | Number of Staff. | Means of Ventilation. | Room No. | Length. | Breadth. | Height. | Number of Staff. | Means of Ventilation. |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 6 | ||||||||||
| 2 | 7 | ||||||||||
| 3 | 8 | ||||||||||
| 4 | 9 | ||||||||||
| 5 | 10 |
(This space is reserved for use by Department.)
Hon. the Minister.
House: . Manager: .—Recommended that
this hospital be licensed as—
A licensed maternity hospital.
A licensed medical and surgical hospital.
A hospital licensed both as a maternity and as a medical
and surgical hospital.
[Cross out lines which do not apply.]
Patients: .
Director-General of Health.
License granted —
refused—
Number of licenses:
Minister in Charge of Hospitals.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 1924, No 35
NZLII —
NZ Gazette 1924, No 35
✨ LLM interpretation of page content
🏥
Application Form for Private Hospital License
(continued from previous page)
🏥 Health & Social WelfareLicense, Private Hospital, Application, Hospitals and Charitable Institutions Act
- Hon. the Minister
- Director-General of Health
- Minister in Charge of Hospitals