RNHA
    Registered Nursing Home Association

Request further information on membership

Please complete all form fields marked *
Name of Nursing Home / Clinic / Hospital:
  *
Address:
line 1 *
line 2
line 3
town *
post code *
Telephone:
  *
Fax:
 
Email:
  *

Name of Local Authority:
  *
Local Office Commission for Social Care Inspection (CSCI):
  *

Proprietor(s):
  *
Status:
  *
Premises Registered for How Many Patients?:
  *
Registration Category Details:
  *

Insurance Company:
  *
Renewal Date:
  *
Please list names and addresses of all care homes
providing nursing care
registered under your ownership:
*
home name: *
address:  
line 1: *
line 2:
line 3:
town: *
county:
country:
post code: *
telephone: *
fax:
email address:
web site:
description:

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