Please fill out this form to register with the RNHA
Complete the form fully, and then press the submit button.
Name of Nursing Home
Address




Post Code
Telephone No.
Fax No.
E-mail Address
Date of Registration
Registering Authority
Proprietor(s)
Trading type:
Premises Registered for how many patients
Dual Registered ?
Registration Category Details:
Proprietor's postal address (if different to above)
Please list the names and addresses of all other homes, if dual registered.
The Registered Nursing Home Association, 15 Highfield Road, Edgbaston, Birmingham B15 3DU
Telephone: 0121 454 2511 Fax: 0121 454 0932 Freephone 0800 0740194 E-mail:

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