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:
--Please select--
Limited Company
Partnership
Sole Trader
Charity
Religious Order
Premises Registered for how many patients:
Registration Category Details:
Proprietor's postal address
(if different to above):
Please list the names and addresses of all other homes, if dual registered:
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