Authorisation to open a private health facility

What it allows

To receive patients and to provide, on the authorised premises, the care activities named on the authorisation, up to the authorised bed capacity.

Who may apply

A health professional registered with their council, or a legal entity whose technical director is a health professional registered with their council and practising in the facility.

An individualA company

At a glance

What it costs

• Filing feeGNF 1,500,000

  Payable when you file · Arrêté du Ministre chargé de la Santé fixant les tarifs des actes administratifs des directions nationales du ministère de la Santé

• Assessment and visit feeGNF 4,500,000

  Payable on the decision · Arrêté du Ministre chargé de la Santé fixant les tarifs des actes administratifs des directions nationales du ministère de la Santé

• Annual charge per authorised bedGNF 250,000

  Payable every year · Arrêté du Ministre chargé de la Santé fixant les tarifs des actes administratifs des directions nationales du ministère de la Santé

Total, filing and issueGNF 6,000,000

What to bring

Some of these depend on your answers; the list narrows as you fill the form in.

• Receipt for the filing fee

  To be attached only where the charge was settled before the file was sent. It must be legible and carry the number and the date given on the form.

  Must be less than 3 months old

  Arrêté du Ministre chargé de la Santé fixant les tarifs des actes administratifs des directions nationales du ministère de la Santé

• Dimensioned plan of the premises

  Arrêté du Ministre chargé de la Santé fixant les normes d’installation, d’équipement et de personnel des établissements sanitaires privés

• Technical director’s diploma

  Code de la santé publique, dispositions relatives à l’exercice privé des professions médicales et paramédicales

• Certificate of registration with the council

  Must be less than 12 months old

  Code de la santé publique, dispositions relatives à l’exercice privé des professions médicales et paramédicales

• Technical director’s certificate of medical fitness

  This certificate is about fitness to practise and nothing else. It is never published, and it is kept under its own retention period rather than with the rest of the file.

  Must be less than 3 months old

  Code de la santé publique, dispositions relatives à l’exercice privé des professions médicales et paramédicales

• Clinical waste disposal contract

  Disposing of care waste is a matter of public hygiene, which the Code de la santé publique makes an obligation of whoever runs the establishment — the arrêté sets only how it is done.

  Required if Disposal of clinical waste is Contract with an approved operator

  Must be less than 24 months old

  Code de la santé publique, dispositions relatives à l’hygiène publique

• Professional indemnity insurance certificate

  Must be less than 12 months old

  Loi L/97/021/AN du 19 juin 1997 portant Code de la santé publique

• Lease or title to the premises

  Required if Basis of occupation of the premises is not Owner

  Code de la santé publique, dispositions relatives à l’exercice privé des professions médicales et paramédicales

Before you start

• The exact location of the premises — you may type coordinates, with no map
• Your technical director’s name, profession and council registration number
• Their certificate of medical fitness, less than three months old
• Your clinical waste disposal contract, and your insurance certificate
• Availability for the panel’s visit: it is required, and you are given at least ten working days’ notice

How it is handled

1. Admissibility

   20 days

2. Visiting panel

   75 days

3. Decision

   20 days

4. Signature

   15 days

5. Notification

   2 days

If the answer is no

The decision and the panel’s report are notified to you together. An appeal may be made to the minister responsible for health within two months, and then to the administrative court. The panel’s opinion does not bind the administration; where the decision departs from it, it says why.

The texts this rests on

• Loi L/97/021/AN du 19 juin 1997 portant Code de la santé publique
• Code de la santé publique, dispositions relatives à l’exercice privé des professions médicales et paramédicales
• Arrêté du Ministre chargé de la Santé fixant les normes d’installation, d’équipement et de personnel des établissements sanitaires privés

Versions of this procedure

• Version 1 · 2026-01-01In force