Records Disposition Schedule-Doh (Blank)

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NAP Form No.

2
2008
1.AGENCY NAME:
NATIONAL ARCHIVES OF THE PHILIPPINES DEPARTMENT OF HEALTH
NATIONAL CAPITAL REGIONAL OFFICE
(DOH-NCRO)

RECORDS DISPOSITION SCHEDULE 2. ADDRESS:


Block 6, Welfareville Compound
Barangay Addition Hills, Mandaluyong City
3. SCHEDULE NO. 4. DATE PREPARED
1 (DATE)
5.ITEM 6.RECORD SERIES TITLE AND DESCRIPTION 7. RETENTION PERIOD
NO 8. REMARKS
Active Storage Total

REGULATIONS, LICENSING & ENFORCEMENT


DIVISION
ACCOMPLISHED APPLICATION FORMS
1. Application for Accreditation of Laboratory for
Drinking Water Analysis
2. Application for Authority to Operate a Blood
Collection Unit/ Blood Station
3. Application for License to Operate a Dental
2 years 1 year 3 years
Laboratory (initial and renewal)
4. Application for License to Operate a General
(Non-Hospital Based) Clinical Laboratory
(initial and renewal)
5. Application for License to Operate a Hospital
and other Health Facility (initial & renewal)
ACCOMPLISHED ASSESSMENT TOOL FOR 5 years 1 year 6 years
FACILITIES
ACCOMPLISHED PERMIT TO CONSTRUCT FOR 5 years 1 year 6 years
BIRTHING HOMES AND HFEP HOSPITALS
ACCOMPLISHED APPLICATION FOR 5 years 1 year 6 years
CERTIFICATE OF NEED
HOSPITAL STATISTICAL REPORT 5 years 1 year 6 years
ISO DOCUMENTS
1. Drug Testing Kits Validation Procedure
2. Electronic Drug Price Monitoring Procedure
3. Finding Procedure
4. Health Facilities Licensing/ Accreditation
Procedure Permanent
5. Quality Management Report
6. Quality Objective Plan
7. Quality Objective Plan Monitoring
8. Request for Action Reports
9. Yellow Prescription Pad Monitoring

NOTICE OF VIOLATION 1 year 1 year 2 years


CEASE AND DESIST ORDER 1 year 1 year 2 years
COMPLAINTS:Fact Finding 5 years 1 year 6 years
LICENSE TO OPERATE/ ACCREDITATION
CERTIFICATE/ AUTHORITY TO OPERATE
1. Certificate of Accreditation for Drinking Water
Analysis Laboratory
5 years 1 year 6 years
2. Authority to Operate a Blood Collection Unit
3. License to Operate Clinical Laboratories
4. License to Operate Dental Laboratories
5. License to Operate a Hospital

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NAP Form No. 2
2008
6. License to Operate Primary Care Facilities
(Infirmary, Birthing Home, Acute and
Custodial Psychiatric Care Facility)

ORDER OF PAYMENT 5 years 1 year 6 years


LOGBOOKS
1. Incoming Documents
2. Outgoing Documents
3. Clinical Laboratory License Number
4. Incoming/ Outgoing Logbook
5. List of Licensed Clinical Laboratory 2016
6. List of Licensed Hospitals 2016 Permanent
7. List of Licensed Birthing Homes and
Infirmary 2016
8. List of Licensed Psychiatric Care Facility
2016
9. List of Initial and Renewal Clinical Laboratory
10. List of Dental Laboratories (initial & renewal)
11. Status of Clinical Lab, Water lab & Blood
Collection Units
FACILITY MASTERLIST
1. Blood Service
2. Clinical Laboratory
3. Dental Laboratory
Permanent
4. Hospital
5. Laboratory or Drinking Water
6. Psychiatric Care Facility

REFERENCE MASTERLIST (AO’s, RA’s, MEMO’s)


1. Blood Service Facility
2. Clinical Laboratories
3. Dental Laboratories
4. Drinking Water Analysis Laboratory Permanent
5. Hospital/ Psychiatric Facility
6. Integrated Drug Test Operations
Management
7. Information System/ X-Ray

IMPORTANT: Pursuant to Section 18, Article III RA 9470 s. 2007, “No government department, bureau, agency and in
instrumentally shall dispose of, destroy or authorize the disposal or destruction of any public records, which are in
the custody or under its control except with the prior written authority of the executive director.”

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