Clinical Establishment Registration
Clinical Establishment Registration online with documentation support, fee transparency and timely filing. I-Pro Solutions handles licenses & registrations.
Dedicated specialist
CA-led, named point of contact
Tracked client portal
Real-time status, end-to-end
Money-back accuracy
Refile-free if our error
Flat-fee pricing
No hidden charges, ever
About this service
Clinical Establishment Registration is a key regulatory filing administered by For States that have adopted the Central Act — **State Council for Clinical Establishments** (under Section 4) constituted by each State Government; operational registration at the **District Registering Authority** (typically District Health Officer / Chief Medical Officer). National oversight: **Ministry of Health and Family Welfare (MoHFW)**, Government of India. For States not adopting the Central Act — the relevant State Health Department.. Filing is executed via Under the Central Act — **Form A — Application for Registration** (Rule 10 of Central Government Rules 2012). **Form B — Provisional Registration Certificate** (Rule 11(1)). **Form C — Application for Permanent Registration** (after 1 year of provisional). **Form D — Permanent Registration Certificate** (Rule 12). For renewal — Form A (renewal). For change of management — Form E. For change of premises — fresh Form A. State-specific forms: Karnataka — KPME Act Form 1 (Single / Multiple / Comprehensive / Centralized); Maharashtra — Form A under Bombay Nursing Homes Registration Act 1949. under **Clinical Establishments (Registration and Regulation) Act, 2010** (Act 23 of 2010) — notified on 1 March 2012 (with effect from 1 March 2012). Sections 3 (no clinical establishment to operate without registration), 4 (composition of State Council), 8 (registration), 11 (provisional registration), 12 (permanent registration), 14 (conditions for registration), 15 (inspection), 39 (penalty for non-registration), 40 (penalty for violation of conditions), 41 (penalty for false report). **Clinical Establishments (Central Government) Rules, 2012** (Notification G.S.R. 310(E) dated 23 May 2012) — Rule 9 (minimum standards), Rule 10 (application for registration), Rule 11 (form of certificate). The Act has been adopted in full by Sikkim, Mizoram, Arunachal Pradesh, Himachal Pradesh, Uttar Pradesh, Uttarakhand, Rajasthan, Bihar, Jharkhand, Chhattisgarh, Haryana, and the Union Territories (other States have not adopted and continue to be governed by their own State-level medical establishment Acts — e.g., **Karnataka Private Medical Establishments Act, 2007**; **Delhi Nursing Homes Registration (Amendment) Act, 1992**; **Bombay Nursing Homes Registration Act, 1949** for Maharashtra; **Madhya Pradesh Upcharrugnalaya tatha Upchar Sansthaoon ke Registrettan Adhiniyam, 1973**; **Andhra Pradesh Private Medical Care Institutions (Regulation) Act, 2002**; **Tamil Nadu Private Clinical Establishments (Regulation) Act, 1997**).. Our specialist-led team ensures full compliance with statutory documentation, eligibility verification, and expedited government approval.
Eligibility & thresholds
- Valid identity & address proof of applicant
- Active PAN & registered business premises
- Authorized representative authorization
- Compliant under applicable regulatory laws
- No pending statutory disqualifications
- Valid across authorized operational jurisdictions
- Pre-filing statutory documentation verification
- Official statutory fee schedule as per authority
- Mandatory periodic compliance filings post-approval
What's included
Everything in one transparent fee — no add-ons, no surprises.
Government charges only — separate from I-Pro's professional fee. All figures verified as of 25 August 2026.
| Fee Component | Amount (₹) | Basis / Authority |
|---|---|---|
| Clinical Establishment Registration Statutory Fee | ₹500 - ₹25,000 | Official government fee schedule (separate from professional fee)Statutory Authority |
| Total Government Fee | ₹500 - ₹25,000 | (for default assumptions stated below) |
Government charges only — separate from I-Pro's professional fee. Verified 25 August 2026.
Required documents
Each list identifies exactly what to provide — and what you do not need to submit. Use the accordions to expand.
- ›**Application Form A** — completed and signed by the registered medical practitioner in-charge. — **Application Form A** — completed and signed by the registered medical practitioner in-charge.
- ›**Proof of ownership / tenancy** of the premises — Sale Deed / Rent Agreement + NOC from owner. — **Proof of ownership / tenancy** of the premises — Sale Deed / Rent Agreement + NOC from owner.
- ›**Qualification certificates** of the registered medical practitioner (MBBS / BDS / BAMS / BHMS / BU — **Qualification certificates** of the registered medical practitioner (MBBS / BDS / BAMS / BHMS / BUMS) + **State Medical Council registration certificate** (renewable).
- ›**Photographs of the establishment** — reception, consultation room, examination room, treatment roo — **Photographs of the establishment** — reception, consultation room, examination room, treatment room, pharmacy, OT (if applicable), lab.
- ›**List of equipment** — surgical, diagnostic, life-support (as per Schedule of Minimum Standards in — **List of equipment** — surgical, diagnostic, life-support (as per Schedule of Minimum Standards in Rule 9).
- ›**Sanctioned building plan** from the local municipal authority + occupancy certificate. — **Sanctioned building plan** from the local municipal authority + occupancy certificate.
- ›**Fire NOC** (where applicable — typically for hospitals >500 sq.m. or >15 m height). — **Fire NOC** (where applicable — typically for hospitals >500 sq.m. or >15 m height).
- ›**Pollution certificate** from State Pollution Control Board (Bio-Medical Waste Management Rules 201 — **Pollution certificate** from State Pollution Control Board (Bio-Medical Waste Management Rules 2016 authorisation).
- ›**Drug Licence** (Form 20/21 from State Drugs Control) if the establishment maintains an in-house ph — **Drug Licence** (Form 20/21 from State Drugs Control) if the establishment maintains an in-house pharmacy.
- ›**List of staff** — medical / nursing / paramedical / supportive (with qualifications). — **List of staff** — medical / nursing / paramedical / supportive (with qualifications).
- ›**Bio-Medical Waste Management Agreement** with a Common Bio-Medical Waste Treatment Facility (CBWTF — **Bio-Medical Waste Management Agreement** with a Common Bio-Medical Waste Treatment Facility (CBWTF).
- ›**Aadhaar / PAN** of the practitioner / owner. — **Aadhaar / PAN** of the practitioner / owner.
How it works
Each step is labelled with who performs it — Customer, I-Pro, or the Regulator. Form names are linked to the official portal.
- 1Customer⏱ 1 - 3 Days
Step 1: **Customer / I-Pro**
**Customer / I-Pro**: Identify the State — whether the Central Act is adopted; if not, identify the relevant State Act. - 2I-Pro⏱ 1 - 3 Days
Step 2: **I-Pro**
**I-Pro**: Verify the practitioner's qualifications — MBBS + State Medical Council registration (for modern medicine) or BAMS / BHMS / BUMS + State Ayush Council registration. - 3I-Pro⏱ 1 - 3 Days
Step 3: **I-Pro**
**I-Pro**: Engage with the local municipal authority to obtain occupancy certificate + Fire NOC (where applicable). - 4I-Pro⏱ 1 - 3 Days
Step 4: **I-Pro**
**I-Pro**: Apply for **Bio-Medical Waste Management Authorisation** under BMWM Rules 2016 (Form I) to the State Pollution Control Board — separate application for bedded (>10 beds) and non-bedded. - 5I-Pro⏱ 1 - 3 Days
Step 5: **I-Pro**
**I-Pro**: Apply for State Drugs Control licence (Form 20/21) if pharmacy is maintained. - 6I-Pro⏱ 1 - 3 Days
Step 6: **I-Pro**
**I-Pro**: Apply online on the State Clinical Establishment portal (or central portal) — **Form A** with all annexures. - 7I-Pro⏱ 1 - 3 Days
Step 7: **System**
**System**: Portal issues **Provisional Registration Certificate (Form B)** within 7 days — valid for 1 year. - 8I-Pro⏱ 1 - 3 Days
Step 8: **District Registering Authority**
**District Registering Authority**: Schedules inspection — within 6 months of provisional grant. - 9I-Pro⏱ 1 - 3 Days
Step 9: **Inspection**
**Inspection**: Verifies infrastructure, staff, equipment, waste management against Schedule of Standards. - 10Regulator⏱ 1 - 3 Days
Step 10: **Permanent grant**
**Permanent grant**: If compliant — **Permanent Registration (Form D)** granted — valid for 5 years (renewal every 5 years).
Post-registration compliance
What to file next. I-Pro handles these as part of the annual compliance package.
| Filing | Form | Deadline |
|---|---|---|
| Commencement of Business (Form INC-20A) Penalty: ₹50,000 for company + ₹1,000/day for directors (max ₹1 Lakh) | One-time mandatory | Within 180 days of incorporation after bank capital deposit |
| First Auditor Appointment (Form ADT-1) Penalty: Statutory non-compliance; prosecution of defaulting officers | 5-year tenure | Within 30 days of incorporation by Board of Directors |
| Annual Financial Statements (Form AOC-4) Penalty: ₹100 per day of delay per form with no statutory ceiling | Annual | Within 30 days of AGM (by 29 October annually) |
| Annual Return (Form MGT-7) Penalty: ₹100 per day of delay per form with no statutory ceiling | Annual | Within 60 days of AGM (by 29 November annually) |
| Director KYC Verification (DIR-3 KYC) Penalty: ₹5,000 statutory fee per DIN + deactivation | Annual | Every designated partner / director holding active DIN by 30 September |
Penalties for non-compliance
Statutory penalties under governing regulatory provisions. Avoid non-compliance delays.
| Non-compliance | Provision | Penalty |
|---|---|---|
| Commencement of Business (Form INC-20A) | One-time mandatory | ₹50,000 for company + ₹1,000/day for directors (max ₹1 Lakh) |
| First Auditor Appointment (Form ADT-1) | 5-year tenure | Statutory non-compliance; prosecution of defaulting officers |
| Annual Financial Statements (Form AOC-4) | Annual | ₹100 per day of delay per form with no statutory ceiling |
| Annual Return (Form MGT-7) | Annual | ₹100 per day of delay per form with no statutory ceiling |
| Director KYC Verification (DIR-3 KYC) | Annual | ₹5,000 statutory fee per DIN + deactivation |
Common mistakes to avoid
Avoidable filing errors that cause delays or rejection. Each can be resolved before submission.
- 1Mismatched applicant legal name or identity details across KYC proofsWhy: Government verification APIs cross-check with UIDAI and MCA databases and automatically flag discrepancies in spelling or dates.Fix: Our specialists pre-validate your documents against official government databases before portal filing.
- 2Submitting outdated utility bills or non-notarized commercial leasesWhy: Premises proofs older than 60 days or defective landlord NOCs trigger statutory scrutiny queries and multi-week processing delays.Fix: We verify recent billing dates and provide pre-formatted, legally vetted landlord NOC and lease formats.
- 3Selecting incorrect classification, turnover slab, or statutory activity codeWhy: Applications filed under inappropriate classifications attract show-cause notices and potential rejection without statutory fee refund.Fix: We conduct a statutory scope assessment to align your application with the exact regulatory requirements.
Frequently asked questions
Everything you need to know about this service.
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