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Surat Izin Mendirikan Rumah Bersalin


Dasar Hukum
Peraturan Daerah Kabupaten Indramayu Nomor 21 Tahun 2002 tentang Retribusi Ijin Penyelenggaraan Sarana Pelayanan Kesehatan dan Sertifikasi Laik Sehat.

Pengertian
Rumah bersalin adalah tempat penyelenggaraan kebidanan bagi wanita hamil bersalin dan masa nifas fisiologi termasuk pelayanan keluarga berencana serta perawatan bayi baru lahir.

Persyaratan
  1. Surat permohonan ditandatangani diatas materai @6000.
  2. Foto copy KTP Penanggung jawab yang masih berlaku.
  3. Foto copy Akte Pendirian Badan Usaha/Yayasan.
  4. Foto copy NPWP.
  5. Foto Copy IMB dan HO.
  6. Foto copy IPPT ( apabila lahan akan berdampak terhadap rencana tata ruang ).
  7. Rekomendasi pengalaman kerja dibidang kesehatan oleh atasannya (bila pemohon adalah perorangan)
  8. Penanggungjawab adalah dokter umum harus dilengkapi dengan foto copy KTP, foto copy Ijazah, foto copy Penugasan, dan foto copy Izin Praktik.
  9. Penanggungjawab harus memiliki Surat izin dari atasan ia bekerja bagi PNS dan Anggota TNI/Polri.
  10. Pemimpin adalah paramedis (bidan) dilengkapi dengan : Foto copy KTP, Foto copy Izajah yang telah dilegalisir, surat pernyataan kesanggupan menjadi penanggungjawab, rekomendasi dari atasannya bila bersangkutan PNS.
  11. Struktur organisasi dan daftar ketenaga kerjaan.
  12. Daftar Inventaris Alat.
Tarif
Besarnya tarif retribusi Izin Mendirikan Rumah Bersalin sebesar Rp. 200.000,- (Dua Ratus Ribu Rupiah).

Masa Berlaku
Izin Mendirikan Rumah Bersalin berlaku 5 (lima) tahun dan pemegang izin wajib memperpanjang surat izinnya dengan ketentuan selambat-lambatnya 3(tiga) bulan sebelum masa berlaku izin habis.
Untuk menghitung tarif Pembuatan Surat Izin, Silahkan Klik
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