Licensed Clinical Practice Guidelines (CPGs) Provider - Applications
Read and familiarise yourself with the following Council Policies and procedures:
Existing Licensed CPG Providers:
Continue to apply for renewals using the standard renewal form and under the terms of POL003 V5.
Renewal Application Form
and Council Policy/Rules V5
for existing PHECC Licensed CPG Providers.
Council Policy for implementation of timeframes for CPGs.
- Application/Fees Guidance.
Application Form and Council Policy/Rules V6
. To view a flowchart of the application process click here.
LIS021 Annual Medical Directors Report V1. Template for Annual Medical Directors Report (AMDR)
LIS020 Licensed GPG Provider Notification Process V1. – Indicates timelines for CPG licensed Providers to return information regarding important organisational changes and to PHECC
Complete and Sign:
Relevant application checklist and appended statutory declaration (witnessed by a Commissioner of Oaths or Solicitor).
all documents contained in the application.
the associated Fee as per the remittance notice (appended to the application checklist). Fee can be paid by PayPal on the home page or cheque/draft drawn on an Irish Bank. Cash will not be accepted.
the signed hardcopy application and statutory declaration in an A4 2 ring binder. Ensure the sequential numbering is used as per the application checklist.
completed application to: PHECC, Licensed CPG Provider, 2nd Floor, Beech House, Millennium Park, Osberstown, Naas, Co. Kildare. W91 TK7N.
Please note that the process can take 1-3 months (depending on receipt of correct information). Once you have met the application requirements of Council, a recommendation will be made. Incomplete applications, missing documents or omitted fees may result in your application being returned and cause delays.
If you have any immediate queries please contact us at firstname.lastname@example.org.