This certificate of compliance is issued by the Office of Health Standards Compliance in terms of section 82(7) of the National Health Act, 2003 (Act No. 61 of 2003) as read with regulation18(1) of the Procedural Regulations pertaining to the Functioning of the Office of Health Standards Compliance and Handling of Complaints by the Ombud (the Regulations)

A Certificate of Compliance is valid for a period of not more than 4 years, before which time the health establishment must apply for renewal. The Office may, however, in terms of regulation 15(1) of the Regulations, conduct an additional inspection at any time if it has reason to believe that the establishment is failing to comply with the provisions of the Act.

Name of health establishment certified as compliant

Category of health establishment

Physical address

Address for the service of legal processes and notices, (if not the same as physical address)

Date of inspection

Chief Executive Office

(Signature)

Date of certification

Date of expiry of certification