Healthcare licences – policies and forms

All private licensed facilities:

• Process for changes to a licence policy (PDF 170KB)
• Additional services request form (external site)
• Private hostel closure management process (PDF 537KB)
• Ceasing to operate a licensed private psychiatric hostel (PDF 191KB)

If a Licence Holder proposes to cease operations on the basis that the services provided at the facility no longer fall within the scope of a licensable private hospital or licensable class of health service under the Western Australian Private Hospitals and Health Services Act 1927 (the Act), the Licence Holder must first obtain written confirmation and assessment from the Licensing and Accreditation Regulatory Unit (LARU). To initiate this process, please contact LARULicensing@health.wa.gov.au. A Ceasing to Operate form will be provided once the assessment has been completed.

• Notification of appointment - changes to senior management form (external site)

Private Hospitals and Private Day Hospitals (Class A)

• MP 0134/20 - National Safety and Quality Health Service Standards Accreditation Policy

Private hospitals, day hospitals (Class A, B, C and D) and nursing posts and nursing homes

SAC1 incidents

• Operational directive MP 0122/19 Clinical Incident Management policy 2019 (PDF 195KB)
• SAC 1 clinical incident notification form (PDF 94KB)

Critical/clinical incidents

• Critical/clinical incidents policy (PDF 72KB)
• Critical/clinical incidents form (external site)  

Psychiatric hostels

Office of the Chief Psychiatrist

Notifiable clinical incidents:

• Notifiable incidents - psychiatric hostels - policy (external site)
• The Office of the Chief Psychiatrist notifiable incidents form (external site)

Private Hospitals and Private Day Hospitals (Class A, Class B, Class C and Class D):

• The Western Australian Review of Death Policy
• Death in hospital form (PDF 122KB)

• Admitted patient statistics-reporting procedure review (PDF 136KB)

• Independent financial certification form (PDF 149KB)
• Licence holder financial declaration form (PDF 143KB)

• Application for minor building works (PDF 288KB)
• Approval of the premises - building approval process (PDF 218KB)
• Declaration for minor works at a licenced private health facility (PDF 45KB)
• 2021 Western Australia Health Facility Guidelines for Engineering Services (PDF 1MB)
• 2025 Western Australia Health Facility Guidelines for Engineering Services (PDF 3MB)
• WAHFG ES declaration of conformance template (WORD 67KB)
• WAHFG ES consultant’s certification template (WORD 32KB)
• WAHFG ES installers certification template (WORD 32KB)
• WAHFG ES FAQ 2025 factsheet (PDF 178KB)

• Maximum number of patients that can be treated at any one time policy (PDF 182KB)
• Maximum number of patients that can be treated at any one time form (external site)