How to Apply for a Health Facility License (DOH)

Updated: May 2026Na-update: Mayo 202629 min read29 minutong basahin

Under Republic Act No. 4226, also known as the Hospital Licensure Act, all hospitals in the Philippines — whether government or private — are required to obtain a license from the Department of Health (DOH) before they can legally operate. Through subsequent administrative orders and implementing rules, this licensing requirement has been expanded to cover virtually all types of health facilities, including clinics, infirmaries, clinical laboratories, dental clinics, dialysis clinics, ambulatory surgical clinics, birthing homes, pharmacies, and other health service providers.

The Health Facilities and Services Regulatory Bureau (HFSRB) is the DOH bureau primarily responsible for the regulation and licensing of health facilities in the Philippines. Working in coordination with the 17 Centers for Health Development (CHDs) — the regional field offices of DOH — the HFSRB ensures that all health facilities meet the minimum standards for patient safety, quality of care, physical plant requirements, equipment, and personnel qualifications before granting a License to Operate (LTO).

The License to Operate (LTO) is a mandatory document that every health facility must obtain and maintain. It certifies that the facility has been inspected and assessed by the DOH and has been found to comply with all applicable standards, rules, and regulations. The LTO must be prominently displayed in the facility and renewed before its expiration. This tutorial provides a comprehensive, step-by-step guide to applying for a Health Facility License from the DOH, including the requirements, process, fees, and frequently asked questions.

Who Needs a Health Facility License?

Under DOH regulations, the following types of health facilities are required to secure a License to Operate (LTO) from the DOH before commencing operations:

Hospitals — All levels (Level 1, Level 2, Level 3), whether general or specialty hospitals, government or private
Infirmaries — Small in-patient facilities with limited bed capacity, typically providing primary care services
Primary Care Facilities / Clinics — Medical clinics, consultation clinics, multi-specialty clinics, and polyclinics
Clinical Laboratories — All categories (primary, secondary, tertiary) performing diagnostic laboratory tests on human specimens
Dental Clinics — Stand-alone dental clinics and dental laboratories
Dialysis Clinics — Free-standing dialysis centers providing hemodialysis and peritoneal dialysis services
Ambulatory Surgical Clinics (ASC) — Facilities providing same-day surgical procedures that do not require overnight hospital admission
Pharmacies / Drugstores — Retail drug outlets dispensing prescription and non-prescription medications (licensed in coordination with FDA)
Birthing Homes / Lying-in Clinics — Facilities providing prenatal, delivery, and postnatal care
Psychiatric Care Facilities — Mental health facilities, custodial care centers, and rehabilitation centers for mental health patients
Drug Abuse Treatment and Rehabilitation Centers (DATRC) — Facilities providing treatment and rehabilitation services for individuals with substance use disorders
Physical Therapy and Rehabilitation Clinics — Facilities providing physical therapy, occupational therapy, and rehabilitation services
Diagnostic Imaging Centers — X-ray clinics, CT scan centers, MRI facilities, ultrasound clinics, and other imaging service providers
Blood Banks and Blood Collection Units — Facilities involved in the collection, processing, storage, and distribution of blood and blood products
Other Health Facilities — Any other facility providing health services as classified and regulated by DOH through administrative orders (e.g., HIV testing centers, health maintenance organizations, telemedicine providers)

Warning: Operating Without a DOH License is a Criminal Offense

Operating without a valid License to Operate (LTO) from the DOH is a criminal offense. Under RA 4226 and its implementing rules, any person who establishes, operates, or maintains a hospital, clinic, or health facility without first securing the required DOH license may be charged criminally
Penalties include closure of the facility, fines, and imprisonment. Violators may be ordered to immediately cease operations and may face fines and/or imprisonment as prescribed by law. The DOH, through the HFSRB and CHDs, has the authority to issue closure orders against unlicensed facilities
The LTO must be obtained BEFORE the facility begins operations. You cannot open a health facility and apply for a license afterward. The DOH conducts facility inspections as part of the licensing process, and your facility must pass the inspection before an LTO is issued
Operating with an expired LTO is equivalent to operating without a license. Facilities must renew their LTO before its expiration date. Continuing to operate with an expired license exposes the facility owner to the same penalties as operating without a license
Patients treated at unlicensed facilities may not be covered by PhilHealth. PhilHealth accreditation requires a valid DOH License to Operate. Without an LTO, your facility cannot be accredited by PhilHealth, and patients will not be able to use their PhilHealth benefits at your facility
Advertising health services without a valid DOH license is also prohibited. Facilities that advertise medical, dental, diagnostic, or other health services without holding a current and valid LTO may be subject to additional penalties and regulatory action
Misrepresentation of facility classification or services is a violation. If a facility provides services or holds itself out as a type of facility beyond what its LTO authorizes (e.g., a primary clinic performing surgical procedures requiring a hospital license), this constitutes a violation and may result in penalties, suspension, or revocation of the license

Health Facility Classification and Service Capability

Before applying for a License to Operate, you must first determine the proper classification of your facility. The DOH classifies health facilities based on their type, ownership, service capability, and bed capacity. The classification of your facility determines the specific standards you must comply with, the documents required for your application, and the fees you need to pay.

Hospital Classification (by Service Capability)

Level 1 Hospital: Provides clinical care and management of patients in the four basic specialties: medicine, surgery, pediatrics, and obstetrics-gynecology. Typically has an emergency room, pharmacy, clinical laboratory, and basic imaging facility. Minimum authorized bed capacity applies.
Level 2 Hospital: In addition to Level 1 services, provides specialized clinical care including departmentalized clinical services, intensive care unit (ICU), operating room complex, and higher-level diagnostic and therapeutic facilities. Must have specialists in the four major departments.
Level 3 Hospital: The highest level of hospital service capability. Provides highly specialized clinical care, teaching and training programs, research, and advanced diagnostic and therapeutic services. Includes Level 2 capabilities plus sub-specialties, dialysis, physical rehabilitation, and more advanced equipment.

Hospital Classification (by Ownership)

Government Hospital: Owned and operated by the national government (DOH hospitals), local government units (LGU hospitals), or other government agencies (e.g., AFP, PNP, state universities)
Private Hospital: Owned and operated by private individuals, corporations, partnerships, cooperatives, foundations, or religious organizations

Other Facility Types

Non-hospital health facilities are classified separately based on their specific type and scope of services:

Clinical Laboratories: Classified as Primary, Secondary, or Tertiary based on the complexity of tests performed
Ambulatory Surgical Clinics: Classified based on the types of surgical procedures offered (minor vs. major ambulatory surgery)
Dialysis Clinics: Classified based on the number of dialysis stations and services offered
Birthing Homes: Must comply with DOH Administrative Order standards for lying-in clinics and birthing homes
Pharmacies / Drugstores: Regulated in coordination with the FDA; must comply with both DOH facility standards and FDA drug retail regulations

Step-by-Step: How to Apply for a Health Facility License

The following is the detailed step-by-step process for obtaining a License to Operate (LTO) from the DOH for your health facility. The process applies to both new applications and renewal applications, although some steps may differ slightly. This guide covers the general process applicable to most types of health facilities.

Determine the Classification and Service Capability of Your Facility

The first step is to clearly identify the type of health facility you intend to establish and its classification under DOH regulations. This is crucial because the classification determines the specific DOH standards your facility must meet, the documents you need to prepare, and the licensing fees applicable to your application.

If you are establishing a hospital, determine the service capability level (Level 1, 2, or 3) and whether it will be a general or specialty hospital. For non-hospital facilities, identify the specific type (e.g., clinical laboratory, dialysis clinic, ambulatory surgical clinic, birthing home). Review the relevant DOH Administrative Orders for the standards applicable to your facility type.

Tip: If you are unsure about the proper classification of your facility, you may consult with the DOH-HFSRB or your regional Center for Health Development (CHD) for guidance. They can provide advice on the correct classification based on the services you plan to offer and the capacity of your facility.

Comply with DOH Standards (Physical Plant, Equipment, Personnel)

Once you have determined your facility classification, the next step is to ensure that your facility complies with all applicable DOH standards. The DOH has issued specific Administrative Orders setting the minimum standards for each type of health facility. These standards cover several key areas:

Physical Plant / Infrastructure: The building design, construction, floor area, room sizes, ventilation, lighting, sanitation, fire safety features, accessibility for persons with disabilities (PWDs), and other structural requirements specific to the type of health facility
Equipment and Instruments: The minimum required medical equipment, surgical instruments, diagnostic devices, emergency equipment, and other apparatus appropriate for the type and level of services your facility will provide
Personnel / Staffing: The minimum required number and qualifications of health personnel, including physicians, nurses, medical technologists, pharmacists, dentists, midwives, physical therapists, and other allied health professionals. All health professionals must hold valid PRC licenses
Operational Standards: Policies and procedures for patient care, infection control, waste management, quality assurance, patient rights, medical records keeping, and other operational requirements
Emergency Preparedness: Fire safety measures, emergency evacuation plans, disaster preparedness protocols, and emergency equipment and supplies

Important: Your facility must be fully built, equipped, and staffed before you can apply for an LTO. The DOH will conduct an on-site inspection to verify compliance with all standards. Make sure your facility is ready for inspection before submitting your application.

Prepare Required Documents

Gather and prepare all the documentary requirements for your LTO application. The specific documents required may vary depending on the type of facility, but the general requirements include the accomplished DOH application form, SEC or DTI registration, business permit, sanitary permit, fire safety inspection certificate, building permit or occupancy permit, floor plans, equipment list, personnel roster with PRC licenses, and proof of waste management system. A complete list of requirements is provided in the table below.

Make sure all documents are complete, current, and properly certified or notarized where required. Incomplete documentation is one of the most common reasons for delays in the licensing process. Prepare both original copies and photocopies as specified by the DOH-HFSRB or CHD.

Tip: Download the latest application form and checklist of requirements from the DOH-HFSRB website or obtain them from your regional CHD. The requirements may be updated periodically, so always use the most current version.

Submit Application to DOH-HFSRB or Center for Health Development (CHD)

Submit your complete application package to the appropriate DOH office. The receiving office depends on the type and classification of your facility:

DOH-HFSRB (Central Office, Manila): Applications for Level 3 hospitals, specialty hospitals, and other facilities specifically designated for central office processing
Center for Health Development (CHD) — Regional Office: Applications for Level 1 and Level 2 hospitals, and most non-hospital health facilities (clinics, laboratories, dialysis clinics, birthing homes, etc.) within the CHD's jurisdiction

The receiving office will review your application for completeness. If any documents are missing or incomplete, your application will be returned with a checklist of deficiencies. Only applications with complete documents will be accepted for processing. Upon acceptance, you will be issued an acknowledgment receipt with a reference number for tracking your application.

Note: Some CHDs have implemented online submission systems. Check with your regional CHD if online or electronic submission is available. In some cases, initial document submission can be done electronically, but original copies may still be required for verification during the inspection.

Pay Application / Licensing Fees

After your application has been accepted and reviewed for completeness, you will be assessed the applicable licensing fees. The fee amount depends on the type and classification of your facility, its bed capacity (for hospitals), and whether it is a new application or a renewal. Payment is typically made at the DOH cashier or through the prescribed payment channels.

The DOH licensing fees are based on the schedule of fees set by the DOH through administrative orders. Fees may include an application fee, inspection fee, and licensing fee. Keep the official receipt as it will be required as part of your application documentation.

Fee Guide: Licensing fees vary widely depending on the type and size of the facility. For example, a small clinic may pay a few thousand pesos, while a large Level 3 hospital may pay significantly more. Contact the DOH-HFSRB or your regional CHD for the current fee schedule applicable to your facility type.

DOH Conducts Facility Inspection and Assessment

After your application has been accepted, fees paid, and documents reviewed, the DOH will schedule an on-site inspection of your facility. A team of DOH inspectors (typically composed of health professionals and regulatory officers from the HFSRB or CHD) will visit your facility to conduct a comprehensive assessment. The inspection covers the following areas:

Physical Plant Inspection: Verification of building construction, floor area, room dimensions, ventilation, lighting, sanitary facilities, water and electrical systems, waste management facilities, accessibility features, and compliance with fire safety standards
Equipment Verification: Checking that all required medical equipment, instruments, and devices are present, functional, properly calibrated, and maintained
Personnel Audit: Verifying that the facility has the required number and qualifications of health personnel, that all professionals hold valid PRC licenses, and that staffing patterns meet DOH requirements
Operational Review: Assessment of policies and procedures, patient care protocols, infection control practices, medical records management, waste management procedures, and emergency preparedness
Document Verification: Cross-checking submitted documents with actual conditions at the facility

The inspection team will prepare a detailed inspection report documenting their findings, noting areas of compliance and any deficiencies found. The facility representative will be informed of the inspection results on site.

Comply with Deficiencies (If Any)

If the DOH inspection team finds any deficiencies or areas of non-compliance during the inspection, you will be issued a written notice specifying the deficiencies and a deadline for compliance. Common deficiencies include missing equipment, insufficient staffing, incomplete documentation, physical plant issues (e.g., inadequate ventilation, missing fire safety equipment), or non-compliance with specific operational standards.

You must address and rectify all identified deficiencies within the prescribed period. After making the necessary corrections, you will need to submit proof of compliance (e.g., photos, receipts, certificates, personnel records) to the DOH. In some cases, a re-inspection may be conducted to verify compliance on site.

Important: Failure to comply with the identified deficiencies within the prescribed period may result in the denial of your LTO application. If your application is denied, you may need to submit a new application and go through the entire process again. It is in your best interest to address all deficiencies promptly and thoroughly.

DOH Issues License to Operate (LTO)

Once your facility has been found to comply with all DOH standards — either from the initial inspection or after addressing all deficiencies — the DOH will process and issue your License to Operate (LTO). The LTO is an official document signed by the DOH Secretary (or an authorized representative) certifying that your facility has met all the requirements for licensing.

The LTO will state the following information: the name of the facility, the name of the owner/operator, the address of the facility, the classification and service capability, the authorized bed capacity (for hospitals and in-patient facilities), the authorized services, the validity period, and any conditions or limitations imposed.

You must display the LTO in a conspicuous and accessible area of your facility where patients, visitors, and regulatory authorities can easily see it. Keep the original LTO safe and maintain copies for your records. The LTO is required for PhilHealth accreditation, business permit renewal, and other regulatory purposes.

Validity: The LTO is typically valid for 3 years for initial applications and renewals (the specific validity period may vary by facility type). You must apply for renewal at least 90 days before the expiration date to ensure continuous licensing. Do not let your LTO expire.

Documentary Requirements for Health Facility License

Below is the list of documentary requirements for a DOH Health Facility License (License to Operate) application. The specific requirements may vary depending on the type of facility. Always verify with the DOH-HFSRB or your regional CHD for the most current and complete list of requirements applicable to your facility type.

No.	Document / Requirement	Details / Notes
1	Accomplished Application Form (DOH-HFSRB Form)	The official DOH-HFSRB application form, duly accomplished and signed by the facility owner or authorized representative. Obtain the latest version from the DOH-HFSRB website or your regional CHD.
2	SEC / DTI Registration of the Facility / Corporation	Certificate of Registration from the Securities and Exchange Commission (SEC) for corporations or partnerships, or from the Department of Trade and Industry (DTI) for sole proprietorships. For government facilities, the creating law, executive order, or resolution establishing the facility.
3	Mayor's Permit / Business Permit	Valid Mayor's permit or business permit issued by the local government unit (city or municipality) where the facility is located. For new facilities applying for the first time, a Barangay Clearance and locational clearance may be required in lieu of a business permit.
4	Sanitary Permit from Local Health Office	Valid sanitary permit issued by the City Health Office (CHO) or Municipal Health Office (MHO) certifying that the facility complies with sanitation requirements under PD 856 (Code on Sanitation of the Philippines).
5	Fire Safety Inspection Certificate (FSIC)	Valid Fire Safety Inspection Certificate issued by the Bureau of Fire Protection (BFP) certifying that the facility complies with the Fire Code of the Philippines (RA 9514). This includes fire detection and alarm systems, fire suppression equipment, emergency exits, and evacuation plans.
6	Building Permit / Occupancy Permit	Copy of the building permit for new constructions, or the certificate of occupancy issued by the local building official. If the facility occupies a leased building, a copy of the lease contract and the building's occupancy permit may be required.
7	Floor Plan and Facility Layout	Detailed floor plan or facility layout showing the arrangement of rooms, patient areas, treatment areas, utility rooms, offices, corridors, exits, and other spaces. Must be signed by a licensed architect or engineer.
8	List of Equipment and Instruments	Complete inventory of all medical equipment, instruments, diagnostic devices, and other apparatus available at the facility. Must include brand, model, quantity, and proof of calibration or maintenance records for applicable equipment.
9	List of Health Personnel with PRC Licenses	Complete roster of all health professionals employed or contracted by the facility, including their names, positions, PRC license numbers, validity dates, and specializations. Copies of valid PRC licenses and updated Professional Tax Receipts (PTRs) must be attached.
10	Proof of Waste Management System (Medical Waste)	Documentation showing compliance with DOH and DENR regulations on healthcare waste management. This includes a healthcare waste management plan, contract with a DENR-accredited treatment, storage, and disposal (TSD) facility for infectious and hazardous waste, and proof of waste segregation practices.
11	Quality Management Certificates (If Applicable)	Applicable quality management or accreditation certificates (e.g., PhilHealth accreditation, ISO certification, DOH-certified quality management system). While not always mandatory for initial licensing, these may be required for certain facility types or service levels.
12	Application Fee (Official Receipt)	Official receipt of payment for the DOH licensing fee. The fee amount is based on the DOH schedule of fees and depends on the type, classification, and bed capacity of the facility. Payment is made at the DOH cashier or through prescribed payment channels.

Note: Additional requirements may apply depending on the specific type of health facility. For example, clinical laboratories may need to submit quality assurance program documentation and proficiency testing results. Dialysis clinics may need nephrologist certification. Pharmacies may need FDA registration. Always check with the DOH-HFSRB or your regional CHD for any additional requirements specific to your facility type.

Complete Example: Health Facility Licensing Process

Below is a complete example illustrating the health facility licensing process from start to finish. This example follows a hypothetical private Level 1 hospital applying for a new License to Operate from the DOH.

Example: New Level 1 Hospital LTO Application

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HEALTH FACILITY LICENSE APPLICATION - COMPLETE EXAMPLE
============================================================

Facility:     Metro Care Hospital, Inc.
Type:         Hospital (Private)
Level:        Level 1 (General Hospital)
Location:     123 Rizal Avenue, Quezon City, Metro Manila
Bed Capacity: 50 beds (authorized)
Owner:        Metro Care Health Corporation (SEC Reg.)

============================================================
STEP 1: DETERMINE FACILITY CLASSIFICATION
============================================================
- Type: Hospital (Private, General)
- Service Capability: Level 1
  - Medicine Department
  - Surgery Department
  - Pediatrics Department
  - Obstetrics-Gynecology Department
  - Emergency Room (24/7)
  - Ancillary Services: Clinical Lab, Pharmacy, Radiology
- Bed Capacity: 50 beds
- Applicable Standards: AO 2012-0012 (Rules and Regulations
  Governing the New Classification of Hospitals and Other
  Health Facilities in the Philippines)

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STEP 2: COMPLY WITH DOH STANDARDS
============================================================
Physical Plant:
  - Building: 3-story hospital building, 2,500 sq.m. total
  - Patient rooms: 40 ward beds, 10 private rooms
  - Emergency Room: 6 treatment bays, triage area
  - Operating Room: 2 OR suites with recovery room
  - Delivery Room: 2 DR suites
  - Clinical Laboratory: Secondary level
  - Pharmacy: In-house pharmacy
  - Radiology: X-ray room with dark room
  - Kitchen, laundry, CSSD, medical records, offices

Equipment (sample):
  - Cardiac monitor and defibrillator
  - Anesthesia machine (2 units)
  - Surgical instruments (complete sets)
  - X-ray machine (1 unit, with CR system)
  - Laboratory analyzers (hematology, chemistry, etc.)
  - Emergency cart with drugs and supplies
  - Autoclave / sterilizer
  - Ambulance (1 unit)

Personnel (minimum):
  - Medical Director: 1 (licensed physician)
  - Chief Nurse: 1 (licensed nurse, BSN)
  - Physicians: 4+ (one per major dept.)
  - Nurses: 12+ (24/7 coverage, nurse-to-patient ratio)
  - Medical Technologists: 2+ (24/7 lab coverage)
  - Pharmacist: 1+
  - Radiologic Technologist: 1+
  - Midwife: 1+
  - Administrative and support staff

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STEP 3: PREPARE DOCUMENTS
============================================================
Documents prepared:
  [x] DOH-HFSRB Application Form (accomplished)
  [x] SEC Certificate of Registration
  [x] Articles of Incorporation and By-Laws
  [x] Mayor's Permit / Business Permit (QC)
  [x] Sanitary Permit (QC City Health Office)
  [x] Fire Safety Inspection Certificate (BFP)
  [x] Building Permit and Occupancy Permit
  [x] Floor Plan (signed by licensed architect)
  [x] Equipment Inventory List
  [x] Personnel Roster with PRC Licenses
  [x] Healthcare Waste Management Plan
  [x] Contract with TSD Facility (medical waste)
  [x] Proof of water and electrical supply

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STEP 4: SUBMIT APPLICATION
============================================================
- Filing Office: CHD-NCR (Center for Health Development -
  National Capital Region)
- Application reviewed for completeness: COMPLETE
- Reference Number: CHD-NCR-2024-H-00123
- Date Filed: January 15, 2024

============================================================
STEP 5: PAY LICENSING FEES
============================================================
- Application Fee:   PHP  1,000.00
- Inspection Fee:    PHP  5,000.00
- Licensing Fee:     PHP 15,000.00
  (Based on bed capacity: 50 beds)
- TOTAL FEES PAID:   PHP 21,000.00
- O.R. Number: 2024-00456

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STEP 6: DOH FACILITY INSPECTION
============================================================
- Inspection Date: February 20-21, 2024
- Inspection Team: 4 members (physician, nurse, engineer,
  regulatory officer)
- Areas Inspected:
  [x] Physical plant and infrastructure
  [x] Equipment and instruments
  [x] Personnel qualifications and staffing
  [x] Infection control measures
  [x] Waste management system
  [x] Emergency preparedness
  [x] Policies and procedures
- Findings: Minor deficiencies noted

============================================================
STEP 7: ADDRESS DEFICIENCIES
============================================================
Deficiencies Found:
  1. Additional fire extinguisher needed in 3rd floor
  2. Updated calibration certificate for X-ray machine
  3. Missing PTR for 2 newly hired nurses
Compliance Period: 30 days

Actions Taken:
  1. Installed additional fire extinguisher (Feb 25, 2024)
  2. Submitted updated calibration cert (Feb 27, 2024)
  3. Submitted PTR copies for 2 nurses (Feb 28, 2024)
Compliance Verified: March 5, 2024

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STEP 8: LTO ISSUANCE
============================================================
- License to Operate Number: LTO-H-24-NCR-00123
- Facility Name: Metro Care Hospital, Inc.
- Classification: Level 1 General Hospital (Private)
- Authorized Bed Capacity: 50 beds
- Authorized Services: Medicine, Surgery, Pediatrics,
  OB-Gyne, ER, Clinical Lab, Pharmacy, Radiology
- Validity: March 15, 2024 to March 14, 2027 (3 years)
- Issued By: DOH Center for Health Development - NCR
- Signed By: CHD-NCR Director (for the DOH Secretary)

*** DISPLAY LTO IN A CONSPICUOUS AREA OF THE FACILITY ***
*** RENEW AT LEAST 90 DAYS BEFORE EXPIRATION ***
============================================================

Licensing Fees Guide

The following is a general guide to DOH health facility licensing fees. Actual fees may vary based on the latest DOH administrative orders. Always confirm the current fee schedule with the DOH-HFSRB or your regional CHD before filing your application.

Facility Type	Application Fee	Licensing Fee (Estimated Range)	Validity
Hospital (Level 1)	PHP 1,000 - 2,000	PHP 10,000 - 30,000+	3 years
Hospital (Level 2)	PHP 1,500 - 3,000	PHP 20,000 - 50,000+	3 years
Hospital (Level 3)	PHP 2,000 - 5,000	PHP 30,000 - 100,000+	3 years
Infirmary	PHP 500 - 1,000	PHP 5,000 - 15,000	3 years
Clinical Laboratory	PHP 500 - 1,500	PHP 3,000 - 15,000	3 years
Dialysis Clinic	PHP 1,000 - 2,000	PHP 10,000 - 25,000	3 years
Birthing Home / Lying-in Clinic	PHP 500 - 1,000	PHP 3,000 - 10,000	3 years
Ambulatory Surgical Clinic	PHP 1,000 - 2,000	PHP 8,000 - 20,000	3 years
Dental Clinic	PHP 300 - 500	PHP 2,000 - 5,000	3 years
Pharmacy / Drugstore	PHP 300 - 1,000	PHP 2,000 - 8,000	3 years

Disclaimer: The fees shown above are estimated ranges for reference purposes only. Actual fees may differ based on the latest DOH administrative orders, the specific bed capacity or size of the facility, and any additional special fees. Always verify the current fee schedule with the DOH-HFSRB or your regional CHD before submitting your application.

Frequently Asked Questions (FAQ)

What types of health facilities need a DOH license?

Virtually all types of health facilities in the Philippines are required to obtain a License to Operate (LTO) from the DOH before they can legally operate. This includes:

Hospitals (all levels — Level 1, 2, 3; general and specialty; government and private)
Infirmaries and primary care facilities
Clinical laboratories (primary, secondary, tertiary)
Dialysis clinics
Ambulatory surgical clinics
Birthing homes and lying-in clinics
Dental clinics (stand-alone)
Pharmacies and drugstores
Psychiatric care facilities and DATRCs
Diagnostic imaging centers
Blood banks and blood collection units
Physical therapy and rehabilitation clinics
Other health facilities as classified by DOH through administrative orders

If you are unsure whether your facility requires a DOH license, contact the DOH-HFSRB or your regional Center for Health Development (CHD) for guidance.

How much does a health facility license cost?

The cost of a DOH Health Facility License (License to Operate) depends on several factors, including the type of facility, its classification or service capability level, and its bed capacity (for hospitals and in-patient facilities). The total cost typically includes an application fee, inspection fee, and the licensing fee itself.

As a general guide: small clinics and dental offices may pay around PHP 2,000 to PHP 5,000 in total fees, while hospitals may pay anywhere from PHP 15,000 to PHP 100,000 or more depending on the level and bed capacity. Fees are set by the DOH through administrative orders and may be updated periodically.

For the most accurate and current fee schedule, contact the DOH-HFSRB at their central office in Manila or your regional CHD. You can also visit the DOH-HFSRB website for downloadable fee schedules.

How long is the license valid?

The License to Operate (LTO) issued by the DOH is generally valid for three (3) years from the date of issuance. This applies to most types of health facilities, including hospitals, clinics, laboratories, and other regulated health service providers.

It is important to note that the LTO must be renewed before its expiration date. The DOH recommends filing your renewal application at least 90 days (3 months) before the expiration date to allow sufficient time for processing, inspection, and issuance of the renewed LTO. Operating with an expired LTO is considered operating without a license and is subject to the same penalties.

In certain cases, a provisional or temporary LTO with a shorter validity period may be issued — for example, when a facility is found to have minor deficiencies during inspection and is given time to comply. The specific validity of such provisional licenses is determined by the DOH on a case-by-case basis.

How long does the application process take?

The processing time for a DOH Health Facility License application varies depending on several factors, including the type of facility, the completeness of submitted documents, the availability of the DOH inspection team, and whether any deficiencies are found during the inspection.

As a general estimate, the process takes approximately 30 to 60 working days from the date of acceptance of a complete application to the issuance of the LTO. This timeline assumes that all documents are complete, the inspection is conducted without major delays, and the facility passes the inspection without significant deficiencies.

If deficiencies are found, the timeline will be extended by the compliance period (typically 30 days) plus the time needed for verification or re-inspection. For large or complex facilities (e.g., Level 3 hospitals), the process may take longer. Incomplete applications will also cause delays, as they will be returned for completion before processing begins.

Tip: To minimize delays, ensure that all documents are complete and current before submitting, and that your facility is fully ready for inspection.

What happens during the DOH inspection?

During the DOH facility inspection, a team of inspectors from the HFSRB or Center for Health Development (CHD) will visit your facility to conduct a comprehensive on-site assessment. The inspection typically takes one to two days depending on the size and complexity of the facility. Here is what to expect:

Opening Conference: The inspection team meets with the facility management to explain the scope and process of the inspection
Physical Plant Tour: The team inspects the entire facility including patient areas, treatment rooms, operating rooms, laboratories, pharmacy, kitchen, laundry, waste management areas, and all other spaces
Equipment Check: Inspectors verify that all required equipment is present, functional, and properly maintained. They may check calibration records and maintenance logs
Personnel Verification: The team reviews personnel records, PRC licenses, duty schedules, and staffing patterns to ensure compliance with DOH standards
Document Review: Inspectors review policies and procedures, medical records (sample), infection control protocols, waste management documentation, and other operational documents
Closing Conference: The inspection team presents their preliminary findings to the facility management, noting areas of compliance and any deficiencies found

After the inspection, the team prepares a formal inspection report with their findings and recommendations, which is submitted to the HFSRB or CHD for processing.

Can I operate while my application is being processed?

For new facilities: No, you cannot operate a new health facility while your LTO application is still being processed. You must wait for the DOH to issue your License to Operate before you can begin accepting patients or providing health services. Operating without an LTO is a criminal offense and may result in closure, fines, and imprisonment.

For renewal applications: If you are renewing an existing LTO and you filed your renewal application before the expiration of your current license, some DOH offices may allow you to continue operating under your existing LTO while the renewal is being processed, provided that you can show proof of timely filing (e.g., the acknowledgment receipt of your renewal application). However, this is subject to DOH policy and may vary by region. It is always best to file your renewal application at least 90 days before expiration to avoid this situation.

Important: Contact your regional CHD to confirm their specific policy on this matter. Do not assume that filing a renewal application automatically extends the validity of your current LTO.

What if my facility fails the inspection?

If your facility fails the DOH inspection — meaning that significant deficiencies or non-compliance with DOH standards are found — the following may happen:

Notice of Deficiency: You will receive a written notice specifying all the deficiencies found during the inspection. The notice will include a deadline for compliance (typically 30 days, but may vary depending on the severity)
Compliance Period: You are given the opportunity to correct all deficiencies within the prescribed period. You must submit documentary proof of compliance (photos, receipts, certificates, etc.) to the DOH
Re-inspection: In some cases, especially for major deficiencies, the DOH may conduct a re-inspection to verify that the deficiencies have been fully addressed
Denial of Application: If you fail to comply with the deficiencies within the prescribed period, or if the deficiencies are so severe that they pose an immediate risk to patient safety, your LTO application may be denied
Re-application: If your application is denied, you will need to address all issues and submit a new application, going through the entire process again

Tip: To avoid failing the inspection, ensure that your facility fully complies with all DOH standards before submitting your application. You may conduct your own internal assessment using the DOH standards checklist as a guide.

How do I renew my health facility license?

The renewal process for a DOH Health Facility License (LTO) is similar to the initial application process, with some differences. Here is how to renew:

File Early: Submit your renewal application at least 90 days (3 months) before the expiration date of your current LTO
Prepare Updated Documents: Gather all the required documents for renewal, which are similar to the initial application requirements but with updated versions (e.g., current business permit, current sanitary permit, updated personnel roster, updated equipment list)
Submit to DOH: File your renewal application at the same DOH office that issued your current LTO (HFSRB or CHD)
Pay Renewal Fees: Pay the applicable renewal fees at the DOH cashier
Undergo Inspection: The DOH will schedule a renewal inspection of your facility to verify continued compliance with DOH standards
Receive Renewed LTO: If your facility passes the inspection, a new LTO will be issued with a new 3-year validity period

Important: Do not wait until your LTO has expired to file for renewal. Operating with an expired LTO is equivalent to operating without a license and is subject to penalties. Plan ahead and file early.

LTO Renewal Process

Renewing your DOH License to Operate is critical to ensure the continuous and legal operation of your health facility. Below is a summary of the renewal process and key timelines.

Step	Action	Timeline
1	Prepare updated documentary requirements	At least 120 days before expiration
2	Submit renewal application to DOH-HFSRB or CHD	At least 90 days before expiration
3	Pay renewal / licensing fees	Upon acceptance of application
4	DOH conducts renewal inspection	Scheduled by DOH (within 30 working days)
5	Address deficiencies (if any)	Within prescribed compliance period
6	DOH issues renewed LTO	30-60 working days from complete application

Important Reminders

All health facilities must have a valid DOH License to Operate (LTO) before commencing operations. This applies to hospitals, clinics, laboratories, pharmacies, birthing homes, dialysis clinics, and all other regulated health facilities
Operating without a valid LTO is a criminal offense under RA 4226 and its implementing rules. Penalties include facility closure, fines, and imprisonment. The DOH-HFSRB and CHDs conduct regular monitoring and may issue closure orders against unlicensed facilities
File your renewal application at least 90 days before the expiration of your current LTO to ensure continuous licensing. Do not wait for your LTO to expire before filing for renewal
Keep your facility in continuous compliance with DOH standards throughout the validity of your LTO. The DOH may conduct monitoring visits or surprise inspections at any time to verify continued compliance
Report any changes to your facility to the DOH immediately. Changes that require notification or amendment to your LTO include: change of ownership, change of name, change of address, change of classification or service capability, increase or decrease in bed capacity, addition or removal of services, and any significant physical plant modifications
PhilHealth accreditation requires a valid DOH LTO. If your LTO expires or is revoked, your PhilHealth accreditation will also be affected, and your patients will lose their ability to use PhilHealth benefits at your facility
Ensure all health professionals in your facility hold valid PRC licenses. Employing unlicensed or unregistered health professionals is a separate violation that can affect your facility's LTO
Maintain proper healthcare waste management. All health facilities must comply with DOH and DENR regulations on healthcare waste management, including proper segregation, storage, collection, transport, treatment, and disposal of infectious and hazardous waste
Display your LTO in a conspicuous location within your facility where it can be easily seen by patients, visitors, and regulatory authorities. Failure to display the LTO may result in a citation during monitoring visits
Check the DOH-HFSRB website regularly for the latest administrative orders, updated standards, guidelines, and announcements that may affect your facility's licensing requirements
For complaints or concerns about health facilities, patients and the public can contact the DOH-HFSRB or the regional Center for Health Development. The DOH investigates complaints and takes appropriate regulatory action against non-compliant facilities

Need Help? Contact DOH-HFSRB

If you need assistance with your health facility license application, have questions about DOH standards, or need to verify the licensing status of a health facility, you may contact the DOH-HFSRB or your regional Center for Health Development (CHD) using the information below.

DOH Central Office / HFSRB

Office: Health Facilities and Services Regulatory Bureau (HFSRB)
Address: San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila 1003
Trunk Line: (02) 8651-7800 local 5003 to 5005
Email: hfsrb@doh.gov.ph
Website: hfsrb.doh.gov.ph
Office Hours: Monday to Friday, 8:00 AM to 5:00 PM (except holidays)

DOH Hotline & Other Contacts

DOH Hotline: 1555 (available 24/7 for health concerns and emergencies)
DOH Trunk Line: (02) 8651-7800
DOH Website: doh.gov.ph
Regional CHDs: Contact the Center for Health Development in your region for facility licensing inquiries. The DOH has 17 CHDs, one for each administrative region.
CHD Directory: doh.gov.ph/directory
Complaints: File complaints about unlicensed or non-compliant health facilities through the DOH-HFSRB or your regional CHD

List of DOH Centers for Health Development (CHDs)

CHD-CAR — Cordillera Administrative Region
CHD-I — Ilocos Region
CHD-II — Cagayan Valley
CHD-III — Central Luzon
CHD-IV-A — CALABARZON
CHD-IV-B — MIMAROPA
CHD-V — Bicol Region
CHD-VI — Western Visayas
CHD-NCR — National Capital Region

CHD-VII — Central Visayas
CHD-VIII — Eastern Visayas
CHD-IX — Zamboanga Peninsula
CHD-X — Northern Mindanao
CHD-XI — Davao Region
CHD-XII — SOCCSKSARGEN
CHD-XIII — Caraga
CHD-BARMM — Bangsamoro

Legal Basis and Key Regulations

RA 4226 — Hospital Licensure Act

The primary law requiring all hospitals in the Philippines to obtain a license from the DOH before operating. Provides the legal framework for hospital regulation and sets penalties for operating without a license.

AO 2012-0012 — Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities

DOH Administrative Order establishing the new classification system for hospitals and other health facilities, defining the service capability levels (Level 1, 2, 3) and the corresponding minimum standards for each level.

AO 2021-0019 — Revised Rules and Regulations on the Licensure of Health Facilities

Updated DOH Administrative Order streamlining the health facility licensing process and updating the standards, requirements, and procedures for the issuance of License to Operate.

EO 119 (1987) — Reorganization Act of the DOH

Executive Order mandating the DOH to protect and promote the health of the Filipino people through the development and implementation of the national health care system, including the regulation of health facilities.

RA 11223 — Universal Health Care Act (2019)

Guarantees equitable access to quality and affordable health care for all Filipinos. Strengthens the role of DOH in health facility regulation and standards setting as part of the health service delivery network.

Disclaimer

This guide is provided for general informational purposes only. The requirements, steps, fees, and procedures mentioned here may vary depending on the DOH you visit. We recommend visiting your nearest DOH first to confirm the specific requirements and process before preparing your documents.

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