---
title: Hyperbaric Oxygen Therapy Permit Application Form Template | Paperform
description: Comprehensive HBOT facility permit application template with chamber certification, pressure protocols, safety measures, medical oversight, and patient screening procedures.
url: "https://paperform.co/templates/hyperbaric-oxygen-therapy-permit-application"
type: static
generatedAt: "2026-03-28T00:44:11.241Z"
---

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### Professional Hyperbaric Oxygen Therapy Permit Applications

Operating a hyperbaric oxygen therapy (HBOT) facility requires strict regulatory compliance, proper chamber certification, and comprehensive safety protocols. This **Hyperbaric Oxygen Therapy Permit Application** template streamlines the complex permitting process for healthcare facilities, wellness centers, and medical practices seeking to offer HBOT services.

#### Why use Paperform for hyperbaric therapy permits?

Hyperbaric oxygen therapy involves sophisticated medical equipment, rigorous safety standards, and multi-layered regulatory oversight. Whether you're a hospital expanding services, a standalone HBOT clinic, or a sports medicine facility, this permit application helps regulatory bodies thoroughly assess your facility's readiness while giving applicants a clear, professional submission process.

**Built for healthcare administrators, facility managers, medical directors, and compliance officers**, this template captures everything regulators need: chamber specifications and certifications, pressure protocols and treatment parameters, comprehensive safety measures, medical oversight structures, emergency procedures, and patient screening protocols.

#### What this hyperbaric therapy permit template includes

The application is organized into logical sections that mirror regulatory requirements:

**Facility and operator information** establishes the legal entity applying for the permit, including business registration details, facility location, ownership structure, and contact information for responsible parties.

**Chamber certification and equipment documentation** captures detailed specifications for all hyperbaric chambers, including manufacturer information, serial numbers, maximum operating pressure, chamber type (monoplace vs. multiplace), FDA clearance numbers, ASME pressure vessel certification, most recent inspection dates, and maintenance records. This section ensures all equipment meets established safety standards.

**Pressure protocols and treatment parameters** documents your facility's clinical protocols, including pressure ranges for different conditions, treatment duration standards, compression and decompression rates, oxygen delivery methods, and protocols for different depth equivalents. These details demonstrate clinical competency and patient safety planning.

**Safety measures and emergency procedures** covers fire suppression systems, oxygen monitoring equipment, communication systems within chambers, emergency decompression protocols, staff training requirements, patient safety procedures, and coordination with local emergency services. This comprehensive safety documentation is critical for permit approval.

**Medical oversight and staffing** identifies the medical director overseeing HBOT services, their credentials and hyperbaric medicine training, supervising physicians, certified hyperbaric technicians, nurse staffing, and the reporting structure that ensures proper clinical oversight.

**Patient screening and clinical protocols** outlines your procedures for patient evaluation, contraindication screening, informed consent processes, pre-treatment assessments, and documentation standards that protect patient safety.

#### How healthcare facilities use this template

**Hospitals and medical centers** use this application when expanding services to include hyperbaric medicine departments, providing regulators with comprehensive documentation of their clinical capabilities and safety infrastructure.

**Standalone HBOT clinics** submit this permit when establishing new facilities, demonstrating their commitment to regulatory compliance and patient safety from day one.

**Wound care centers** apply through this template when adding hyperbaric therapy to their treatment offerings for diabetic ulcers, radiation injuries, and non-healing wounds.

**Sports medicine facilities** use the application when incorporating HBOT for athlete recovery, concussion protocols, and injury rehabilitation.

**Wellness centers** seeking to offer hyperbaric oxygen therapy for general wellness (where permitted) complete this comprehensive permit to satisfy regulatory requirements.

#### Streamline your permitting workflow with Paperform + Stepper

Once submitted, permit applications require coordination between multiple regulatory reviewers, site inspections, equipment verifications, and often rounds of clarifications. By connecting this Paperform template to **Stepper** (stepper.io), your regulatory agency can automate the entire review workflow.

Route applications to technical reviewers for chamber certification verification, safety officers for protocol assessment, and medical advisors for clinical oversight evaluation. Schedule site inspections automatically, send clarification requests, track review status, and notify applicants of approval or required modifications—all without manual coordination.

For applicants, Stepper can trigger confirmation emails, schedule pre-submission consultations, send reminders for missing documentation, and provide transparent status updates throughout the review process.

#### Professional, compliant, conversion-optimized

This template follows healthcare regulatory application standards while maintaining a clean, professional design that reflects the serious nature of hyperbaric medicine. The logical flow guides applicants through complex technical requirements without overwhelming them, while conditional logic shows only relevant questions based on chamber type, facility size, and treatment scope.

Built on Paperform's SOC 2 Type II compliant infrastructure with secure data handling, this template gives both regulators and applicants confidence in the security and integrity of sensitive medical and business information.

#### Designed for healthcare compliance

Whether you're a state health department managing HBOT facility permits, a healthcare facility planning to offer hyperbaric services, or a medical compliance consultant helping clients navigate the permitting process, this template provides the professional foundation you need.

Get started with Paperform's free plan to customize the application for your specific regulatory requirements, or upgrade to Pro or Enterprise for advanced features like SSO, roles and permissions, and dedicated support for regulatory workflows.

**Trusted by healthcare providers and regulatory agencies worldwide**, this hyperbaric oxygen therapy permit application template helps ensure patient safety through comprehensive regulatory oversight.
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