---
title: Sports Medicine Clinic Operational Permit Application Form - Indonesia | Paperform
description: Indonesian sports medicine clinic permit application form with sports physician credentials, physiotherapy facilities, and athlete monitoring systems compliance. NIK, NPWP, SIUP documentation included.
url: "https://paperform.co/templates/sports-medicine-clinic-operational-permit-application-form"
type: static
generatedAt: "2026-03-28T00:45:15.173Z"
---

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### Sports Medicine Clinic Operational Permit Application Form

Operating a sports medicine clinic in Indonesia requires comprehensive regulatory compliance, from obtaining the correct operational permits to ensuring your medical staff hold the appropriate credentials. This **Sports Medicine Clinic Operational Permit Application Form** is designed specifically for healthcare entrepreneurs, sports medicine practitioners, and clinic administrators navigating Indonesian regulatory requirements.

#### Why Use This Template?

Indonesia's healthcare regulatory framework requires detailed documentation for sports medicine facilities, including verification of sports physician qualifications, physiotherapy equipment standards, and athlete monitoring systems. This form template streamlines the entire application process by collecting all necessary information in one professional, organized submission.

Whether you're opening a new sports medicine clinic, expanding an existing practice, or renewing your operational permits, this template ensures you capture every detail required by Indonesian health authorities—from NIK and NPWP documentation to SIUP registration and specialized sports medicine credentials.

#### What's Included in This Form?

This comprehensive application form covers:

 - **Clinic and business registration details** including legal entity information, NPWP (tax identification), and SIUP (trading license) documentation
 - **Facility information** with complete address verification and operational specifications
 - **Sports physician credentials** including STR (Surat Tanda Registrasi) and SIP (Surat Izin Praktik) documentation
 - **Physiotherapy facilities assessment** covering equipment inventory, treatment room specifications, and safety standards
 - **Athlete performance monitoring systems** documentation including technology platforms and data security protocols
 - **Supporting document uploads** for all required certifications and permits

#### Built for Indonesian Healthcare Compliance

This form is specifically structured to meet Indonesian Ministry of Health requirements for sports medicine facilities. It captures all mandatory fields while maintaining a professional, user-friendly experience for applicants. The conditional logic ensures that only relevant questions appear based on your facility type and services offered.

#### How Paperform Makes Regulatory Applications Easier

With **Paperform**, you can collect complex regulatory documentation without the frustration of back-and-forth emails or incomplete submissions. The form supports file uploads for all required documents, validates Indonesian identification numbers, and can be integrated with your internal approval workflows.

Once submitted, use **Stepper** (stepper.io) to automate your follow-up process—route applications to the appropriate review team, send status updates to applicants, or trigger document verification workflows. You can also integrate with your practice management system to keep all licensing information synchronized.

If your clinic requires applicants or staff to sign regulatory agreements or compliance documents, **Papersign** (papersign.com) lets you turn form submissions into legally binding eSignature workflows, creating a complete audit trail for all regulatory documentation.

#### Perfect for Healthcare Administrators and Medical Entrepreneurs

This template is ideal for:

 - **Sports medicine clinic owners** applying for initial operational permits
 - **Healthcare administrators** managing license renewals and compliance documentation
 - **Hospital groups** expanding into sports medicine services
 - **Physiotherapy centers** upgrading facilities or adding new service lines
 - **Medical consultants** supporting clients through the Indonesian regulatory process

#### Get Started with Professional Regulatory Forms

With Paperform's intuitive editor, you can customize this template to match your specific clinic requirements, add your branding, and even translate field labels to Indonesian (Bahasa Indonesia) for local staff and applicants. The form works seamlessly on all devices, so applicants can complete their submission from anywhere.

**Trusted by healthcare providers worldwide, SOC 2 Type II compliant, and designed for professional regulatory workflows**—this template gives you a head start on managing Indonesian sports medicine clinic compliance with confidence.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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