Facilities seeking registration under NHI Bahamas must complete and submit this form. NHI Bahamas will schedule an on-site inspection after receiving your completed form.

NHI Bahamas requires the Facility Administrator to complete this form and verify that the information provided is true and accurate. Please complete separate forms for each service that your facility offers – i.e. physician, lab, diagnostic imaging, pharmacy.

If you have any questions about the application form, please email NHI Bahamas at info@nhibahamas.gov.bs and include “Application for Assessment Form” as the subject line.

1 Facility Information
2 Professionals Listing
3 Upload Documentation
4 Submission of Application Form
  • FACILITY INFORMATION
    Facility Administrator Information
  • Facility Owner Information
  • Facility Director Information
  • Business Information

  • Facility Hours of Operation
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  • Authorized System Users

    Please include the name of individuals at your facility to be designated as 'authorized system users'. These individuals will have access to an online NHI Bahamas system the ability to access to beneficiary information, submit service delivery claims/activity reports, and submit changes to facility data on behalf of the facility.

    Please note that all facility staff who handle beneficiary information will need to participate in data privacy training, and will be required to provide proof of such training to NHI Bahamas.