Empanelment of Dental Clinic - ECHS

148. The Hospital will pay damage to the beneficiaries if any injury, loss of part or death occursdue to gross negligence.9. That the centre has not been derecognized by CGHS or any state Government or otherOrganization, after being empanelled.10. That no investigation by Central Government/State Government or any StatuaryInvestigating agency is pending or contemplated against the hospital.SignatureHead of Institution/Authorized Signatory28. Certificate for Acceptance of Rates. A certificate given below will also be renderedby the Head of the Institution and attached with the application :-CERTIFICATE FOR ACCEPTANCE OF RATES1. It is certified that _______________________________________ (name of the institution /hospital) shall abide by ECHS rates promulgated from time to time and in no case shall the ratescharged be in excess of those normally charged to non-ECHS members.2. It is further certified that on approval for empanelment the hospital/institution shall negotiateand accept rates lower or equal to prevailing ECHS rates.SignatureHead of Institution/Authorized Signatory29. Check list for documents must be filled, signed by authorised signatory of the medicalfacility, checked and countersigned by Director, Regional Centre where applicable be submittedwith application form. Check list is enclosed as Annexure to empanelment application.