All of them, together. The Healthcare Services Act, the General Regulations, the Outpatient Medical Service Regulations 2023, the Advertisement Regulations, the licence conditions and the codes of practice, including any condition modified by circular, such as Circular 64/2025 for remote services.
The instruments a clinic answers to
MOH's summary of requirements is plain. Licensees must comply with all the requirements in the Act, its regulations, licensing conditions and codes of practice.1 For an outpatient medical service that includes the Healthcare Services (Outpatient Medical Service) Regulations 2023.2
| Instrument | What it covers for a clinic |
|---|---|
| Healthcare Services Act 2020 | The licence, Key Office Holders, offences and MOH's powers |
| General Regulations 2021 | Requirements common to every licensee, including patient health records |
| OMS Regulations 2023 | Outpatient medical service rules, including the Clinical Governance Officer |
| Advertisement Regulations 2021 | What a clinic may say in its adverts |
| Licence conditions | Conditions attached to the licence, changed by circular |
| Codes of practice | Including the code for Key Office Holders |
Conditions change by circular. Circular 64/2025 modified the conditions for the remote provision of outpatient medical services, in effect from 17 October 2025, and set out what MOH may do on a breach, from directions and a shortened term to a financial penalty, suspension or revocation.3 The circulars page for the service lists every current one.4
- List every instrument. The Act, the regulations, the conditions and the codes that apply to your services.
- Read the circulars monthly. New and modified conditions arrive by circular.
- Give each condition an owner. Usually the Principal Officer or the Clinical Governance Officer.
- Name the evidence. Where in your systems each condition is shown to be met.
- Test it. Pick three conditions a month and produce the evidence.
- Instrument and clause ______
- What it requires, in one line ______
- Owner ______
- Evidence and where it lives ______
- Last tested on ______
Questions
Where do I find the licence conditions?
On hcsa.gov.sg, on the page for your licensable service, with the circulars that modify them.
What happens if we breach a condition?
MOH may issue directions, shorten the licence term, impose a financial penalty, or suspend or revoke the licence.
Do conditions change with the move to HSA?
No, HSA administers the same conditions from 1 November 2026.
Sources
- 1MOH, HCSA, 2026Summary of requirements for licenseesRead source
- 2MOH, HCSA, 2026Outpatient Medical Service regulationsRead source
- 3Ministry of Health, 2025Circular 64/2025, licence conditions for the remote provision of Outpatient Medical ServiceRead source
- 4MOH, HCSA, 2026Outpatient Medical Service circularsRead source
Written by the wai team from Healthcare Services Act licensing, Singapore guidance, checked on 15 October 2026. This is guidance, not legal advice. HCSA does not endorse wai or any software.