Begin or maintain your accreditation process by downloading the materials below.
The following documents are available for facilities to download, as part of the accreditation process. Additional facility information may be required, as listed in the accreditation process for this program.
New Application Materials
- Application (RHC)
- RHC Standards and Checklist V2.3
- Authorization to Release
- Staff Schedule (RHC 30 Day)
- Accreditation Agreement (RHC)
- Medical Director's Attestation
- Clinic Identification Form (RHC)
- HIPAA Business Associate Agreement
- Staff Identification Form (RHC)
- COVID-19 Surveyor Worksheet Instructions
- COVID-19 RHC Surveyor Worksheet
Self Survey Materials
- RHC Standards and Checklist V2.3
- Medical Director Attestation
- Clinic Identification Form (RHC)
- Staff Identification Form (RHC)
- Add Provider (RHC)
- Remove Provider (RHC)
- COVID-19 Surveyor Worksheet Instructions
- COVID-19 RHC Surveyor Worksheet
Re-Survey Materials
- RHC Standards and Checklist V2.3
- Authorization to Release
- Staff Schedule (RHC 30 Day)
- Medical Director's Attestation
- Clinic Identification Form
- Staff Identification Form
- Add Provider
- Remove Provider (RHC)
- COVID-19 Surveyor Worksheet Instructions
- COVID-19 RHC Surveyor Worksheet
AAAASF values your feedback!
Please send comments or suggestions about AAAASF standards to Jeanne Henry, Director of Accreditation. Be sure to indicate the program(s) and standard number(s) to which your comments apply.