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 (All Outpatient | Medicare ASC)
- ASC Standards and Checklist V7.1 -
For surveys conducted through October 17, 2021
- ASC Standards and Checklist V8 - For surveys conducted on or after October 18, 2021
- Anesthesia Validation Form (This replaces the Random Case Review Form)
- Medical Director's Attestation
- Equipment List (ASC)
- Facility Identification Form (ASC)
- HIPAA Business Associate Agreement
- Staff Identification Form (ASC)
- COVID-19 Worksheet Instructions
- COVID-19 Surgical (ASC) Worksheet
- ASC Medicare LSC Surveyor Handbook V7.0
Self Survey Materials
- ASC Standards and Checklist V7.1 -
For surveys conducted through October 17, 2021
- ASC Standards and Checklist V8 - For surveys conducted on or after October 18, 2021
- Medical Director Attestation
- Facility Identification Form (ASC)
- Staff Identification Form (ASC)
- Add Physician (All Outpatient and Medicare ASC)
- Remove Physician (All Outpatient and Medicare ASC)
- COVID-19 Worksheet Instructions
- COVID-19 Surgical (ASC) Worksheet
Re-Survey Materials
- ASC Standards and Checklist V7.1 -
For surveys conducted through October 17, 2021
- ASC Standards and Checklist V8 - For surveys conducted on or after October 18, 2021
- Medical Director's Attestation
- Equipment List (ASC)
- Facility Identification Form (ASC)
- Staff Identification Form (ASC)
- Add Physician (All Outpatient and Medicare ASC)
- Remove Physician (All Outpatient and Medicare ASC)
- COVID-19 Worksheet Instructions
- COVID-19 Surgical (ASC) Worksheet
- ASC Medicare LSC Surveyor Handbook V7.0
AAAASF values your feedback!
Please submit any comments about standards to AAAASF through our AAAASF Standard Feedback form. Be sure to indicate the program(s) and standard number(s) to which your comments apply.