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
- Anesthesia Validation Form (This replaces the Random Case Review Form)
- Authorization to Release
- Medical Director's Attestation
- Equipment List (ASC)
- Facility Identification Form (ASC)
- HIPAA Business Associate Agreement
- Staff Identification Form (ASC)
- COVID-19 Surveyor Worksheet Instructions
- COVID-19 Surgical (ASC) Surveyor Worksheet
- ASC Medicare LSC Surveyor Handbook V7.0
Self Survey Materials
- ASC Standards and Checklist V7.1
- 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 Surveyor Worksheet Instructions
- COVID-19 Surgical (ASC) Surveyor Worksheet
Re-Survey Materials
- ASC Standards and Checklist V7.1
- Authorization to Release
- 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 Surveyor Worksheet Instructions
- COVID-19 Surgical (ASC) Surveyor Worksheet
- ASC Medicare LSC Surveyor Handbook V7.0
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.