Accredited Facilities

Accreditation Resource Guide

Office-Based Surgery (OBS) Accreditation Standards Manual V15.2,  Effective February 1, 2023  

Office-Based Procedural (OBP) Accreditation Standards Manual V5.2, Effective February 1, 2023 

Oral Maxillofacial Surgery (OMS) Accreditation Standards Manual V3.2, Effective February 1, 2023 

Pediatric Dentistry (PD) Accreditation Standards Manual V2.2, Effective February 1, 2023 

Medicare Ambulatory Surgery Centers (ASC) Accreditation Standards Manual V8.3, Effective August 5, 2023 

• Medicare Ambulatory Surgery Centers (ASC) Accreditation Standards Manual Change Log

Medicare Outpatient Physical Therapy (OPT) Accreditation Standards Manual V3.3, Effective August 5, 2023 

• Medicare Outpatient Physical Therapy (OPT) Accreditation Standards Manual Change Log

Medicare Rural Health Clinics (RHC) Accreditation Standards Manual V3.3, Effective August 5, 2023  

• Medicare Rural Health Clinics (RHC) Accreditation Standards Manual Change Log

International Surgery & Dentistry V4.2 Accreditation Standards Manual, Effective February 1, 2023 

• International Surgery & Dentistry Accreditation Standards Manual Change Log

QUAD A Standards Feedback

Office-Based Surgery Self-Survey Materials

Office-Based Procedural Self-Survey Materials

Oral Maxillofacial Surgery Self-Survey Materials

Pediatric Dentistry Self-Survey Materials

Ambulatory Surgery Centers (ASC) Self-Survey Materials

Outpatient Physical Therapy Self-Survey Materials

Rural Health Clinics Self-Survey Materials

International Surgery Self-Survey Materials

International Dentistry Self-Survey Materials

Self-Survey Attestation

Facility ID Form - International Dentistry

Facility ID Form - International Surgery

Facility ID Form - Surgical, Procedural, OMS, Ped dent, ASC

Staff ID Form - International Surgery

Staff ID Form - Dental Surgery

Clinic Identification Form - RHC

Clinic Identification Form - OPT

Clinic Identification Form - International Physical Therapy

Anesthesia Validation Form

Equipment List (ASC) 

California Adverse Event Form 

California Patient Transfer Reporting Form (ENF-2240b) 

Pain Guidelines (ca.gov) 

Florida Adverse Event Form 

New York Adverse Event Form 

New York OBS Addendum  

Medicare Provider Enrollment

Medicare 855A Details 

Medicare 855B Details 

World Health Organization (WHO) News 

ASPR Declarations of a Public Health Emergency

This form is for facilities who haven’t applied yet but would like to have their facility’s layout reviewed before they send the application and annual/survey fees.

Apply today for the QUAD A Select designation. Formerly known as Global Accreditation, QUAD A Select, allows QUAD A facilities to showcase their desire and preparedness to treat an international patient population.

QUAD A Select Application

Add New Physician

Add Provider – Dental

Add Provider – RHC

Add Clinician - OPT

Remove Physician

Remove Clinician – OPT