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Instructions for Completing the Application & Checklist for Rural Health Clinic Relocations That Are Not Licensed to a Hospital1. Please use this form to submit information for relocating an independently
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The rural health clinic checklist is a tool used to ensure that rural health clinics are in compliance with regulations and providing quality care to patients.
Rural health clinics are required to file the checklist to demonstrate their compliance with regulations and quality of care standards.
The checklist can be filled out by documenting the clinic's policies, procedures, and practices related to patient care, staffing, and facility maintenance.
The purpose of the checklist is to ensure that rural health clinics are providing high-quality care to patients and complying with regulations.
Information such as patient care protocols, staffing levels, facility maintenance records, and quality improvement efforts must be reported on the checklist.
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