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FACILITY MEMBERSHIP APPLICATION 2018 ANNUAL DUES: $1500.00 PRIMARY CONTACT Company Name: Website:Specialty:Phone:Address: City:State:ADDITIONAL EMPLOYEE EMAILS Name:Email:Name:Company Name:Contact
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To fill out the njaasc-facility-application copy, follow these steps:
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Start by downloading the njaasc-facility-application form from the official website.
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Read through the instructions and requirements carefully to understand the information needed.
04
Gather all the necessary documents and information required to complete the application form.
05
Begin filling out the form by providing your personal details such as name, address, contact information, etc.
06
Fill in the specific details about your facility, including its name, location, ownership, and certification information.
07
Provide detailed information about the services offered at your facility, including any specializations or accreditations.
08
Answer the questions regarding your facility's compliance with safety regulations, infection control protocols, and quality assurance.
09
If applicable, provide information about your facility's insurance coverage and any affiliations with other healthcare organizations.
10
Review the completed application form to ensure accuracy and completeness.
11
Sign and date the form, and gather any required supporting documents.
12
Submit the filled-out application form along with the necessary attachments to the designated authority as per the instructions provided.
13
Keep a copy of the completed application form for your records.

Who needs njaasc-facility-application copy?

01
Any healthcare facility or organization planning to obtain or renew their certification from the New Jersey Association of Ambulatory Surgery Centers (NJAASC) needs a copy of the njaasc-facility-application form. This includes ambulatory surgery centers, outpatient clinics, and other similar healthcare establishments.
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NJAASC-facility-application copy is a form used to apply for membership at the New Jersey Association of Ambulatory Surgery Centers.
All ambulatory surgery centers in New Jersey are required to file the NJAASC-facility-application copy for membership consideration.
The NJAASC-facility-application copy can be filled out online on the NJAASC website or by requesting a physical form from the association.
The purpose of the NJAASC-facility-application copy is to gather information about ambulatory surgery centers applying for membership in the association.
The NJAASC-facility-application copy requires information about the ambulatory surgery center's ownership, accreditation status, services offered, and key personnel.
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