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LICENSURE APPLICATION
for
AMBULATORY SURGICAL FACILITY
REGULATION 6191
Return the completed application to:Email address (preferred method):
ASF×DEC.SC.gov
OR
Mailing address:
Bureau of Health Facilities
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How to fill out ambulatory surgical facility

How to fill out ambulatory surgical facility
01
Gather all the necessary documents and forms for the ambulatory surgical facility.
02
Start by filling out the basic information section, including the name and address of the facility.
03
Provide details about the ownership structure and management of the facility.
04
Fill out information regarding the types of surgical procedures performed at the facility.
05
Include information about the staffing and qualifications of the surgical personnel.
06
Complete the sections related to the physical facility, including its layout and equipment.
07
Provide information about the infection control and safety measures in place at the facility.
08
Submit the completed application along with any required fees or supporting documents.
Who needs ambulatory surgical facility?
01
Ambulatory surgical facilities are needed by healthcare providers and organizations who offer outpatient surgical procedures.
02
Surgeons, physicians, and other healthcare professionals who perform minor surgeries or procedures outside of a hospital setting may require ambulatory surgical facilities.
03
Patients who require same-day surgery or short-stay surgeries also benefit from the convenience and cost-effectiveness of ambulatory surgical facilities.
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What is ambulatory surgical facility?
An ambulatory surgical facility is a healthcare facility that provides same-day surgical care, including diagnostic and surgical procedures.
Who is required to file ambulatory surgical facility?
Ambulatory surgical facilities are required to be filed by healthcare providers or facilities that perform outpatient surgical procedures.
How to fill out ambulatory surgical facility?
To fill out an ambulatory surgical facility report, providers must include information such as the facility's name, location, services offered, and number of procedures performed.
What is the purpose of ambulatory surgical facility?
The purpose of ambulatory surgical facilities is to provide convenient and cost-effective surgical care to patients who do not require overnight hospitalization.
What information must be reported on ambulatory surgical facility?
Information that must be reported on an ambulatory surgical facility includes the number and type of procedures performed, patient demographics, and any complications or adverse events.
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