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How to submit change information


Click here to access the Change Notification Form, right click, rename it "Change Notification for [insert your organization ID]" and save it to your computer.


RE-OPEN the saved form. Complete it and assemble additional required documentation as listed


RESAVE the completed form.


Email the form as an attachment as follows:

Primary Care organizations (Student/Indian/Community Health centers, Military, Medical/Dental groups, Health Plan, Network)                                       Use:

Corporate Quality Alliance (CQA) organizations                                               Use:

Surgical organizations (office-based surgery centers, ambulatory surgery centers) EAST (of the Mississippi River) Use:

Surgical organizations (office-based surgery centers, ambulatory surgery centers) WEST (of the Mississippi River) Use:

Don't forget to attach all supporting documents!

For other accreditation FAQs, click here