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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 orgs (
CQA orgs (
Surgical orgs EAST (of the Mississippi River) (
Surgical orgs WEST (of the Mississippi River) ( )

Don't forget to attach all supporting documents!

For other accreditation FAQs, click here