Get Accreditation Initiative

Filling out the ACCREDITATION INITIATIVE online is an important step for organizations seeking accreditation. This guide provides clear and detailed instructions to help users navigate the process with ease and accuracy.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter the grant number in the designated field. This number is critical for tracking the application process.
3. Fill in the applicant organization name and address accurately. Ensure all details are up to date and spelled correctly.
4. Indicate all applicable BPHC program funding options for your organization by selecting the checkboxes provided.
5. Select the requesting accrediting organization that you are applying to from the list of options.
6. If your health center has been previously accredited, provide the dates of past accreditation surveys along with the names of the accrediting organizations.
7. Choose the type of survey requested by selecting all that apply from the given options.
8. State the number of health delivery and administrative sites your organization operates.
9. Include the number of patient visits per year, based on the most recent Uniform Data System (UDS) report.
10. Select all applicable preparations your organization has planned for the survey, including designating a lead person and performing a self-assessment.
11. Indicate a preferred month for the onsite survey to assist in scheduling.
12. Provide any additional comments, if necessary, to offer more context about your application.
13. Fill out the contact information for the accrediting contact, including their name, title, phone number, and email address.
14. Lastly, include the name of your HRSA project officer for reference.
15. Once all fields are completed, save your changes, and download, print, or share the form as needed.

Complete your ACCREDITATION INITIATIVE online today for a streamlined and efficient process.