• Home
• AAAASF Surgical
• AAAASF Procedural
• AAAASF Oral Maxillofacial
• Medicare Surgical
• Medicare Rehabilitation Agencies
• Peer Review
• Contact Us

AAAASF Surgical Program

 Self Survey

Please review the Standards and Checklist Booklet carefully and submit the following documentation to AAAASF:

• Complete Facility Identification form

  • CLICK HERE TO ACCESS FORM

• Staff Identification Form

  • CLICK HERE TO ACCESS FORM

• Facility Director Attestation Form

  • CLICK HERE TO ACCESS FORM

• Add a Physician Form

  • CLICK HERE TO ACCESS FORM

• Self Survey Score Sheet - Please provide answers to all Standards.

  • CLICK HERE TO ACCESS FORM

• Standards and Checklist Booklet

  • CLICK HERE TO ACCESS FORM

The answer sheet should be completed and sent to AAAASF via mail, P.O. BOX 9500, Gurnee, IL. 60031 or fax at 847-775-1985. Once the answer sheet is received in the AAAASF office allow 10 business days for processing.  If deficiencies are found, a report will be sent to the facility director allowing 30 days for correction. Otherwise, once the answer sheet is processed a new certificate will be mailed out to the facility at no cost.

If you have any question or concerns, please feel free to contact the AAAASF office at 888-545-5222.