AAAASF Surgical Program
Resurvey Year
Please submit the following documentation to AAAASF:
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A copy of each physician’s State Medical License.
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A copy of each physician’s Board Certificate or letter of admissibility by the physicians certifying board (ABMS, AOABOS, ABOMS, or ABPS).
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A current copy of the delineation of hospital privileges for each physician (must state the department of Surgical Specialty and list the procedures which may be performed at the hospital).
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Signed Authorization to Release Information form for each physician
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Complete Facility Identification form
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Staff Identification Form
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Facility Director Attestation Form
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Add New Physician Form
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Self Survey Answer Sheet - You should use this to prepare for the onsite Survey.
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Standards and Checklist Booklet
Once the documentation is received in the AAAASF office it will be reviewed within ten (10) business days and you will be contacted if additional paperwork is needed. Otherwise, once your file is complete an inspector will be secured within ten (10) business days and his/her contact information will be faxed to your facility. It is your responsibility at that time to contact the surveyor and schedule a date for your survey. Once a date has been scheduled please be sure to fill it in on the fax provided to you and fax it back to the AAAASF office as soon as possible to allow sufficient time to mail out survey packets.
If you have any question or concerns, please feel free to contact the AAAASF office at 888-545-5222.