Documents Order Form
Full Name
*
First Name
Last Name
Urgent Care Center Name
Urgent Care Center Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Order Documents
*
prev
next
( X )
Self-Assessment Guideline
The Self-Assessment Guideline has been developed as a guide for health care organizations interested in seeking Accreditation. The Self-Assessment Guideline is a comprehensive overview of all the standards of compliance for Accreditation. The Self-Assessment Guideline can help you prepare for your on-site review.
$
400.00
Self-Assessment Guideline
For Urgent Care Centers in the accreditation process, or Urgent Care Centers that are already accredited by NUCCA, the price for the Self-Assessment Guideline is $200. Select this option if you have submitted an application for accreditation or your Urgent Care Center is already accredited by NUCCA.
$
200.00
Operations Manual Template
The Operations Manual is a template for standard operating Policies and Procedures. It is intended to be used as a general guideline for an Urgent Care center which can be enhanced or modified to fit your center’s specific needs.
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Operations Manual Template
For Urgent Care Centers in the accreditation process, or Urgent Care Centers that are already accredited by NUCCA, the price for the Operations Manual Template is $250. Select this option if you have submitted an application for accreditation or your Urgent Care Center is already accredited by NUCCA.
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quality Assurance Checklist
The Quality Assurance Checklist is a reference guide to ensure that the Policies and Procedures of your Urgent Care center are being followed and is for your center to use on an ongoing basis.
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quality Assurance Checklist
For Urgent Care Centers in the accreditation process, or Urgent Care Centers that are already accredited by NUCCA, the price for the Quality Assurance Checklist is $50. Select this option if you have submitted an application for accreditation or your Urgent Care Center is already accredited by NUCCA.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Use this payment form to purchase your documents; upload the complete form on the next page.
Upload your completed payment form.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Thank you for your order.
Your documents will be emailed to the email address provided.
Should be Empty: