Ambulatory Surgical Treatment Centers

Upload PDF Files: 

Ambulatory Surgical Treatment Center License Application

Resources Links: 

Ambulatory Surgical Treatment Center License Renewal Application

Ambulatory Surgical Treatment Center Medicare Certification

Ambulatory Surgical Treatment Center Project Submission Form

Ambulatory Surgical Treatment Center Construction Award Form

Facility Information Change Form

Certifications for Request for Inspection

Occupancy Matrix 4A - UL Assembly Ratings

Occupancy Matrix 4B - Through Wall/Floor Penetrations

Occupancy Matrix 4C - Interior Finishes

Occupancy Matrix 4D - Project Cost and Fee Verification

Occupancy Matrix 4E - Fire, Smoke, Fire/Smoke Damper

Occupancy Matrix 4F - Air Balancing

Temporary Occupancy Policy

Healthcare Facilities Complaint Form

Health Care Professional Credentialing and Data Gathering Form

Health Care Professional Update Data Gathering Form

Health Care Professional Recredentialing and Data Gathering Form