American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Apply for NAPRC Accreditation

Thank you for your interest in the National Accreditation Program for Rectal Cancer (NAPRC). We look forward to working with you to achieve NAPRC accreditation.

Download the NAPRC Standards

The first step to achieving NAPRC accreditation is downloading and implementing the National Accreditation Program for Rectal Cancer Standards Manual (revised October 2017).

NAPRC Application

Download the Application

After implementing the NAPRC standards, complete the NAPRC application and submit it to The initial NAPRC site visit must be scheduled within 12 months of the application’s submission, so the application should be submitted after the standards have already been implemented in your program. 

Once the application is received and processed, an invoice for the NAPRC Annual Accreditation Fee will be sent to the primary contact indicated on the application. 

Access to the NAPRC Survey Application Record

Only programs that are accredited by the Commission on Cancer (CoC) can submit an application for NAPRC accreditation. The American College of Surgeons Business Associate and Data Use Agreement (BAA/DUA) covers all American College of Surgeons quality improvement programs.  If your program is CoC-accredited, you already have a BAA/DUA on file, and it does not need to be signed again.

You will receive access to the NAPRC Survey Application Record (SAR) once the BAA/DUA is verified by the CoC staff processing your application. The NAPRC SAR is located within CoC Datalinks and is accessed with the same username and log-in as the CoC SAR.

Compliance with NAPRC Standards

In order to request a site visit, your program must attest that it has been in compliance with the NAPRC standards for at least 12 months. 

At this time, programs are not expected to demonstrate compliance with several standards: Standard 1.7, the Standardized Operative Report portion of Standard 2.8, Standard 3.1, or Standard 3.2. Updated information on “in development” standards and resources to assist with compliance are located on Compliance Resources.

Requesting a Site Visit

Once the standards have been in place for 12 months, a request for a site visit may be submitted through the NAPRC SAR. On-site visits will be scheduled based on demand and at the discretion of the NAPRC, but your program can typically expect the site visit to occur approximately six months from the date of the request.

Resources to help prepare for the site visit are provided on Preparing for the Site Visit.