The Children’s Surgery Verification Quality Improvement Program Pre-Application is available online.
Please note: Your center must meet all the standards and intend to actively pursue verification for the designation level sought prior to submitting a pre-application.
To assist centers planning to apply, the application (PRQ) is available as a PDF for each level below. The PRQ will assist centers in preparing appropriate documentation and information to ensure standards have been met prior to applying for verification.
Level I Children’s Surgery Center
Level I Pre-Review Questionnaire
Level I Specialty Hospital Musculoskeletal Pre-Review Questionnaire
Level I Specialty Hospital Oncology Pre-Review Questionnaire
Level I Upload Requirement List
Level II Children’s Surgery Center
Level II Pre-Review Questionnaire
Level II Upload Requirement List
Level III Children’s Surgery Center
Level III Pre-Review Questionnaire
Level III Upload Requirement List