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Care clinic surveyor worksheet 2026
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- Click ‘Get Form’ to open the care clinic surveyor worksheet in the editor.
- Begin by entering the facility name and FRAES number at the top of the form. This information is crucial for identifying the clinic being surveyed.
- Fill in the survey date(s) and your name along with your discipline and ID number. This section helps document who conducted the survey.
- Select the type of survey you are conducting: Initial, Annual, Follow-Up, Complaint, or Other. Make sure to circle your choice clearly.
- Proceed through each section methodically, answering questions regarding ownership, compliance with health standards, and operational procedures. Use checkboxes for 'Yes' or 'No' responses as indicated.
- For any additional comments or explanations required in specific fields, utilize the text boxes provided to ensure clarity and completeness.
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