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ASCA Facility Membership Application

10-01-2014 16:10

Please complete this form to join ASCA.

Membership is available to ASCs in operation and those in development. Open ASCs must be accredited, Medicare certified, reimbursed by insurers as an ASC or state licensed. Please send proof of one of these with your application, if applicable.

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ASCA Facility Membership Application   704K   1 version
Uploaded - 03-28-2016
Please complete this form to join ASCA.

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