Quality Outcomes Resources

The following sample documents are made available as a free resource for use in your practice.  Quality Outcomes makes no warranty as to the fitness or appropriateness of these documents or the content of these sample documents with respect to your particular practice.

• Post Mastectomy Warranty Statement (Word file)
• Alternate Care Provider (Word file)
• Required Documentation (for accreditation) (PDF)
• Confidential Patient Comment Form (PDF)
• Detailed Written Order and Dispensing Orders Explained (PDF) 

The following sample documents are made available as a free resource for current customers of Quality Outcomes for use in your practice.  Quality Outcomes makes no warranty as to the fitness or appropriateness of these documents or the content of these sample documents with respect to your particular practice.

• Sample HIPAA Statement (Word file)
• Pre-Accreditation Survey Facility Checklist (PDF)