Purchase CAAS Standards and Application
The CAAS Standards Guide is an excellent resource for learning about the CAAS standards. The CAAS Application Package provides all the documents necessary for applying for accreditation.
Commission on Accreditation of Ambulance Services
Print this page, fill in the information requested, and then fax it to CAAS Orders: (847) 657-6825
Or mail this form to:
CAAS
Attn: Marcie McGlynn
1926 Waukegan Road, Suite 1
Glenview, IL 60025-1770
CAAS Accreditation Standards/Application Order Form
Name:________________________________________________ |
Title:_________________________________________________ |
Organization:__________________________________________ |
Mailing Address:________________________________________ |
| Street Address:________________________________________ ________________________________________ ________________________________________ |
City:_________________________________________________ |
State:________________________________________________ |
Zip:_________ |
Country:______________________________________________ |
| Phone Number:______________________ Extention: __________ |
Fax:_______________________________ |
Email:________________________________________________ |
| Provider Type:(please circle one) |
County, Fire Dept. Hospital, Municipal, Police, Commercial, Third Service, Public Authority, Other___________________ |
Total # of medical transports per year: ____________ |
| Quantity | Item Description | Unit Cost | Total Cost |
| CAAS Standards Guide (version 3.0) | $25.00 |
|
| ______ | CAAS Application Package (version 3.0) | $100.00 | _______ |
| Grand Total |
| ||
Credit Card Information:
Select Credit Card:________________________________ |
Card Number:____________________________________ |
Expiration Date:__________________________________ |
Name on Card:___________________________________ |
Questions? Contact Marcie McGlynn at (847) 657-6828 or at marciem@tcag.com