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)
• Advanced Beneficiary Notification Form NEW (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.  You must be logged into the system to download these items.  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.

• Notice of Patient Complaint Protocol (Word document)
• Business Associate Agreement Required Provisions (CMS Website)