Global healthcare accreditation

Needs Assessment Form

GHA Needs Assessment Form (2020)

Global Healthcare Accreditation Needs Assessment

Instructions & Important Notes:

The form below will help GHA understand your current needs and how we can better support your business objectives. GHA accreditation and advisory services are relevant to organizational programs often labeled as Global Patient Services, International Patient Services, Medical Tourism, Dental Tourism, Wellness travel, Medical Destinations Program or Medical Travel Services.

Should you have any questions, please contact Mr. Bill Cook at wcook@ghaccreditation.com.

Name of Organization

Primary Contact Name:

Primary Contact Title
(position in the organization):

Primary Contact
Email Address:

Primary Contact
Phone Number:

City/Town:

State/Province:

Zip/Postal Code:

Country:

Main Website Address:

Other (please explain)

Date 1

Date 2

Date 3

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