Planetree Certification
Application Tool
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Application Tool For Organizations Applying for Person-Centered Care Certification
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business
Organization Name
Acute Care Hospital
Continuing Care Community
Behavioral Health Organization
Outpatient (clinics, ambulatory surgery, etc.)
Primary Care
Integrated System (acute, behavioral health, continuing care, outpatient, primary care)
VA Healthcare System
Organization Type
phone
Phone
settings_phone
Ext
perm_identity
First Name
perm_identity
Last Name
email
Email
supervisor_account
Position
location_on
Number of locations
work
Number of Employees
hotel
Bed Size
assignment_ind
Number of Clinicians (ambulatory only)
language
English
French
Dutch
Language your application will be submitted in
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email
Email
lock
Password
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