National Accreditation Program for Rectal Cancer (NAPRC) Interest Survey

Thank you for your interest in the National Accreditation Program for Rectal Cancer. Please provide the following information so we may keep you updated on the development of this exciting program.

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* 1. Is your facility currently accredited by the Commission on Cancer?

Yes

No, but a new program application has been submitted or is in the process of being submitted.

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* 2. Please provide the following:

Facility name

Facility city and state

Facility Identification Number (if not accredited, please enter N/A)

Name of best person to contact with NAPRC updates

Title of contact person

E-mail of contact person

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* 3. How many newly-diagnosed rectal cancer cases were seen at your facility during the last calendar year? (This information should be available from your cancer registrar at your facility)

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* 1. Is your facility currently accredited by the Commission on Cancer?

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* 2. Please provide the following:

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* 3. How many newly-diagnosed rectal cancer cases were seen at your facility during the last calendar year? (This information should be available from your cancer registrar at your facility)

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* 4. Enter the year of the data recorded in question 3.