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1. Patient Safety Organization: Change of Listing Information (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ChangeOfListingInfo.pdf
   December 17, 2021 - Patient Safety Organization: Change of Listing Information Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: CHANGE OF LISTING INFORMATION The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorizes the creation of Pat…

2. Patient Safety Organization: Two Bona Fide Contracts Requirement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
   January 21, 2021 - Patient Safety Organization: Two Bona Fide Contracts Requirement …

3. Patient Safety Organization: Request For Voluntary Relinquishment (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Voluntary_Relinquishment.pdf
   January 03, 2022 - Patient Safety Organization: Request For Voluntary Relinquishment Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: REQUEST FOR VOLUNTARY RELINQUISHMENT The Patient Safety and Quality Improvement Ac…

4. Patient Safety Organization: Disclosure Statement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Disclosure.pdf
   October 12, 2022 - Patient Safety Organization: Disclosure Statement Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: DISCLOSURE STATEMENT The Patient Safety and Quality Improvement Act of 2005 (Patient …

5. PSO: Certification of Continued Listing (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
   February 15, 2022 - PSO: Certification of Continued Listing Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: CERTIFICATION FOR CONTINUED LISTING The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorizes the creation of Patient Safety Organizations (PSOs). The …

6. Patient Safety Organization: Certification for Initial Listing (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
   February 15, 2022 - Patient Safety Organization: Certification for Initial Listing Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: CERTIFICATION FOR INITIAL LISTING The Patient Safety and Qualit…