Relationship Facility Questionnaire Complete this form and submit along with other requested self-assessment documentation to or fax to 301-657-0957. Is this facility an additional location for a laboratory currently Yes______ No ____ (skip to question 3) accredited by AABB for relationship testing? 1. Will this facility operate under the same quality system as the Yes ______ No ______ accredited lab? 2. Will this facility have the same Director as the accredited lab? Yes ______ No ______ 3. In which location will the report verification take place? 4. Collection Does this facility manage the collection process? Yes ______ No ______ Does facility perform sample collections? Yes ______ No ______ Does this facility schedule remote collections? Yes ______ No ______ 5. Testing Which AABB accredited relationship testing lab(s) perform the Name(s): testing for your facility? 6. Verification Does this facility do any interpretation of the data received from Yes ______ No ______ the testing lab? Does this facility verify reports for correct administrative Yes ______ No _______ information? Does this facility send the reports directly to the clients? Yes _____ No ______
Relationship Facility Questionnaire Complete this form and submit along with other requested self-assessment documentation to or fax to 301-657-0957. Is this facility an additional location for a laboratory currently accredited by AABB for relationship testing? Yes______ No ____ (skip to question 3) 1. Will this facility operate under the same quality system as the accredited lab? Yes ______ No ______ 2. Will this facility have the same Director as the accredited lab? Yes ______ No ______ 3. In which location will the report verification take place? 4. Collection Does this facility manage the collection process? Yes ______ No ______ Does facility perform sample collections? Yes ______ No ______ Does this facility schedule remote collections? Yes ______ No ______ 5. Testing Which AABB accredited relationship testing lab(s) perform the testing for your facility? Name(s): 6. Verification Does this facility do any interpretation of the data received from the testing lab? Yes ______ No ______ Does this facility verify reports for correct administrative information? Yes ______ No _______ Does this facility send the reports directly to the clients? Yes _____ No ______
relationship-facility-questionnaire.docx