(* Required fields)

For Joint Commission accredited and certified organizations: If you have access to The Joint Commission Connect, login and select the “Contact Us” in the upper right hand corner to submit your question. If you use the form below, be sure to follow the three steps to identify your organization. This will allow us to track and prioritize customers’ questions.

Joint Commission accredited?     
Health Care Organization Information 
Complete the three steps below. In step 3, only health care organizations accredited/certified by The Joint Commission are included in the list. Step 3 is required if you selected Yes, you are accredited.
Step 1. Select the state/country:
Step 2. Select the city:
Step 3. Select the health care organization:  *
If you DID NOT find the name of the health care organization from the list in step 3 above or the address below is incorrect, press and please complete the information below.
First Name  *
Last Name  *
Professional Title

Phone  *
Phone Extension
E-Mail Address *
Required address fields only apply in the USA. International submitters, please fill out appropriate fields.
Street Address 1 *
Street Address 2
Suite/P.O. Box/Province
Zip Code *
City *
State *
Please respond to my Question via
Response Preference

Select the appropriate chapter/topic *
Accreditation/Certification Manual or Health Care Setting *
Please enter your question here (Limited to 4000 characters)