First-Month Small Clinic ACO Onboarding Checklist Form
Track and manage your small clinic’s first-month ACO onboarding milestones with this streamlined checklist form.
Clinic Name
*
Clinic Location (City, State)
*
Primary Contact Full Name
*
First Name
Last Name
Primary Contact Email
*
example@example.com
Onboarding Coordinator Name
First Name
Last Name
ACO Onboarding Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
EHR Integration Completed
*
Completed
In Progress
Not Started
Staff Training on ACO Processes
*
Completed
In Progress
Not Started
Initial ACO Quality Reporting Setup
*
Completed
In Progress
Not Started
Additional Notes or Comments
Submit Checklist
Should be Empty: