ICAR Consultation

Please fill out the following information. Then, we can start the process to schedule a free ICAR assessment for your facility with one of our Washington State Department of Health infection preventionists.
1. Please fill in the following facility demographic information:
What is the name of your facility?
First name:
Last name:
Title:
Executive Director phone number:
Executive Director email:
Facility bed count:
Current census:
Which county is your facility located in?
 Additional Comments:
2. Please fill in the following scheduling preferences:
Preferred work week dates (example: October 19-23)
Preferred day of the week
Time of day
Type of visit