Download the FCA/FSA

Please enter your name, e-mail address, institution or agency affiliation, institution designation (Frontline, Assessment, State Treatment, Regional Treatment, Public Health Entity), and ASPR Region (1-10) in the information field below to download the Facility Capabilities Assessment and Facility Self Assessment forms. Thank you.

NETEC does not intend for the FCA & FSA to serve as an independent assessment tools for agencies, regulators, organizations or individuals outside of NETEC. These instruments should be considered one of several resources for agencies, organizations and individuals involved in programs designed to provide care to patients suspected or confirmed to have ESP. In the event that the FCA or FSA is used as the foundation to create additional assessment tools or metrics NETEC should be acknowledged using the following citation:

“This resource is based upon The Facility Capabilities Assessment, which was developed by The National Ebola Training and Education Center (NETEC) and funded by ASPR and CDC, CFDA #93.825. Utilization of the FCA to collect data for purposes other than quality improvement or program advancement is contrary to the intended purpose of the FCA.”

After submitting the form, RIGHT CLICK and choose 'Save link as' to download files.