Step 4: Endorsing Organization

(To be completed by the team's employer)

Clinical Quality Endorsement Form

Describe why you believe this team should be selected to participate in CQU, a program of the Kanof Institute for Physician Leadership, and steps you will take to support their quality improvement project.
I understand that team members will attend all-day training sessions and fully support their participation:

The North Carolina Medical Society

Physical Address:
222 N. Person Street
Raleigh, NC 27601
Get Directions
800.722.1350 (NC only)
919.833.2023 FAX
Mailing Address:
PO Box 27167
Raleigh, NC 27611


Medical Mutual

The NCMS is a proud partner with
Medical Mutual.