Required Documents
Big Country RAC D
4373 Rio Mesa
Abilene, Texas 79606
office: 325-660-6081
fax: 877-412-3701
Needs Assessment and Membership application will be submitted by survey
monkey for the next fiscal year.

Hospital Needs Assessment survey

Pre Hospital Needs Assessment survey

BCRAC Membership Application survey




The Affidavit Acknowledging Utilization of RAC Regional Protocols will need to
be printed and submitted by email (marlee_puckett@yahoo.com) or fax
(877-412-3701) as it is signed by the medical director.