This customizable document, Capital Budget Request Memorandum Form, is taken from MCN Healthcare’s Leadership Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Capital Budget Request Memorandum Form:

	CAPITAL BUDGET REQUEST MEMORANDUM Department: CAPITAL BUDGET ITEM REQUESTED: In the space provided below, explain the reasons the capital budget item is necessary for operations in your department: Explain how this item will improve care and services provided by your department and/or the organization: Will the item requested be new to your department? Will the item requested replace an existing items in your department? Cost of item: Administrative Team Comments: Capital Budget Request attached: Department Manager Signature: Capital Budget Request: Administrative Signature:...
Second excerpt:
	...REQUESTED: In the space provided below, explain the reasons the capital budget item is necessary for operations in your department: Explain how this item will improve care and services provided by your department and/or the organization: Will the item requested be new to your department? Will the item requested replace an existing items in your department? Cost of item: Administrative Team Comments: Capital Budget Request attached: Department Manager Signature: Capital Budget...