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Sample QI Evaluation Form – Valve Interventions

Sample QI Evaluation Form – Percutaneous Coronary Intervention

Sample QI Evaluation Form – Adult Diagnostic Catheterization

Test Appropriateness Letter (Cardiac EP)

Sample letter to referring physicians regarding imaging appropriateness and Appropriate Use Criteria (AUC).

Test Appropriateness Letter (Cardiovascular Cath)

Sample letter to referring physicians regarding imaging appropriateness and Appropriate Use Criteria (AUC).

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Intersocietal Accreditation Commission

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Ellicott City, MD 21043

Phone: 800-838-2110 (toll-free)
443-973-3239

Fax: 866-663-5663

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