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My facility is interested in / applying for accreditation in…
Vascular Testing
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Peer Review Quality Improvement (QI) Form – Cardiac EP
September
13
,
2021
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Certificates Inquiry
Name
(Required)
First
Last
E-mail Address
(Required)
Phone
Select Modality
(Required)
Vascular Testing
Echocardiography
Nuclear/PET
MRI
CT / Dental CT
Carotid Stenting
Cardiac Electrophysiology
Cardiovascular Catheterization
Vein Center / Vascular Interventional
Application Number
(Required)
Which applies to you regarding your IAC Certificates:
(Required)
I have not received e-mail invitation to order IAC certificates.
I ordered IAC certificates in the system, but have not yet received them.
Certificates arrived, but are damaged or there is an error on them.
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Name
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First
Last
Email
(Required)
Phone
(Required)
For which modality(ies) are you inquiring about?
(Required)
Vascular Testing
Echocardiography
Nuclear/PET
MRI
CT / Dental CT
Carotid Stenting
Vascular Interventional/Vein Center
Cardiac Electrophysiology
Cardiovascular Catheterization
Select one or more.
Application or Account Number
(Required)
If you have an existing IAC Online Accreditation Account, please enter your Application or Account number for reference. If not applicable, enter N/A.
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