STEP 1:
Prior to completing this form, accredited facilities wanting to add or replace a unit MUST:
- Enter the additional unit information in the Manage Equipment section of your facility’s current Online Accreditation application and mark the prior unit as deactivated (if replaced).
STEP 2:
Once the items above are completed, click "Proceed to Form" below to complete a brief application.
STEP 3:
Once the form is received, you will be contacted by an IAC staff member via e-mail with instructions on securely uploading the following:
- Documentation of medical physicist/qualified expert acceptance testing performed prior to clinical use to include radiation dose assessment, image quality assessment (that includes the QC phantom images) and post installation shielding verification survey.
- 5 days of routine operator quality control (QC) test results performed after the unit was installed that includes the QC log sheet/report that records the QC measurements and corresponding phantom images that display the QC measurements.
- 1 case study representative of each accredited testing area, the final report and a Scan Parameter Form.