Complete the following form to apply for device clinic accreditation.
Attestation
By signing below, I ({yourName}) attest that the information provided about this facility is accurate and meets the current IAC Cardiac Electrophysiology Standards.
Additional Documentation
Additional case studies and documentation are required. A staff member will contact you regarding additional required documentation and case study submission.
Hitting "submit" below will send your application to IAC. Please wait until you see a confirmation prior to closing your browser window.