The following additional items are required as part of the IAC Carotid Stenting Accreditation Application, and must be submitted along with the application. More details about the required items can be found in the current IAC Carotid Stenting Standards.

• Complete IAC Carotid Stenting Application Spreadsheet that includes:
  
  
  • Medical, technical and nursing staff
  • Equipment used for all CAS procedures
  • Outcome data
  • Optional patient log if used in lieu of existing procedure log
• $6,000 accreditation fee (check or credit card)
• Quality assurance program (see Standards, Section 5)
  
  
• Physicist’s surveys (only submit the survey’s for the equipment in which Carotid Stenting procedures are performed)
  
• Attestation Form signed by the Medical Director. Download Attestation Form»
  
• Completed original Accreditation Agreement. (To download the IAC Agreement and get complete instructions, visit the Legal>Agreement section of the IAC website»)
  
• A copy of the patient log (if not completed in the application spreadsheet) documenting the carotid stent procedures performed over the past three years. This log is to contain the optional patient log data fields from the application spreadsheet. Five carotid stent procedures will be randomly selected from the log for future submission.