Sample Documents (Adult Echocardiography)

The IAC is pleased to include sample documents to assist facilities in providing quality care to their patients. These documents meet or exceed the requirements of the Standards, and they may be used to develop facility policies and reporting forms, whether your facility is seeking accreditation or simply working to standardize or improve current practices.

Please Note: The following documents are SAMPLES only. Protocols submitted with the application must be customized to reflect current practices of the facility.


Ultrasound Enhancing Agents Protocols

Quality Improvement Documents

Sample Policies & Final Reports

Sample Policies

Sample Letters

  • Medical Director Attestation for Consultant Use [SAMPLE] (58KB)
    *Facilities are required to attach a letter from the facility's Medical Director (on the facility's letterhead) providing the consultants permission to complete the application for accreditation on the facility's behalf.


Additional sample documents are available for pediatric echocardiography facilities. View sample documents for pediatric echo»