Sample Documents (Vein Center)

The IAC is pleased to include a series of sample and guidance documents to assist facilities in providing quality care to their patients. These documents may be used as a guide in developing facility policies, whether your facility is seeking accreditation or reaccreditation or simply working to standardize or improve current practices.

Guidance Documents

Quality Improvement

Sample QI Evaluation Forms (Use of these evaluation forms will meet all the required IAC Vein Center Quality Improvement Standards)

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.

Sample Protocols

Vein Center Logs