Request for Accreditation Services

PLEASE REVIEW BOTH OPTIONS BELOW BEFORE PROCEEDING

OPTION 1 – Electronic Submission (This requires the CEO/President to type his/her name in the CEO Signature field prior to submission)

  • Choose the appropriate Profession in the drop-down menu and click “Continue”
  • Complete all required fields in the form
  • Click “Submit” and a copy of the form will be emailed to the appropriate Committee on Accreditation and the email address entered for the “Individual completing this form”

OPTION 2 – Manual Submission

  • Choose the appropriate Profession in the drop-down menu and click “Continue”
  • Click “Blank Printable Version” located at the top, left side of the screen
  • Print the form and complete all required fields manually
  • Mail/fax/email the completed, signed form to the appropriate Committee on Accreditation (contact information for submission appears at the top of the form)
* Denotes Required Field(s)
Profession: *
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