The following items are typically needed for FDA/MQSA inspections (click on Red file-link for document)

  1. CV including supporting documents – updated each Jan/Feb – CV all modalities 2-23
  2. 3 years of Mammo credits – updated 1st quarter each year – 2021-2023 Mammo credits
  3. Mammo Continuing Experience documentation – Continuing experience 11-23

Other documents as necessary for ACR, Joint Commission, MN DOH, WI DHS, etc…

  1. ACR Medical Physicist Qualification form for Accreditation Application – ACR Med Physicist Qual form 1-25-24
  2. CEU Transcript for All Modalities (CT, MRI, NM, PET, US) – 2021-2023 All Modalities credits
  3. ABR Maintenance of Certification document – ABR MOC Documentation
  4. Continuing Experience for ACR CT accreditation – ACR CT Continuing Experience 5-7-24
  5. Continuing Experience for ACR PET accreditation – ACR PET Continuing Experience 2-7-23
  6. Continuing Experience for ACR SPECT accreditation – ACR Nuc Med SPECT Continuing Experience 2-7-23

**PLEASE NOTE**:   The MDH Service Provider certificate provided with your report (usually on last page) is the one you need for inspections.  That certificate was valid at the time we were on-site and you do do not need to request an updated copy because the date range may not match the survey date.  The inspector will want to see the certificate that was valid at the time I was on site for the inspection.