Create IAC Online Accreditation Account

Create Account

Below, please enter the requested information. Also, please provide an email address so we can send you your login information. When you've finished, click the [Create Account] button at the bottom of this page.

Required fields are indicated by a red asterisk(*) and bold lettering.

Facility Information

The facility is located:*

Required

Organization Legal Business Name:*

Required Acceptable characters: a-z, A-Z,
0-9, hyphen, comma, space, apostrophe. Use 'and' instead of '&'.

Federal Tax ID: xx-xxxxxxx *

Have a Canadian Business Number?

Required
Invalid Format.

Phone Number: xxx-xxx-xxxx *

Street Address:*

Required

Street Address 2:

City:*

Required

Province/State/Region:*

Required Required

Postal Code:*

Required Invalid Format

Country:

Testing Modality

Which testing modalities is your facility currently applying for?*

Diagnostic:

Interventional:

Carotid Stenting

Vascular Interventional

Cardiac Electrophysiology

Cardiovascular Catheterization

Image-Guided Procedures

Email Address

Please enter the address where you'd like us to send your login information and Account ID.

Email Address:*

Required Invalid Format

After logging into the Online Application using the temporary account User ID and Password you must follow the instructions/link on the main page to create an application administrator for the account. All application administrator/log in information will be sent to the provided email address