When there is a change in key personnel (Program Director, Clinical Coordinator, Medical Director) whether on a permanent, temporary, or acting basis, all of the following information for the replacement must be forwarded to the Executive Office no later than (15) calendar days following the effective date of replacement.

• Letter of Appointment/Acceptance
• CV showing formal education/degrees and related experience
• National Registry or State License

Failure to do so may result in recommendation for Administrative Probation.

Please complete and submit the Personnel Change form with the appropriate supporting documentation.

Changes in the above personnel must also be made in the Annual Report.

For changes in President, Dean, or Billing Contact, or for changes to the name and/or address of the program, please complete the Personnel Change form and send the new information to: karen@coaemsp.org.

For changes in sponsorship, or any change that constitutes a "substantive change" in the program, please contact the Executive Director for instructions.