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Sample Accreditation Documents

CoAEMSP is providing documents as samples to illustrate the type of information that might apply. The names used are fictitious and any resemblance to actual persons or locations is purely coincidental and unintentional.

Since each program is unique, responses provided in the sample documents would not be exactly the
same for another program.  It is not appropriate for programs to copy and paste verbatim any sample
information into their own documents.

PDF   SAMPLE Request for Accreditation Services
PDF   SAMPLE APPENDIX I & J (Program Policies & Procedures) - ACC
PDF   SAMPLE - Didactic Syllabus
PDF   SAMPLE - Clinical/Field Experience Syllabus
PDF   SAMPLE Executive Analysis (EA) of ISSR
PDF   SAMPLE Site Visit Report (SVR)
PDF   SAMPLE Findings Letter (FL)
PDF   SAMPLE Program Response to FL (verification of accuracy)
DOC   Consortium Sponsorship agreement SAMPLE

Contact Us

For additional information or assistance with accreditation document formats, contact:

Gordy Kokx
214.703.8445 Ext 117


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