CBCCT Required Documents

CBCCT Required Documents For Active Applications

General

• Medical Licensure
• Maintenance of Competency
• Proof of Additional Training

Certification

• Continuing Medical Education
• Board Certification
• Training/Experience in the Provision of Cardiac Computed Tomography (CT) Services
  • Template for Training & Experience Verification Letter
  • Template for Maintenance of Competency Letter (150 cases Level 2/75 cases ACR)
  • International Specialty Verification Letter
  • International Training Letter

Recertification

• International Specialty Verification Letter​
• Continuing Medical Education​
• Case Maintenance of Competency
  • Recertification Maintenance of Competency Letter​

Accommodations (ADA) Request Documents

• Testing (“Special”) Accommodations Request Form

Compliance Violation Documents

• A personally written, detailed description of the circumstances leading to the violation in question; and
  • For Criminal Matter(s):
    • Documentation from the presiding court system reflecting the following information:
    • What the initial charges were; and
    • What the final judgment was (guilty, no contest, etc.); and
    • What the sentencing requirements were and for how long (example: probation for 24 months, fine, etc.); and
    • Verification that the case is closed, meaning that all requirements of sentencing have been completed and
  • For Disciplinary Sanction(s):
    • Documentation from the issuing disciplinary body reflecting the following information:
    • The circumstances or conduct identified by the disciplinary body as grounds for sanction; and
    • The conditions and length of sanction (example: suspension of license for 24 months, fine, etc.); and
    • Verification that all terms of sanction have been completed and that the sanction has been lifted.
    • You must provide documentation that either verifies that all sentencing requirements were completed in full or a letter from the presiding court system/disciplinary body verifying that this case is closed and all of the requirements have been satisfied. If this documentation outlined above is not available as the documentation has been archived by the presiding court system/disciplinary body, you must provide an official letter on letterhead from the presiding court system/disciplinary body verifying this information.