Please Choose a Category:

Applications for Accreditation
forms to apply for accreditation of a radiography, radiation therapy, magnetic resonance, or medical dosimetry program.
Applications for Recognition
forms to apply for recognition of clinical education/practice settings
forms to apply for recognition of program officials
Guides
the Guide for Program Analysis, used to develop the self study report, for a radiography, radiation therapy, magnetic resonance, or medical dosimetry program.
Site Visit
Report of Site Visit Team Findings, used by site visitors to report the results of an on-site evaluation of a radiography, radiation therapy, magnetic resonance, or medical dosimetry program.
Curriculum Analysis Grid
the Curriculum Analysis Grid, used to assure the latest American Society of Radiologic Technologists (ASRT) or American Association of Medical Dosimetrists (AAMD) professional curriculum is implemented by the program.
Other Forms
forms for submission of an interim report; request for a transfer of sponsorship; disaffiliation, inactivation or reactivation of clinical education/practice settings; notification of substantive changes; or to report allegations that an accredited program is not in compliance with JRCERT accreditation standards. This section also contains the JRCERT Accreditation Brochure.
Order Forms
forms to order a variety of materials available from the JRCERT

Applications for Accreditation: 

• Initial
• Prior to obtaining an application for initial accreditation of an educational program in Radiography, Radiation Therapy, Medical Dosimetry, or Magnetic Resonance, please contact a member of the JRCERT professional staff at: 312-704-5300.

• Continuing
  
  
• Educational Program in Radiography (Form 100C-R)
  
  
• Educational Program in Radiation Therapy (Form 100C-T)
  
  
• Educational Program in Magnetic Resonance (Form 100C-MR)
  
  
• Educational Program in Medical Dosimetry (Form 100C-MD)
  
  
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• Clinical Education Setting in Radiography (Form 104R)
  
  
• Clinical Education Setting in Radiation Therapy (Form 104T)
  
  
• Clinical Education Setting in Magnetic Resonance (Form 104MR)
  
  
• Clinical Practice Setting in Medical Dosimetry (Form 104MD)
  
  
• Program Officials [Radiography] (Form 102R)
  
  
• Program Officials [Radiation Therapy] (Form 102T)
  
  
• Program Officials [Magnetic Resonance] (Form 102MR)
  
  
• Program Officials [Medical Dosimetry] (Form 102MD)
  
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• Program Analysis (GPA)
  
  
• Program Analysis-MR (GPA-MR)
  
  
• Program Analysis-MD (GPA-MD)
  
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• Report of Site Visit Team Findings
  
  
• Report of Site Visit Team Findings-MR
  
  
• Report of Site Visit Team Findings-MD
  
  
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• Radiography Curriculum Analysis Grid (2007)
  
  
• Radiation Therapy Curriculum Analysis Grid (2004)

  (This grid should only be used for students entering the program prior to June 1, 2010)

  
  
• Radiation Therapy Curriculum Analysis Grid (2009)
  
  
• Magnetic Resonance Curriculum Analysis Grid (2008)
  
  
• Medical Dosimetry Curriculum Analysis Grid Version 2 (2000)
  
  
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   Other Forms: 

• Interim Report
  
  
• Application for Transfer of Sponsorship (Form 300)
  
  
• Allegations Reporting Form
  
  
• Clinical Education/Practice Setting Status Change (Form 106)

  (Disaffiliation, Inactivation or Reactivation of a Clinical Education/Practice Setting)



• Notification of Substantive Change (Form 108)
  
  
• Documentation of Utilization of Evening and/or Weekend Assignments Calculation Form (Form 140)
  
  
• Accreditation Brochure

  (An order form for printed copies of the brochure is located under Order Forms)

  
  

   Order Forms: 

• Accreditation Brochure Order Form
  
  
• Certificate of Excellence Award for Students
  
  
• Certificate of Excellence Award for Clinical Educators
  
  
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