Maintenance of Competency Template

Sample Maintenance of Competency Attestation Text

(must submit on letterhead)

DateCertification Board of Nuclear Cardiology:

To Whom this May Concern:

I attest that I have actively participated in the practice of nuclear cardiology during my certification period. I have performed and interpreted a minimum of 300 cases over the 24 months immediately prior to application submission.

In making application and signing this statement, I understand that if I am audited I will be asked to provide specific details (deidentified case logs) on the cases to which I am attesting. I confirm that the above information is true and accurate.


[Signature of Applicant]
[Name of Applicant]