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]