Radiopharm Therapy - Interest Form

Thank you for your interest in the Radiopharmaceutical Therapy accreditation program.
Complete the brief form below to confirm your facility’s interest in applying for Radiopharmaceutical Therapy accreditation.

To support your commitment to quality and patient safety, IAC is pleased to offer a 50% discount on the accreditation application fee for a limited time.*

To qualify:
- Submit this form by July 15, 2026
- Complete and submit your facility's application by December 31, 2026
We encourage you to take advantage of this opportunity to formalize your center’s status as a leader in the field.

Please Note: This is not the application for accreditation. After submitting this interest form, facilities will be contacted with details to begin the accreditation process.

*This offer is valid May 1, 2026-July 15, 2026.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Facility Name*
Facility Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
If yes, please enter your current IAC application number(s).*
Nuclear CardiologyNuclear MedicinePositron Emission Tomography (PET)Other
Any other staff you'd like to include to be included regarding your potential new application? (please include e-mail address)
Comments / Questions
Should be Empty:

Thank you for your interest in the Radiopharmaceutical Therapy accreditation program.