Accreditation Form

Enhanced Respiratory Care Program:
Standards of Accreditation of Long Term Ventilator Facilities

This attestation and certification are given in support of an application for accreditation of [company/organization].

I [name], [position] of [company/organization] hereby certify that:

I have read the Enhanced Respiratory Care Program: Standards of Accreditation for Long Term Ventilator Facilities (the “Respiratory Care Standards”), a copy of which is attached to this attestation and certification.
[company/organization] meets or exceeds the requirements of the Respiratory Care Standards.
In support of the Attestation and Certification, I will forward to the Physician-Patient Alliance for Health & Safety within 14 days of the date set forth below, data which demonstrates that [company/organization] meets or exceeds the requirements of the Respiratory Care Standards.