Associate Recertification Application Upload - American Society of Diagnostic and Interventional Nephrology

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Associate Recertification Application Upload

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If there are any issues in the upload/submission of this form, please use the following uplink -https://www.hightail.com/u/ASDIN for file uploads and notify the ASDIN office at info@asdin.org.

First Name *
Last Name *
Email Address *
Are you currently in a direct patient care role in a vascular interventional theater *	Yes No
Do you hold a current license by a state board of nursing or from ARRT *	Yes No
Do you attest to uphold the ethical standards outlined in this document *	Yes No
Do you attest to utilize established universal precautions and guidelines *	Yes No
Upload Updated CV (If it has changed since original IVN Certification)Applications should submit an updated copy of candidate CV if it has changed since original IVN certification.
Upload Recertification Application *
Provide the name & email for who is submitting Letter of Employer Recommendation.No letter of recommendation required of original grandfathered candidates.

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