accreditation

Required Forms

Important Note:  These forms and updated regularly. If you have downloaded forms previously, please check to ensure you have the most current form(s).

The forms required for your application for CCCEP accreditation may be found by scrolling down the page, or clicking on one of the links in the box below.

Disclosure

The Statement of Disclosure is to be completed by all authors, presenters, moderators, expert reviewers, and planning committee members.  

For conference applications, one disclosure form for each author/presenter is sufficient, even if they are presenting multiple sessions. 

Expert Review

The following form is to be completed by two external expert reviewers, in accordance with Guideline A:

Declaration Form

This form is to be completed by the provider’s representative.  Conference organizers must also complete this form. 

Accreditation Checklist

Completed checklists must be submitted with every new learning activity or conference application.  It will also assist you in compiling the required documents and forms that must be submitted with your application for CCCEP accreditation.  A separate checklist is available for Conference Accreditation Submissions.  Please ensure you download and complete the appropriate checklist.

Translation Form

The following form is used only if you are submitting a program that has been translated from French to English or English to French.

French/English Translation

Alternate Review Form

The Program Provider must obtain approval from CCCEP to use the Alternate Review Process prior to submitting their program to CCCEP for accreditation. Refer to Guideline A: Expert Review and Panel Review for additional information on this option.

Approval for using this alternate review process can be requested by email to cccep@cccep.ca.

If approval is granted by CCCEP for the use of the Alternate Review Process, the alternate review form, which is to be completed by the Panel, will be provided to you directly from CCCEP.

Mergener Formula

Competency Mapped Accreditation Forms

Important Note:  The forms below pertain to the Stage 2 review process for Competency Mapped Accreditation and should not be submitted until your Stage 1 review has been completed.  Information on the application process for competency mapped accreditation can be found here.

Learning Objective Mapped Accreditation Forms

Important Note:  The form below pertains to the Stage 2 review process for Learning Objective Mapped Accreditation and should not be submitted until your Stage 1 review has been completed.  Information on the application process for learning objective mapped accreditation can be found here.

Pharmacy Manager training Stage 2 Application Form