EDAP or SEDP Renewal Application

Region 9

This application packet for EDAP or SEDP renewal is available below in a PDF format. In addition, there are forms within the application packet that need to be completed. These forms are available below in the section titled Fillable Word documents.

PDF format (Contains the complete application packet)

• EDAP/SEDP Facility Recognition Renewal Application Packet  (Must be viewed with Adobe Acrobat Reader. Please click here to download a free viewer from Adobe).
  

Region 9

Fillable Word documents (these need to be completed and included in the renewal application)

• EDAP or SEDP Request for Re-recognition Status
• EDAP or SEDP Renewal Pediatric Plan Checklist
• Credentialing Forms 
  • Credentials of Emergency Department Physicians
  • Credentials of Fast Track/Urgent Care Physicians
  • Credentials of Emergency Department Nurse Practitioner, Clinical Nurse Specialist and Physician Assistant
  • Credentials of Emergency Department Nursing Staff
• EDAP and SEDP Pediatric Equipment Requirements for Emergency Departments Checklist
• Hospital Pediatric Preparedness Checklist