Quality Assurance (QA) Review Submission Form

Active registrants in the current practice year (2026) have been randomly selected for the QA review. You have been randomly selected for Quality Assurance (QA) review as part of the Continuing Competence Program (CCP) requirement. This review ensures registrants’ compliance with the CRNA’s standards and your participation is required according to the CCP Standards.

Please feel free to use these additional resources: 

The 2025 practice year spans Oct. 1, 2024 - Sept. 30, 2025. Please ensure your submission aligns with this timeframe. Read each section carefully and keep your answers clear and concise. The below form should take an average of 10-20 minutes to complete. The CRNA thanks you for your participation.

Please enter your first name.
Please enter your last name.
Select the corresponding domain of practice.
1.1-4.8 found on pages 6-9 in Practice Standards for Registrants