Changes to an authorized institution, require Commission approval and must be submitted at least 90 days before the Commission meeting at which the request is to be considered. Applications follow a similar process to other Authorization matters:

• The institution submits the appropriate application, forms, and supporting materials to ACPE, including payment of fees.
• Staff reviews the submitted documentation and schedules a site visit, as necessary. If the information is incomplete or additional information is required, staff will contact the institution.
• Staff forwards a recommendation to the Commission for consideration at the next scheduled Commission meeting. 
• The Commission reviews the institution information and staff recommendation at the quarterly meeting. Institution staff may comment on the information and recommendation at the meeting.
• The Commission takes action on the application.
• Staff notifies the institution of the Commission's action.

The institution shall present a program amendment application for approval of additional fields or courses in which it seeks to offer instruction. This action may be contingent on the institution obtaining approval from other regulatory bodies.

Prior to offering instruction at a new location, the institution must be approved by the Commission to ensure evidence of compliance with applicable state, municipal, and federal licensing, zoning, health, and safety requirements.

If an institution wishes to make alterations to its existing location that deviates from the most recent Renewal of Authorization, the institution must obtain approval prior to making changes.

All institutions must have a clear and explicate statement of institutional purpose that describes measureable goals and outcomes, and provide programs consistent with the institutions statement of purpose. If an institution wishes to change its mission or purpose, it must obtain approval.