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In this session, we focus on step 5 of the NHSN enrollment process: signing and faxing the NHSN agreement to participate. To start, click the link in the NHSN facility enrollment confirmation email received after submitting the long-term care annual facility survey form. You may need to log in to SAMS using your credentials and copy the link into your browser. Print the agreement to participate and consent form, then have the NHSN long-term care primary contact and a member of executive leadership sign and date the form. Fax the signed form to the CDC using the number provided in your enrollment email. Expect to receive an approval email from NHSN within three business days.