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All forms below are required before activation of an account registry

All forms below are required before activation of an account registry 2025

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The document outlines the enrollment process for hospitals participating in the National Cardiovascular Data Registry (NCDR) for the year 2020. It details required forms, payment options, and contact information necessary for account activation. Additionally, it includes a comprehensive Hospital Participant Master Agreement between the American College of Cardiology Foundation and participating hospitals, covering terms of participation, privacy and security obligations under HIPAA, data ownership, indemnification clauses, and termination conditions.

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Click ‘Get Form’ to open it in the editor.
Begin with the Hospital Master Agreement. Fill in the hospital's legal entity name and physical address, ensuring no PO boxes are included.
Proceed to the Order Form & Invoice. Enter your NCDR Participant ID if applicable, and check all registries your hospital wishes to enroll in for 2020, noting the associated fees.
Complete the Payment Form by selecting your method of payment (Check or Electronic Fund Transfer) and indicating the amount enclosed if paying by check.
Fill out the Contact Information Sheet. Provide details for a designated Program Manager and Registry Site Manager, ensuring all fields are completed accurately.
Review all entries for accuracy before submitting. Ensure that all forms are signed where required.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (114 Votes)
2018	4 Satisfied (50 Votes)
2015	4.4 Satisfied (55 Votes)

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