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Get Acc Tvt Registry Enrollment Packet 2015-2025
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How to fill out the ACC TVT Registry Enrollment Packet online
The ACC TVT Registry Enrollment Packet is an essential tool for facilities participating in the TVT Registry. This comprehensive guide provides a step-by-step approach to filling out the form online, ensuring that users can efficiently complete their enrollment.
Follow the steps to successfully complete your enrollment packet
- Press the ‘Get Form’ button to access the enrollment packet and open it in your preferred editor.
- Attach the completed TVT Registry Participation Agreement and the CMS Data Release Consent Form as required. Ensure that all signatures are included.
- Include the invoice and payment details. Be sure to write down the total amount due, based on the initial participation dues.
- Indicate which registries you currently participate in by checking all applicable boxes. This section helps identify your facility’s existing involvements.
- Provide any necessary Participant IDs if applicable. This could include the NCDR Participant ID Number and the STS Participant ID Number.
- Complete the contact information for your hospital. Ensure that details such as the hospital name, address, and ZIP code are filled out clearly and legibly.
- Fill in the registry site manager's contact details, including their name, title, telephone number, and email address. Clarity in this section is crucial for effective communication.
- Include the contract manager’s contact information following the same clear and legible standards as previous sections to ensure consistency.
- Review all sections of the form for accuracy and completeness. Make necessary edits to avoid errors that could delay processing.
- Ensure that all attachments are included with your form submission. Once completed, you can save changes, download, or print the form for your records before submitting.
Complete and submit your ACC TVT Registry Enrollment Packet online to ensure your facility's participation.
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