STS Participant Contact Form

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    STS Participant Contact Form
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    Contact Information
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    Complete

This form allows both new and current participants in the Adult Cardiac Surgery, General Thoracic Surgery, and Congenital Heart Surgery components of the STS National Database to add or update the contact information on file for their institutions. It is essential that you keep your contact information up to date so that you receive important updates regarding your Database participation.

Please note: New participants must also complete a Participation Agreement and a Business Associates/Data Use Agreement. Learn more about joining the STS National Database.

If you have questions about this form, contact Adelaide Dolan.

Are you a new participant or current participant?

Database Selection

Database Selection

Select the Database component(s) you intend to join.
Select your current Database component(s).

Anesthesiology Component

Do you want to add the anesthesiology component?

Hospital Name and NPI #

Please list all the hospitals for which you intend to submit data, as well as the Hospital NPI # for each. Refer to https://nppes.cms.hhs.gov to obtain the Hospital NPI # if needed.

Do you need to update the name and/or NPI# of your hospital?

Vendor Software Information

Please note: Prior to purchasing a software license, you must have a fully executed Participation Agreement in place with STS.

Have you changed your software vendor?

You must submit the following information prior to harvesting your site’s data, or your data will be rejected.