Patient Safety Benchmark Peer Reporting Program-Registration

General Instructions

• Prior to submitting your registration, obtain approval from the appropriate facility leadership to enroll your laboratory in the program and submit your laboratory data to the Peer Comparison Program.
• Only ASCLS members may submit registration request.  The ASCLS member must be listed as the ‘Submitter’ on this form.  ASCLS member ID number is required.
• Prior to filling out this form verify that you have all registration information required. 

Resource: Patient Safety Benchmark Peer Reporting Program User Guide.