Registration Form For Hospital Center

Fields marked with * are mandatory.

Academic Hospital: *  
Hospital with cardiac surgery: *  
Hospital with primary PCI: *  
Hospital with Cardiac Cath Lab: *  
Hospital with Coronary Care Unit: *  


This form generates a request to join ISACS - Transitional Country.
The request needs to be approved by the ISACS National PI.
A confirmation email will be sent to you as soon as possible with further information.

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