To enroll your system's hospitals in any of the American Heart Association/American Stroke Association's Get With The Guidelines® programs, please complete the contracting information, review the Corporate Unified Participation Agreement, and complete the electronic signature process below. If the contract is not completed in one session, you will need to use the same computer to continue completing the form. Click each program name to learn more. Links open in a new window.
In which state is your corporation located?
GENERAL HOSPITAL INFORMATION
Please complete the Corporate Contract Form template below with information on each hospital you intend to enroll in Get With The Guidelines programs. Information is used for enrollment, billing and placement in benchmarking groups for aggregate comparison reporting purposes.
Corporate UPA Contracting Form.xlsx
2025 GWTG Pricing Summary
PARTICIPATION AGREEMENT and ACCEPTANCE
UNIFIED PARTICIPATION AGREEMENT This PDF version is for review purposes only. It is not an editable document. AHA Unified Participation Agreement_Corporate.pdf
ELECTRONIC SIGNATURE of American Heart Association Authorized Representative
Name: Mara Kogan Title: National Vice President, Business Operations, Quality Outcomes, Research & Analytics Date: “Contract Start Date” on this contract submission form
Submit Date 03/29/2025
Contract Start Date 03/29/2025