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STEMI System of Care Disclaimer for Mission: Lifeline STEMI Systems of Care Questionnaire and Directory

Participation in this questionnaire is completely voluntary. If the system chooses to participate, the system will be asked to disclose information such as name, address, and zip code.

The information that the system discloses in this questionnaire will be used for research purposes by AHA. If the AHA desires to publish your system’s individual information, the system will be contacted for additional authorization and consent.

If the system consents to disclosure on this questionnaire, the system name, system champion and contact information (address, phone, url and/or email) supplied for the STEMI Systems Directory will be posted on the Mission: Lifeline website. If any additional system information, other than the system address, phone, url and/or email will be posted, the system will be contacted for additional authorization and consent.

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