Admission

Listed below are the forms and documents required for admission to the Alabama Statewide Stroke System.

Alabama Statewide Stroke System Required Forms

Alabama Stroke Center Classification/Designation Application (fillable pdf)

Alabama Statewide Stroke System Pre-Review Questionnaire

Alabama Statewide Stroke System CME Attestation Form (options form for Item #9 on Pre-Review Questionnaire)

Alabama Statewide Stroke System Designation Criteria Checklist (reference)

Alabama Statewide Stroke System Level IIA Designation Checklist

Alabama Statewide Stroke System Level II Designation Checklist

Alabama Statewide Stroke System Level III Designation Checklist

Alabama Statewide Stroke System Neurological Support Statement

Alabama Statewide Stroke System Hardware Install List and Contact Sheet

Alabama Statewide Stroke System Rules