Facility Administrator Registration

Outpatient Ambulatory Surgery CAHPS (OAS CAHPS) Facility Website User Credentials Registration Process

To obtain user credentials to access the private links on the OAS CAHPS website, each participating facility (hospital outpatient department [HOPD] or ambulatory surgery center [ASC]) must designate a staff member to serve as its OAS CAHPS Survey Administrator. Before completing this form, please review the OAS CAHPS Survey Administrator's roles and responsibilities provided on the Registration and Application Process webpage.

To register as the OAS CAHPS Survey Administrator and establish login credentials for the OAS CAHPS website, you should complete the information below. After you submit this registration form, the system will take you to a personalized dashboard. The dashboard will contain instructions for completing the next steps for OAS CAHPS registration process.

Note that you will receive a confirmation e-mail message containing your requested credentials as soon as this online form is submitted.

Survey Administrator First Name:
Survey Administrator Last Name:
Survey Administrator Email:
Confirm Email:
Survey Administrator Phone:

Please create and enter below a username and password that you would like to use to be able to access private links and forms on this website.

Requested Username:
Password (minimum 8 characters):
Confirm Password: