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SVS PSO Bard® LifeStent® Treatment of Popliteal Artery Disease Project Site Questionnaire
Contact Information
The lead physician is responsible for supervision of the Quality Improvement Project data collection at the site.
Lead Physician First Name *
Your answer
Lead Physician Last Name *
Your answer
Physician Email *
Your answer
Physician Phone Number *
Your answer
Physician Institution *
Your answer
Do you currently participate in the Vascular Quality Initiative (VQI)? *
Do you currently participate in the Peripheral Vascular Intervention (PVI) Registry? *
Data Abstractor
The Primary Data Abstractor is responsible for accurate data entry or the VQI project at all time points at the site as determined by the Lead Physician. The data abstractor will serve as the day-to-day point of contact during the conduct of the project.
Data Abstractor First Name *
Your answer
Data Abstractor Last Name *
Your answer
Data Abstractor Email *
Your answer
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