Stroke Survey Request

TETAF's credentialed and experienced surveyors provide consultative services for hospitals seeking Stroke Support Facility (Level III) designation. Services available include initial designation surveys, contingency surveys, and consultation surveys. Fill out the form below to request a survey.

PLEASE NOTE: If you do not receive a response within 24 hours contact Aaron Rogers at arogers@tetaf.org.

Survey Request - Stroke

Hospital Information

Address*

Contact Information

Survey Request Information

Request Type*
Type of Survey*
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    Has your facility previously used TETAF/Texas Perinatal Services for your survey needs?
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