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GRID Forms

The following PDF forms are available for your convenience to collect and organize GRID data prior to online data entry:

  • The Annual Facility Form collects baseline statistics for the site. The data are required upon initial registration, and, thereafter, at the beginning of a calendar year. The Facility form is required before a Monthly Data Form by Facility or Monthly Data Form by Physician can be submitted.

  • The Monthly Data Form by Facility captures process and outcome measures for the entire facility

  • The Monthly Data Form by Physician is optional and may be used to help monitor performance for specific physicians, using a subset of process and outcome measures.

You may download each form separately or download the entire form package as a single file.


  • Annual Facility Form: v.1.8
  • Monthly Data Form by Facility: v1.7
  • Monthly Data Form by Physician: v1.5

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