Enrollment Form

Information for completing
The enrolment table

NQS code:

If a participant already has a code please complete it.
If not, the NQS team will give them the code

Name of participant:

will be completed with latin characters – no special character.
Example: Regional Hospital Cluj Napoca

Code for schemes:

  • Clinical chemistry – CC
  • Immunology – IM
  • Specific proteins – SP
  • Hematology – HE

Number of participation:

How many times they will participate in one year per scheme.
For example in case of monthly schemes it should be written 12.

Instrument:

Name of the instrument they use to perform the analyzes. In case of multi instrument report: write the name of all instruments. For multi instrument participation, the client has to pay separately for each instrument.

Referral name:

Name of laboratory personal if it is required to be written on the Certificate of participation.

Enrollment India

Enrolment Form