If you are an active registrant, you can download IBM Workplace forms that are pre-populated with your registrant and client information. To locate your forms, enter your registrant name in the field below and click the "Search" button. If you are not sure of the Registrant name, you can view the list of active registrant names in alphabetical order using the links below.
If you have just registered a new client and a link to the pre-populated form is not available, please check the download page again later in the day. The icon will be displayed when the new form is available.
|
Client Name |
House ID |
LD-2 Form |
Alaska Federation of Natives |
321070166 |
|
Alaska Native Tribal Health Consortium |
321070168 |
|
American Academy of Home Care Medicine |
321070175 |
|
American Academy of Pediatric Dentistry |
321070159 |
|
AMERICAN ACADEMY OF PHYSICAL MEDICINE & REHABILITATION |
321070009 |
|
American Cochlear Implant Alliance |
321070112 |
|
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION |
321070018 |
|
American Physical Therapy Association |
321070109 |
|
AMERICAN SOCIETY OF TRANSPLANT SURGEONS |
321070039 |
|
AMERICAN THERAPEUTIC RECREATION ASSOCIATION |
321070012 |
|
Aria Care Partners |
321070169 |
|
ASSOCIATION OF METROPOLITAN WATER AGENCIES |
321070000 |
|
BIOMEDICAL SYSTEMS |
321070068 |
|
Boyd Gaming Corporation |
321070133 |
|
Brain Injury Association of America |
321070041 |
|
Cancer Early Detection Alliance |
321070165 |
|
Coalition to Preserve Rehabilitation |
321070089 |
|
Coeur d' Alene Tribe |
321070124 |
|
Coloplast Corp |
321070177 |
|
Confederated Tribes of the Chehalis Reservation |
321070126 |
|
Confederated Tribes of the Colville Reservation |
321070125 |
|
Cornerstone Care, Inc. |
321070161 |
|
DaVita, Inc. |
321070167 |
|
Disability and Rehabilitation Research Coalition |
321070139 |
|
Eastern Navajo Land Commission |
321070131 |
|
Encompass Health Corporation |
321070062 |
|
Gateways Hospital & Mental Health Center Foundation |
321070162 |
|
Ho-Chunk Nation Legislature |
321070122 |
|
INDEPENDENCE THROUGH ENHANCEMENT OF MEDICARE AND MEDICAID (ITEM) COALITION |
321070076 |
|
Integra LifeSciences Corporation |
321070149 |
|
Matria Healthcare |
321070095 |
|
MEDICAL GROUP MANAGEMENT ASSOCIATION |
321070001 |
|
Moses Weitzman Health System, Inc. |
321070155 |
|
National American Indian Housing Council |
321070117 |
|
NATIONAL ASSN FOR THE ADVANCEMENT OF ORTHOTICS & PROSTHETICS |
321070007 |
|
National Association of Specialty Pharmacy |
321070150 |
|
Orthotic & Prosthetic Alliance |
321070088 |
|
Perkins School for the Blind |
321070127 |
|
Physician Clinical Registry Coalition |
321070110 |
|
PIH Health Foundation (fka PIH Health Good Samaritan Hospital) |
321070154 |
|
Preeclampsia Foundation |
321070151 |
|
Regulatory Relief Coalition |
321070142 |
|
RWC-340B |
321070129 |
|
Sauk-Suiattle Indian Tribe |
321070123 |
|
Southern Ute Indian Tribe |
321070114 |
|
Spina Bifida Association |
321070176 |
|
Station Casinos, Inc. |
321070119 |
|
Swinomish Indian Tribal Community |
321070141 |
|
Tejon Indian Tribe |
321070118 |
|
The American Medical Informatics Association |
321070174 |
|
The Kline Galland Center |
321070172 |
|
Thomas Health |
321070160 |
|
Upper Mohawk, Inc. |
321070135 |
|
Valley Presbyterian Hospital |
321070170 |
|
VisionServe Alliance |
321070171 |
|
Youth Villages |
321070173 |
|