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 |
Alliance for America's Promise, Inc. |
401200133 |
|
Alliance for Physical Therapy Quality and Innovation |
401200092 |
|
Alliance for Physical Therapy Quality and Innovation (OBFA FKA USPA) |
401200097 |
|
American College of Radiation Oncology |
401200005 |
|
American Vascular Access, LLC (CardioVascular Coalition) |
401200067 |
|
American Vascular Associates (Office-Based Facility Assn OBFA) (FKA USPA) |
401200106 |
|
American Vein & Lymphatic Society (Office-Based Facility Assn OBFA) (FKA USPA) |
401200112 |
|
Anesthesia Practice Consultants, PC (OBO Michiganders for Fair Healthcare) |
401200086 |
|
ApolloMD (Americans for Fair Healthcare) |
401200120 |
|
Arise Vascular (CardioVascular Coalition) |
401200095 |
|
Arizona Kidney Disease and Hypertension Center (Dialysis Vascular Access Coaliti |
401200071 |
|
Austin Kidney Associates (DVAC REF) |
401200088 |
|
Axxess |
401200107 |
|
Azura Vascular Care (FKA Fresenius Vascular Care) (CardioVascular Coalition) |
401200046 |
|
Azura Vascular Care (FKA Fresenius Vascular)(Dialysis Vascular Access Coalition) |
401200060 |
|
Azura Vascular Care-National Cardiovascular Partners (OBFA FKA USPA) |
401200100 |
|
Balboa Nephrology Medical Group (DVAC REF) |
401200078 |
|
BAYADA Hearts for Home Care, Inc. (FKA BAYADA Home Health Care) |
401200059 |
|
BD Peripheral Intervention (CardioVascular Coalition) |
401200135 |
|
Boston Scientific (Office-Based Facility Assn OBFA) (FKA USPA) |
401200115 |
|
CardioVascular Coalition |
401200055 |
|
Cardiovascular Institute of the South (CardioVascular Coalition) |
401200075 |
|
Cardiovascular Systems, Inc. (CardioVascular Coalition) |
401200042 |
|
Cardiovascular Systems, Inc. (USPA-United Specialists for Patient Access)) |
401200103 |
|
Coalition for Oral Health Policy |
401200134 |
|
Dallas Nephrology Associates (DVAC REF) |
401200079 |
|
Envision Healthcare (Americans for Fair Healthcare) |
401200121 |
|
Gray Space Strategies |
401200136 |
|
Heart to Heart Hospice |
401200128 |
|
Henry Schein |
401200072 |
|
Houston Radiology (Americans for Fair Healthcare) |
401200130 |
|
Lee Health (FKA Lee Memorial Health System) |
401200034 |
|
Lifeline Vascular Care (FKA ...Access) (Dialysis Vascular Access Coalition) |
401200061 |
|
LifeLine Vascular Care (FKA Lifeline Vascular Access) (CardioVascular Coalition) |
401200044 |
|
Medtronic (CardioVascular Coalition) |
401200109 |
|
Medtronic (Office-Based Facility Assn OBFA) (FKA USPA) |
401200098 |
|
Mid-Atlantic Nephrology Associates, P.A. (DVAC REF) |
401200077 |
|
National Association for Home Care & Hospice |
401200113 |
|
National Cardiovascular Partners (CardioVascular Coalition) |
401200038 |
|
National Organization of Social Security Claimants Representatives (NOSSCR) |
401200139 |
|
Nephrology Associates of Northern Illinois and Indiana (DVAC REF) |
401200091 |
|
Nephrology Associates, P.A. (DVAC REF) |
401200093 |
|
Northwest Renal Clinic, Inc. (DVAC REF) |
401200080 |
|
Outpatient Endovascular and Interventional Society (CardioVascular Coalition) |
401200043 |
|
Pacific Dental Services, LLC |
401200023 |
|
Partnership for Quality Home Healthcare |
401200020 |
|
Philips Image Guided Therapy (Office-Based Facility Assn OBFA) (FKA USPA) |
401200099 |
|
Philips Image Guided Therapy/Volcano Corporation (CardioVascular Coalition) |
401200073 |
|
Providence Anesthesiology Associates (Americans for Fair Healthcare) |
401200138 |
|
Pulse Vascular (CardioVascular Coalition) |
401200125 |
|
Quantum Radiology (Americans for Fair Healthcare) |
401200126 |
|
Radiology of Indiana (Americans for Fair Healthcare) |
401200131 |
|
Radiology Partners (Americans for Fair Healthcare) |
401200122 |
|
Radiology Partners (Office-Based Facility Assn OBFA) (FKA USPA) |
401200104 |
|
RC Billing (Americans for Fair Healthcare) |
401200127 |
|
Revenue Cycle Coding Strategies (Office-Based Facility Assn OBFA) (FKA USPA) |
401200105 |
|
Revenue Cycle Coding Strategies and RC Billing |
401200118 |
|
Santa Fe Group |
401200090 |
|
SCP Health (Americans for Fair Healthcare) |
401200123 |
|
TeamHealth, Inc. (Americans for Fair Healthcare) |
401200124 |
|
Teleflex (Office-Based Facility Assn OBFA) (FKA USPA) |
401200119 |
|
The Fibroid Coalition |
401200110 |
|
The Vascular Care Group (CardioVascular Coalition) |
401200114 |
|
Universal Technical Institute |
401200117 |
|
Wellvana Health LLC |
401200137 |
|