Vendor Registration

Welcome to the In-Center Hemodialysis CAHPS (ICH CAHPS®) Survey vendor registration process. Each survey vendor interested in submitting an application to become an approved ICH CAHPS Survey vendor must designate a staff member to be its ICH CAHPS Survey Administrator and have that person register by completing the information below. Once you submit this form, you will be directed to your dashboard.

Organization Name:
First Name:
Last Name:
Confirm Email:

Organizations applying to become an ICH CAHPS Survey vendor are required to create an account to access specific links and online forms on the ICH CAHPS website. Please create and enter below a username and password that you would like to use to be able to access specific links and forms on this website.

Requested Username:
Password: Minimum 8 characters.
Confirm Password: