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5-Step Enrollment for Long-term Care Facilities

Note: Once your facility is enrolled in NHSN, you can add additional reporting options using your monthly reporting plan within the NHSN application. You do not need to re-enroll for each type of infection reported.

Step 1: Training and Preparation



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Time to complete step 1: 2 hours, 45 minutes

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Step 2: Register

Rules of behavior screen

Agree to Rules of Behavior and register facility with NHSN using CMS Certification Number (CCN) or CDC assigned enrollment ID.



Time to complete step 2: 10 minutes

blue barImmediately after registration, you will receive an NHSN email,
subject "Welcome to NHSN!" down arrow

Step 3a: Request Digital Certificate

person sitting at computer

Use the password provided in the "Welcome to NHSN!" email to enroll in the Secure Data Network (SDN) and request the 'NHSN Enrollment' activity. Successful enrollment in SDN will automatically generate a request for your digital certificate.

Tip: Make a copy of your challenge phrase (password), noting upper and lower case letters and special characters.

Time to complete step 3a: 16 minutes

blue barImmediately receive NHSN email, subject "NHSN Digital Certificate Confirmation." down arrow

Step 3b: Install Digital Certificate


Within 3 business days receive PHIN email, "Action Required" and install digital certificate using instructions provided. Save a copy of your digital certificate.



Time to complete step 3b: 35 minutes

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Step 4: Submit Forms Electronically

person sitting at computer

Log in to SDN using your challenge phrase (password) and select NHSN Enrollment. Submit required forms.


Time to complete step 4: 32 minutes

blue barImmediately after submitting forms, receive NHSN email,
subject "NHSN facility enrollment submitted." down arrow

Step 5: Sign and Send Consent

monitor and envelop

Using the above NHSN email, open, print, and sign the consent form. Ensure 2 signatures are on the form and fax to CDC.

Tip: To open the consent form, you may need to log in to SDN using your challenge phrase and then copy and paste the link into that browser window.

Time to complete step 5: 10 minutes (varies)

blue barWithin 3 business days, receive NHSN email, subject "NHSN enrollment approved." down arrow

Congratulations, enrollment is complete!

Continue to NHSN SET-UP (required before beginning reporting)


Contact NHSN:
  • Centers for Disease Control and Prevention
    National Healthcare Safety Network
    1600 Clifton Rd
    Atlanta, GA 30333
  • Contact
Contact Us:
  • Centers for Disease Control and Prevention
    1600 Clifton Rd
    Atlanta, GA 30333
  • 800-CDC-INFO
    TTY: (888) 232-6348
  • New Hours of Operation
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    Closed Holidays
  • Contact CDC–INFO The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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