Dyslipidemia SAP - Registration

Please complete this information prior to starting the SAP

How would you describe your practice?(*)

Other(*)

Sex(*)

MaleFemale

Years in practice(*)

In which province/territory do you currently practice?(*)

OF THE PATIENTS IN YOUR PRACTICE, PLEASE INDICATE THE PERCENTAGE OF PATIENTS WITH ESTABLISHED ASCVD:

All must add up to 100%

Polyvascular disease

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Myocardial Infarction (MI)

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Chronic coronary artery disease (CAD) without MI

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CEREBROVASCULAR DISEASE (CVD)

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Peripheral arterial disease (PAD)

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All must add up to 100%