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      • Practice Guidelines
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      • Guideline Development Process
      • Guidelines in Development
      • Consensus Statements and Papers
      • Quality Measures
      • Volunteer
    • Coding and Reimbursement
      • AMA CPT and RUC
      • CMS Physician Fee Schedule
      • Coding FAQ
      • E/M Code Changes
      • Medicaid Resources
      • Medicare Policies
      • Medicare Audit Toolkit
      • MIPS
      • Payer Advocacy
      • Payer Policy Scorecards
      • Sleep Medicine Codes
      • Telemedicine Codes
    • Col 3
      • AASM Scoring Manual
      • Artificial Intelligence
      • COVID-19 Resources
      • EHR Integration
      • Emerging Technology
      • Journals
      • Patient Information
      • Practice Promotion Resources
      • Provider Fact Sheets
      • #SleepTechnology
      • Telemedicine
    • Sleep Clinical Data Registry
      • The AASM Sleep Clinical Data Registry (Sleep CDR) is the first registry dedicated solely to sleep medicine to streamline data collection for quality improvement efforts, reporting, and benchmarking.
  • Professional Development
    • Choose Sleep
      • Paths to Sleep Medicine
      • Sleep Profession Profiles
      • Free Student/Resident Membership
      • Sleep Medicine Elective Toolkit
      • Sleep Medicine Resources
      • Sleep Medicine Webinars
      • AIRE Pilot Programs
      • Sleep Physician Training
    • Mentor/Sleep Team Training
      AASM Mentor Program
      Sleep Team Training
      • Advanced Practice Registered Nurses and Physician Assistants (APRN PA)
      • Accredited Sleep Technologist Education Program (A-STEP)
      • Inter-scorer Reliability (ISR)
      • Coding Education Program (A-CEP)
    • Col 3
      • Annual Meeting
      • Career Center
      • Case Study of the Month
      • Change Agents Submission Winners
      • Compensation Survey
      • Conference Support
      • Continuing Medical Education (CME)
      • Maintenance of Certification (MOC)
      • State Sleep Societies
      • Talking Sleep Podcast
      • Young Investigators Research Forum (YIRF)
    • Events
      Sleep press release
      Learn new ideas and best practices for professional growth. View descriptions and register for our upcoming live courses!
  • Membership
    • Individual/Facility Membership
      Individual Membership
      • Benefits
      • Categories
      • Members-Only Resources
      • Become an AASM Fellow
      • FAQs
      Facility Membership
      • Benefits
      • FAQs
    • Advocacy
      • Current Online Campaigns
      • Donate
      • AASM Political Action Committee
      • Position Statements
      • Advocacy Toolkit
      • AMA House of Delegates
      • State Policy Directory
      • High School Video Contest
      • Initiatives
    • Col 3
      • Montage
      • Leadership Election
      • Board Nomination Process
      • Membership Directory
      • Volunteer Opportunities
      • Committees
      • International Assembly
    • Sleep Team Assemblies
      Online communities for non-physician, AASM members to network with and learn from colleagues with similar professional backgrounds.
  • Accreditation
    • Types of Accreditation
      • Sleep Facility
      • Independent Sleep Practice
      • Durable Medical Equipment
      • Specialty Practice
    • Resources
      • Accreditation Fees
      • Accreditation Process and Policies
      • Standards for Accreditation
      • Fact Sheets
      • Business Associate Agreement
      • Products and Services
      • Pursuing Advanced Sleep Practices
    • Col 3
      • Accreditation News
      • Accreditation Verification
      • Contact Us
      • Program Changes
    • Apply or Renew

      AASM accreditation demonstrates a sleep medicine provider’s commitment to high quality, patient-centered care through adherence to these standards.

  • About
    • Advertising
    • Affiliated Sites
    • Awards
    • Contact Us
    • Diversity, Equity and Inclusion
    • Guiding Principles for Industry Support
    • IEP Sponsors
    • Industry Programs
    • Autoscoring Certification
    • Newsletters
    • Newsroom
    • Patient Advocacy Roundtable
    • President’s Report
    • Social Media
    • Strategic Plan
    • Working at AASM
  • Store
  • Clinical Resources
    • COVID-19 Resources
    • Practice Standards
    • Coding and Reimbursement
    • Provider Fact Sheets
    • Patient Information
    • Journals
    • Telemedicine
    • EHR Integration
    • #SleepTechnology
    • AASM Scoring Manual
  • Professional Development
    • Choose Sleep
    • Mentees
    • Mentors
    • Advanced Practice Registered Nurses and Physician Assistants (APRN PA)
    • Accredited Sleep Technologist Education Program (A-STEP)
    • Inter-scorer Reliability (ISR)
    • Coding Education Program (A-CEP)
    • Annual Meeting
    • Career Center
    • Case Study of the Month
    • Compensation Survey
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Board Member Agreement (BMA)2020-07-21T15:58:07-05:00

Board Member Agreement and Conflict of Interest Form

Board of Directors


  • In the last year, have you reviewed the current AASM policy manual?

  • If you answered “NO” to any questions above, you must review said document before proceeding.


  • Conflicts of Interest

  • Please respond to the following questions as they pertain to your roles in all AASM Board, Committee, Advisory Panel and Task Forces you have been appointed to.

    Definitions:
    Advisory Board: A group of individuals appointed to provide strategic advice to the leadership of a commercial (for-profit) or nonprofit organization; may also be called a council or panel
    Board of Directors: A group of individuals, elected to represent a profit or nonprofit organization’s shareholders/members, who are responsible for setting the strategic direction for the organization and have overall responsibility for the activities and finances of the organization
    Commercial entity: For-profit manufacturers, marketers and/or vendors of products and services
    Consultant: A professional who provides expert advice in a specialized field or topic
    Healthcare association: a nonprofit, professional or patient membership organization, focused on healthcare, that individuals pay dues to join
    Intellectual Property:A work or invention that is the result of creativity, such as a manuscript or a design, to which one has rights and for which one may apply for a patent, copyright, trademark, etc.
    Sleep Entity: Sleep Laboratory, Sleep Facility or Independent Sleep Practice.
    Speakers’ Bureau: A group of experts who are recruited and trained by a commercial entity to deliver information about the commercial entity’s products and/or services to others in their field
  • *
    I have read the American Academy of Sleep Medicine Policy on Conflicts of Interest and certify that the information provided is current and correct and that I am in compliance with the American Academy of Sleep Medicine policy. I agree to inform the AASM immediately should any of the information change.
  • Clicking the “Submit” button serves as your digital signature below.

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