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      • 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.
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      Learn new ideas and best practices for professional growth. View descriptions and register for our upcoming live courses!
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      Online communities for non-physician, AASM members to network with and learn from colleagues with similar professional backgrounds.
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      AASM accreditation demonstrates a sleep medicine provider’s commitment to high quality, patient-centered care through adherence to these standards.

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  • Store
  • Clinical Resources
    • Practice Standards
      • Practice Guidelines
      • Endorsed Guidelines
      • Guideline Development Process
      • Guidelines in Development
      • Consensus Statements and Papers
      • Quality Measures
      • Volunteer
    • Coding and Reimbursement
      • MIPS
      • AMA CPT and RUC
      • Sleep Medicine Codes
      • Telemedicine Codes
      • E/M Code Changes
      • Payer Advocacy
      • Payer Policy Scorecards
      • Coding FAQ
      • Medicare Resources
      • Medicare Policies
      • Medicaid Resources
    • Col 3
      • AASM Scoring Manual
      • COVID-19 Resources
      • Provider Fact Sheets
      • Patient Information
      • Journals
      • Telemedicine
      • EHR Integration
      • Practice Promotion Resources
      • #SleepTechnology
      • Emerging Technology
    • 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
      • The Path to Sleep Medicine
      • Sleep Profession Profiles
      • Get Involved in Sleep Medicine
      • Free Student/Resident Membership
      • Choose Sleep Interest Group
      • Sleep Medicine Elective Toolkit
      • Sleep Medicine Resources
      • Sleep Medicine Webinars
      • AIRE Pilot Programs
    • 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 Grant Support Program
      • 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
    • 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
      • FAQ
      • Reference Materials
      • Products and Services
    • Col 3
      • Choose AASM Accreditation
      • Special Application Types
      • Accreditation Verification
      • Contact Us
    • 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
    • IEP Sponsors
    • Industry Programs
    • 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
    • Conference Grant Support Program
    • Continuing Medical Education (CME)
    • Maintenance of Certification (MOC)
    • State Sleep Societies
    • Young Investigators Research Forum (YIRF)
    • Events
  • Membership
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    • Montage
    • Leadership Election
    • Board Nomination Process
    • Membership Directory
    • Volunteer Opportunities
    • Sleep Team Assemblies
  • Accreditation
    • Types of Accreditation
    • Resources
    • Choose AASM Accreditation
    • Special Application Types
    • Accreditation Verification
    • Contact Us
    • Apply or Renew
  • About
    • Advertising
    • Affiliated Sites
    • Awards
    • Contact Us
    • Diversity, Equity and Inclusion
    • Industry Programs
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  • Store
COI Form2020-08-07T08:30:12-05:00

Conflict of Interest Form 2020

New COI Form

  • All AASM Volunteers must complete a Conflict of Interest (COI). Individuals who are on more than one committee, task force, or panel only need to complete each form once. However, some groups will be asked to update their COI throughout the year.

  • Please select all groups to which you are appointed.

  • 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
  • Clicking the “Submit” button serves as your digital signature below.

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