Conflict of Interest Form

To complete ASE’s Annual Disclosure Form, please use the instructions below.

Start here: https://asecho.org/
Click the blue ‘MEMBER LOG IN’ button at the top of the page
Login to the Portal with your Username (email) and Password
Click ‘Membership’ in the top menu
Click ‘Volunteering’
Click ‘Volunteer Disclosure Form’

Watch for invitations to complete this survey.

Invitations and reminders about the survey will come from PPISurvey@mathematica-mpr.com with the subject line: “American Medical Association requests your input on physician practice expense and patient care hours.”

Invitations and reminders about physician hours worked will come from PhysicianHoursSurvey@mathematica-mpr.com with the subject line: “Please help to update accurate physician payments.”

Your input will ensure future accurate valuation.

Conflict of Interest Form

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Conflict of Interest Form

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A New AMA Survey to Document Changes in Physician Practice Expense