AAOE Data Warehouse Sign Up Form
By signing up to participate in AAOE's Data Warehouse, you will submit your practice's satisfaction, outcomes, and quality data (all or some, depending on what makes sense for your practice) to the data warehouse. This participation allows for the development of key reports, which you'll be able to access through the data warehouse in addition to any customized data or reports that are developed.
Fill out the form below to confirm your intent to participate in the data warehouse for $200 per provider per calendar year for members ($400 per provider per calendar year for non-members).
If you have questions, please contact Vicki Sprague, PhD, Director, Data Solutions at email@example.com or 317-749-0626.
Are you an AAOE Member?
Number of Physicians You're Signing Up
Number of Non-Physician Providers You're Signing Up
How did you learn about the Data Warehouse? (select all that apply)
Peer or Co-worker
Name of the person who referred you (if applicable)
By submitting this form, I am communicating my intent to participate in AAOE's Data Warehouse. I understand that I will be asked to sign a detailed participation agreement and submit my payment before I can submit data and access the reports available in the data warehouse.
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