AANEM - Request Guideline

Practice Guideline Request

Name:
Address:
City:
State:
Zip code:
Phone:
Fax:
Email:
Are you a member?:	Yes No
If no, would you like to recieve membership information?:	Yes No
If this is chosen as a project, would you like to assist in producing the publication?:	Yes No
General Information:
Area of Interest?:
Why do you feel this topic is important?:
Questions you would like answered.:
Is there enough published data regarding this topic?:	Yes No
Please describe the published data you have discovered.:
How does this topic relate to Electrodiagnostic and/or Neuromuscular Medicine?:
Have any other reports or studies been published on this topic?: