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Neuromuscular Foundation
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American Association of Neuromuscular & Electrodiagnostic Medicine
Improving the Lives of Patients with Neuromuscular Diseases
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About
Vision, Mission & Values
Board & Committees
Committee Opportunities
AANEM Staff
Work at AANEM
History
Founding Members
Contact Us
Education
Learning Center
Transcript
Podcasts
Self-Assessment Examinations
Using SAEs as Study Guides
SAEs for Training Programs
Education for Technologists
Ethics
CME/CEU
Meeting Your MOC
Suggested Reference List
Meetings
Annual Meeting
Plenary Sessions
Abstract Information and Submission
Session Proposal
Future Annual Meetings
UltraEMG
Exhibits, Sponsorships & Advertising
Corporate Support
Membership
Join AANEM
Value of Membership
Eligibility Requirements
Membership Application
Membership Dues and Categories
Training Program Partnership
Initial Application
TPP Trainee Portal
TPP Director and Coordinator Portal
Member Portal
Renew Membership
Online Resource Library
AANEM Connect
Membership Directory
Achievement Awards
Get Involved
Residents & Fellows
Young Physician Leadership Program
Young Ambassadors
Resident & Fellow Council
Practice
COVID-19 Guidance
CARES Act Summary
Telemedicine
Guidelines
Guidelines Submission Form
Quality
Coding & Billing
Member-Only Coding Resources
Medicare
Quality Payment Program (QPP)
EDX Laboratory Accreditation
My Accreditation Dashboard
Process & Pricing
FAQs
Find an Accredited Lab
Featured Labs
Complaint Form
Practice FAQs
Practice Resources
Marketing Your Practice
Brochures
Member-Only Marketing Resources
Technology Reviews
Glossary of Terms
Advocacy
EMG State Laws
State Liaison Program
State Liaison Listing
Apply to Become a State Liaison
Position Statements
Fraud & Abuse
Payer Resources
Action Center
Contact Your Legislators
Advocacy Fund
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Manage a Fellowship
Open Houses
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FAQs - Programs
Neuromuscular Medicine Fellowship Portal
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Other Fellowships
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Muscle & Nerve Disorders
Types of Tests
FAQs Before EDX Testing
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Complaint Form
Please complete this form in its entirety. Completed forms must include complainant contact information or they will not be considered. The AANEM does not have investigative authority over accredited EDX laboratories or laboratory personnel. However, AANEM is able to review complaints and can request relevant information from the accredited EDX laboratory. The accredited EDX laboratory is only required to provide information that relates to its accreditation. Issues unrelated to the laboratory’s accreditation cannot be reviewed by the AANEM. If a complaint is found to be unrelated, the complainant will be notified and, where appropriate, directed to the appropriate oversight organization.
Your Contact Information
Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email:
I am a(n) _______ of the accredited EDX laboratory in question (select answer that applies):
Employee
Patient
Outside practitioner
Other
If 'Other' please explain:
EDX Laboratory You Are Filing Complaint Against
Laboratory Name:
Lab Medical Director (if known):
Contact Person (if not Medical Director):
Street Address:
City:
State:
Zip Code:
Phone Number (if known):
Email (if known):
Is the laboratory accredited by the AANEM?:
Yes
No
Please provide a brief description of the complaint:
Please describe any attempts you have made to resolve this complaint:
By submitting this form, I hereby attest that the information I have provided is factual and correct to the best of my knowledge. Further, I understand that by submitting this form to AANEM, I am agreeing to be contacted in regards to this complaint. I also understand that AANEM will make every effort to keep my complaint anonymous, circumstances may require AANEM to share some information with the EDX laboratory. In such circumstances, AANEM will contact me prior to sharing my name or other identifying information.
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