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Sign Up for Practice Management Alerts

Sign up to receive timely practice management e-mail alerts from the AMA Practice Management Center that can help you improve your practice efficiencies and increase your bottom line. Please complete the following fields, which will allow us to tailor the alerts you receive to the specific needs of your practice.

Contact Information

* Prefix:

* First Name:

* Last Name:

Suffix:

* Position:

Credentials:

* Email Address:

* Confirm Email Address:

Physician Practice Information

* Practice or Physician Name:

* Practice Office Address:

Practice Office Address 2:

* Practice Office City:

* Practice Office State:

* Practice Office Zip Code:

Group National Provider Identifier (NPI):
(if a solo practice, provide physician’s NPI)

* Number of physicians at practice location:

* Is your location affiliated with other locations:

Yes No

Number of physicians for all locations:

* Physician Specialty(ies) in Practice:
(Hold the Control key to make multiple selections)

* Health Insurer Contracts:
(Hold the Control key to make multiple selections)

Current Practice Management System:

Current Electronic Medical Record System (if any):

Current e-Prescribing Software (if any):

Current Clearinghouse (if any):

Percentage of Patients Who Are Self-Pay:

Percentage of Patients Who Are Medicare:

Percentage of Patients Who Are Medicaid/Children's Health Insurance Plan:

* denotes a required field.