AAAASF - User account/Profile Management

	Member Services

Search for AAAASF Accredited
Surgery Facilities

Surgery Facility:
Enter any part of
Facility Name

Physician Name: Any combination of Doctor’ First and/or Last Name

CITY: Must enter
complete City name

STATE: Choose one from the drop down list

ZIP Code: Enter 5 Digit Zip Code

WITHIN: Choose one from the drop down list

User Registration

(All fields are required unless otherwise indicated.)

E-mail Address:

If you do not have an email account, check this box.

Password:

Must be 6-12 characters. Click here for password tips

Retype Password:

Please provide your legal name as it appears on your state license.

Gender:
Mr. Ms.

First Name:

Middle Name (optional):

Last Name:

Your User ID will be automatically generated based on your first and last name.

Suffix (i.e. Sr., II) (optional):

Medical Profession Type:

Physician Designation:

Check here if you are a doctor (or a retired doctor) and would like to be addressed as Dr. on this site.

State License:

State of Practice: Year Issued/Renewed:

Authorize to Release Information (Mandatory)
By checking this box, I have read and agreed to the terms of the Authorize to Release statement, which states:
By submitting my information and becoming a user of the AAAASF system, I agree for AAAASF to conduct credential verification. I hereby authorize any hospital, any medical staff or any other medical organization with which I am now or have been affiliated to provide information concerning my current former status with such organization(s). I hereby release from liability any hospital, medical staff or other medical organization for acts performed in connection with the collection or evaluation and submission concerning my status to the American Association for Accreditation of Ambulatory Surgery.