Healthcare Providers: Join the Hypersomnia Foundation's International Directory

I hold the following degree(s) *
If your credentials aren't listed here, visit our web page "Explanation of credentials (degrees)"
Please check all that apply.

Institution or organization affiliation, or your practice name

Office phone * (best number for patients to schedule appointments)
Not a valid phone number.

Extension (if applicable)

Website

Healthcare professional specialty or type *
Please check all that apply.

I treat patients with the following conditions *
Please check all that apply.
  Idiopathic hypersomnia
  Kleine-Levin syndrome
  Narcolepsy
  None of the Above

Number of patients (new and returning) I treat in a year with idiopathic hypersomniaSelect one...01-1011-2021-3031-4041-50More than 50

Number of patients (new and returning) I treat in a year with Kleine-Levin syndromeSelect one...01-34-67-910 or more

Number of patients (new and returning) I treat in a year with narcolepsySelect one...01-1011-2021-3031-4041-50More than 50

Approximately what % of your patients with primary hypersomnias (IH, narcolepsy, or KLS) are members of underrepresented racial/ethnic groups?Select one...0%1-10%11-20%21-30%31-40%41-50%More than 50%

I'm accepting new patients *YesNo

I treat *
Please check all that apply.
  Adults
  Children

I conduct clinical research on hypersomniasSelect one...YesNo

By submitting this form, I agree to have my information added to the Hypersomnia Foundation's International Directory of Healthcare Professionals. I understand that inclusion in the directory does not imply endorsement by the Hypersomnia Foundation. *
  I Agree

  I would like to receive complimentary brochures from the Hypersomnia Foundation to distribute in my office.
Visit our web page "Get our brochure" to view, download, or print our brochure.

  I would like to stay in touch with the Hypersomnia Foundation.

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