Healthcare Providers: Join Our International Directory

I hold the following degree(s) *
If your degree/credential is not listed here, see this list of equivalents.
Please check all that apply.

Institution or Organization Affiliation, or your practice name*I don't wish to provide an Institution/Organization/Practice name.

Address * (location where you most frequently see patients and can receive mail)
I only provide telehealth services.

Country *
Select Country

State/Province *Select State

City *Select City

Zip/Postal Code *

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

Extension (if applicable)

Website*
Please enter your personal page on your organization's website, your LinkedIn profile, or similar. Help new patients learn the most about you and your clinical practice.

Specialty/Provider 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 month with idiopathic hypersomnia *Select one...01-56-1011-1516-2021+

Number of patients (new and returning) I treat in a month with Kleine-Levin syndrome *Select one...01-56-1011-1516-2021+

Number of patients (new and returning) I treat in a month with narcolepsy *Select one...01-56-1011-1516-2021+

I am accepting new patients *Select one...YesNo

I treat *
Please check all that apply.
  Adults
  Children

I conduct clinical research on hypersomnias *Select one...YesNo

By submitting this form, I agree to have my information added to the Hypersomnia Foundation's Healthcare Provider Directory. 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.
Click here to print your own.
  Yes

I would like to receive complimentary IH medical alert cards from the Hypersomnia Foundation to distribute in my office.
Click here to print your own.
  Yes

I would like to receive complimentary Anesthesia and IH guides from the Hypersomnia Foundation. Or download/print HERE.
Click here to print your own.
  Yes

Is there anything else you would like us to know about you?

  I would like to Stay in Touch with the Hypersomnia Foundation.

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