Professionals, please complete this form to be included on our “Find A Doctor” page. All information is moderated by DSF staff, so please allow 24-48 hours before doctors appear on the “Find A Doctor” page. Please be sure to include a valid email address so we can contact you with any questions.

If you would like to learn more about adding your institution to our Comprehensive Care Center listings, please contact our Scientific Director.

Doctor Registration

Doctor registration to be listed on the locator on the DSF website.

Name(Required)
Specialty

Work Address(Required)
I would like to be placed on the DSF email list and receive monthly news.(Required)
Have you in the past and/or are you currently treating patients with the following:*Check all that apply(Required)
I am the above referenced person or have been authorized by that person to complete this form on their behalf and I allow DSF to use this information on its professional resources page as DSF sees fit.(Required)

The information collected by Dravet Syndrome Foundation will not be sold or distributed outside of DSF and is used solely to verify identity and assist with communication. Questions or concerns can be directed to our team

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