APFED's Specialist Finder Listings

Please complete the following form to create or update a listing in APFED's Specialist Finder.

APFED's Specialist Finder offers information about self-identified medical professionals offering care for patients with a variety of eosinophil-associated diseases. Healthcare providers “opt-in” to the Specialist Finder.

You may complete this form again to update your listing. Your listing request will be reviewed and created or updated within two weeks.

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Contact and Demographic Information

First Name Last Name Suffix (Optional)

Preferred Language (To help us better understand our membership) (Optional)

Gender (To help us better understand our membership) (Optional) Race (To help us better understand our membership) (Optional)

Street Address Address Line 2 (Optional)

Country Postal Code City State/Province

Email Home Phone (Optional) Mobile Phone (Optional)

Yes, I want to receive APFED’s e-news and communications.

Remember me so that I can use FastAction next time.

(Optional)

Additional Information

What is your relationship to eosinophil-associated diseases? Please select all that apply.

Please indicate the eosinophil-associated disease(s) you treat. Please select all that apply.

What type of clinician are you?

If you selected "other", what type of clinician are you? (Optional)

What age patients do you treat?

Specialist Finder

APFED's Specialist Finder helps patients find clinicians to treat eosinophil-associated diseases. Special badges are displayed for APFED Health Science Advisors, CEGIR members, or International Eosinophil Society members.

Would you like to be listed in APFED's Specialist Finder?

Please share your professional suffixes. (Optional)

Practice Name (Optional)

Practice Address (Optional)

Practice City (Optional)

Practice State (Optional)

Practice Zip (Optional)

Practice Country (Optional)

Practice Phone (Optional)

Practice Website (Optional)

Please indicate what, if any, unsedated endoscopic procedures you offer in your practice. Please check all that apply. (Optional)

Transnasal Endoscopy

Esophageal String Test

Esophageal Sponge or Brush

Are you a member/affiliate of the following organizations? Please check all that apply. Badges will be displayed on your Specialist Finder listing to reflect your membership. (Optional)

International Eosinophil Society

Consortium of Eosinophilic Gastrointestinal Disease Researchers (CEGIR)

Legal

By checking this box I agree to APFED's Terms of Use and Privacy Policy (unless I am under the age of 18, in which case, I represent that my parent or legal guardian also agrees on my behalf).