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Clinical
Partners

Slide

Clinical
Partners

We recognize that there are many clinics and nerves centers who are also working towards the mission of the GNF to improve the lives of people with peripheral nerve problems! Join us as a Nerve Clinic (or Center) Partner to collaborate on this mission with the GNF!

A major goal of the GNF is to shorten time to care for peripheral nerve patients. By providing an accurate list of peripheral nerve clinics and centers, patients will more easily find where to find care.

If your clinic or center is interested in an partnership with the Global Nerve Foundation, please review the information below. All Clinic Partnership are reviewed by our Membership Committee to ensure fit with the Global Nerve Foundation and its mission.

Hospital/Clinic Partner Intake Form

If you are interested in your clinic joining, please complete the form below, and someone from the GNF will reach out to discuss the partnership with you in more detail.

Clinic Partner Intake Form

Name of Hospital or Clinic

Hospital/Clinic Address

City

State/Province

Zip/Postal

Country

Hospital or clinic url

Available Procedures/Treatments (Imaging, OT, PT, Surgical Treatment, etc.) at Hospital or Clinic

Estimated Number of Nerve Cases Treated Each Year

Point of Contact Information

Name

First

Last

Degrees/Certifications

Years of Experience

Area(s) of Specialty

Hospital or Clinic team member to be listed in directory (1)

Name

First

Last

Degrees/Certifications

Years of Experience

Area(s) of Specialty

Hospital or Clinic team member to be listed in directory (2)

Name

First

Last

Degrees/Certifications

Years of Experience

Area(s) of Specialty

Hospital or Clinic team member to be listed in directory (3)

Name

First

Last

Degrees/Certifications

Years of Experience

Area(s) of Specialty

If you are human, leave this field blank.

Thank you to our Founding Member!

Thank you to our Annual Partner!

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