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Doctor Finder Sign-Up Form

Your practice can be listed in the Doctor Finder if you:

Are currently treating uterine fibroids using interventional treatment options
Have performed 3-4 treatments in the past 12 months, or have performed a total of 10 UFE procedures

I meet all of the conditions for the Doctor Finder listed above.

First Name*

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Last Name*

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Email*

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Title*

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Practice*

Primary Specialty*

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Address*

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City*

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State*

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Zip Code*

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Phone*

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