Join your FPA Network colleagues on Fairview.org!

Please complete this form to add or update your provider bio on Fairview.org. Please contact Lisa Rosemeyer with any questions or call 952-914-1843. Scroll down to get started. Thank you!

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Example: Provider Bio Page

<span style="font-size: 10pt; color: #666699;"><em>Example: <a href="https://www.fairview.org/providers/HalversonPhilip-1962448743" rel="nofollow" target="_blank">Provider Bio Page</a></em></span>

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* 1. Provider information

Note: FPA Network does not share provider emails or post them on bios. Emails are a requirement for network communication.

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* 2. Practice/Clinic information

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* 3. Other locations where you see patients (city or address)

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* 4. Hospital Privileges (check all that apply)

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* 5. Languages other than English (check all that apply)

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* 6. Site of Medical School

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* 7. Site of Residency

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* 8. Site of Fellowship (and area of specialty)

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* 9. Site of Masters (and degree earned)

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* 10. Site of Ph.D. (and degree earned)

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* 11. Other Education

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* 12. Philosophy of Care (one to two sentences on how the provider views his/her practice)

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* 13. Clinical/medical Interests (e.g., prenatal care, diabetes, sports injuries)

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* 14. Research Interests

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* 15. Honors (awarded in the past 5 years)

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* 16. Publications (published in the past 5 years)

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* 17. Other names you go by (maiden) or ways people incorrectly spell your name (for Web site keywords/search terms).

Add a photo to your provider bio!

Your photo must meet these requirements:

  • Color photo with a simple gray backdrop, showing head and shoulders
  • Photo resolution must be 300 DPI and (1650 X 2305 px)
  • Business attire (avoid lab coat, scrubs, large jewelry, seasonal/holiday clothing)

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* 18. Upload your provider bio portrait for our website (see instructions)

GIF, JPEG, JPG file types only.
Choose File
No file chosen
Don't have a photo that meets the requirements? No worries! 

FPA Network will reimburse FHN providers for the cost of portraits, up to $50 each, with receipt. If your practice is not part of FHN, we can help you update your portraits at your expense.
 See below for options.

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* 19. Please select one of these photo options and we will contact you to make arrangements:

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* 20. Please enter your contact information (if different from provider).

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* 21. Additional comments, questions or requests?

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