The National MPS Society is excited to begin the first phase in building our Physician Database. Our goal is to help connect our membership with knowledgeable physicians who have experience treating patients with MPS and related diseases.

We need your help to create our physician database. Please share your MPS medical team information, so that we can create a searchable database on our website for everyone's use.

You will have the opportunity to enter multiple physicians involved in the MPS and related disease care of your medical team. Please enter one physician per page. If you have any questions, please contact alison@mpssociety.org or call 919.806.0101.

Name of individual(s) with MPS or related disease

Question Title

* 2. Name of individual(s) with MPS or related disease

Your Name: (optional)

Question Title

* 3. Your Name: (optional)

Your Primary Email: (optional)

Question Title

* 4. Your Primary Email: (optional)

Your Primary Phone: (optional)

Question Title

* 5. Your Primary Phone: (optional)

I am willing to talk with others regarding our medical team experience: if yes, please remember to provide contact information above.

Question Title

* 6. I am willing to talk with others regarding our medical team experience: if yes, please remember to provide contact information above.

Physician Name

Question Title

* 7. Physician Name

If you are aware that your physician has experience with multiple types of MPS, please list all that apply.  If you are a physician filling out this form, please list all types of MPS that you have experience treating.

Question Title

* 9. If you are aware that your physician has experience with multiple types of MPS, please list all that apply.  If you are a physician filling out this form, please list all types of MPS that you have experience treating.

Medical Institution

Question Title

* 10. Medical Institution

Street Address, City, State, Zip

Question Title

* 11. Street Address, City, State, Zip

Phone and/or email

Question Title

* 12. Phone and/or email

Other details you wish to share

Question Title

* 14. Other details you wish to share

I wish to enter an additional physician

Question Title

* 15. I wish to enter an additional physician

T