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MSU - Myositis Physicians

Enter your physicians information

We are putting together a database of physicians who treat myositis. Your input is greatly appreciated. 
1.Name of Doctor(Required.)
2.Speciality(Required.)
3.For which form of myositis does this doctor treat you?(Required.)
4.How you would rank this doctor in terms of knowledge/experience with your disease?(Required.)
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Not good
Average
Good
Great
5.How you would rank this doctor in terms of listening to your needs?(Required.)
Poor
Not good
Average
Good
Great
6.Physicians Contact Information (Input as many as possible, esp State)
7.Physicians website
8.Add any additional notes about the physician you are listing
9.Add any other notes to help us with our listing or add another physician here
10.Your contact information (optional)
Current Progress,
0 of 10 answered