The information captured here will be reviewed by the site administrator and then entered into your bio. The site administrator will then send you instructions on how to review and edit it yourself. You will also be able to add the list of conditions you treat and procedures your perform. Once you approve the bio, it will be published. You will be able to edit it again at any time.
Do the best you can to complete this form. Please note there is a section for questions and comments at the bottom of the form.
Associated Hospital Example (one line per hospital)
Brooklyn Hospital, Brooklyn, NY
Stamford Hospital, Stamford, CT
Credentials Example
Enter a credential type (heading) in capitals and then a list of items. Here are some examples of credential types (headings): CERTIFICATIONS, PATENTS, PUBLICATIONS, COMPANIES FOUNDED, LECTURES, PROFESSIONAL TITLES, SOCIETIES, ACADEMIC APPOINTMENTS, etc.
Enter a list of the items for each credential and then a blank line before the next credential type (heading).
Here is an example of a two lists of credentials and their associated items:
CERTIFICATIONS
Facial Plastic & Reconstructive Surgery: American Board Facial Plastic/Reconstructive Surgery
Otolaryngology-Head & Neck Surgery: American Board of Otolaryngology
Joint Council Certification in Head & Neck Surgical Oncology
SOCIETIES
Congress of Neurological Surgeons
American Association of Neurological Surgeons
AANS/CNS Cerebrovascular Section
Medical Society of the State of New York
New York State Neurosurgical Society