Provider Directory Nomination
Thank you for your assistance in recruiting excellent tethered cord-informed providers for the TCSA provider registry. Please fill out the information below to nominate a provider, and we will reach out to them with an invitation to apply.
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Provider Name *
Specialty
Practice Name
Location *
Email address or website

Please tell us about your experience with this clinician and/or why you feel they are a good candidate to be listed on the site.

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