Join the Family Heart Specialist Map
The Family Heart Specialist's Referral Network, our most requested tool, is a global resource to help individuals identify Familial Hypercholesterolemia (FH) and high Lipoprotein(a) Specialists within their area. By joining our network, patients seeking care will easily be able to locate your practice. In addition, you will be invited to our annual Family Heart Global Summit and will receive educational tools and resources from the Family Heart Foundation. We value your privacy and do not spam or market our mailing lists.
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Required
First Name *
Middle Name
Last Name *
Degree(s) *
Please include all suffixes such as MD, PhD, etc.
NPI Number (if not applicable, please put N/A) *
Area of specialty *
Please check all that apply.
Required
Are you board certified in lipidology (American Board of Clinical Lipidology (ABCL) or Accreditation Council for Clinical Lipidology (ACCL)? *
Do you treat children with FH?
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Do you treat children with high Lp(a)?
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Languages spoken *
Required
How many patients with HETEROZYGOUS Familial Hypercholesterolemia have you treated in the last 5 years? *
Please provide a rough estimate.
How many patients with HOMOZYGOUS Familial Hypercholesterolemia have you treated in the last 5 years?
Please provide a rough estimate.
Clear selection
How many patients with high Lipoprotein(a) have you treated in the last 5 years?
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Name of Hospital/Clinic/Institution *
Please provide the name of your place of medical practice.
Do you have multiple Hospital/Clinic/Institution locations?
If yes, please provide each additional location below (name, address, phone number).
Address of practice *
Address line 1
Address line 2
Address line 3
*
City
*
State/Province
*
Zip code
*
Country
Office phone number *
Please provide a number where patients can make appointments.
Office fax number
Email address *
This email address will not be visible to FH Foundation website visitors. This information is only for the FH Foundation to be able to communicate with you.
Would you like to share any other information with the Family Heart Foundation (e.g. suggestions, comments, publications, etc)?
If yes, please comment below.
Website URL
If applicable, please provide a web link where patients can find out more about your practice.
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