FQ-related Doctor Positive Review Form
Please use this form to share good doctors (or naturopaths, physical therapists, and other healthcare providers) with whom you have had "good" experiences for long-term Fluoroquinolone adverse drug reactions. Those who admitted that your symptoms were probably caused by fluoroquinolones or that they had previously encountered other patients with persistent adverse effects of fluoroquinolones are especially "Good" and help the community greatly!
State (or Country if outside U.S.) *
US Residents: enter the state in which the doctor's office is located. Non-U.S. Residents: Enter the country and state of the doctor's office.
Your answer
City *
Enter the city of the doctor's office.
Your answer
Name of Doctor or Medical Professional *
Enter the name of the doctor, chiropractor, naturopath, acupuncturist, etc. For Physical Therapy offices, you may just enter the office name.
Your answer
Phone Number *
Enter the contact phone number for the office.
Your answer
Type of Practice *
Doctor's Specialty (e.g., General practitioner, podiatry, rheumatology, neurology, etc.) *
The specialty of practice, if the doctor has one.
Your answer
Reviewer Comments *
This is a review form for collecting *positive* doctor reviews. Please write a mini-review of the doctor / practictioner.
Your answer
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