PND - Pediatric Neurotransmitter Disease

	Registry for Medical Professionals
	If you are a health care professional treating a child diagnosed with a PND or would like to receive additional information about PND's, please join us as a medical member of the PND Association by clicking on the link below.

Health Care Provider

First Name:
Last Name:
Hospital, Clinic or University
Address
City ,		State
Zip Code
Country
Work Phone	Fax	E-Mail Address

Professional Certifications

MD		RN
PhD		Therapist
FACMG		LPN
MSN		Other(Specify)

Practice Specialty

Pediatrics		Speech Therapy
Neurology		Physical Therapy
Genetics		Occupational Therapy
Family Practice		Other(Specify)

PND Patient Population

Tyrosine Hydroxylase Deficiency
Aromatic L-Amino Acid Decarboxylase Deficiency
GTP Cyclohydrolase I Deficiency(Dopa Responsive Dystonia)
Succinic Semialdehyde Dehydrogenase Deficiency(SSADH)

Permission Requests

			Yes No
Can we provide your information to other medical professionals?
Can we provide your information to families seeking assistance with a PND?

Digital discoveries