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Calling all 17q12
Clinicians & Researchers!
Join the 17q12 Clinician & Research Network
First Name
Last Name
Email
City
State/Region/Country
Institution/Organization Affiliation
What is your primary specialty?
Choose an option
Nephrology
Endocrinology
Genetics
Psychiatry
Neurodevelopmental Pediatrics
Other Clinician
Other Researcher
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Select the 17q12 CNV you study/treat
17q12 deletion
17q12 duplication
Both 17q12 deletions and duplications
Describe your role with 17q12 CNV research and/or clinical care.
I currently treat patients with 17q12
I have treated patients with 17q12 in the past
I am currently conducting research on 17q12
I have conducted 17q12 research in the past
I am interested in conducting 17q12 research
I am interested in treating patients with 17q12
I am not interested in treating patients or conducting research at this time
Additional Comments
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