Carrick Trained Highlight Form

We want to feature YOU on our social media!
Whether you're a student, faculty member, or scholar, we'd love to highlight your story. Please fill out this form to share your bio and advice (Response under 800 characters - each). Please include a link to your clinic or organization, we'd be happy to include that as well to promote you.

We can't wait to celebrate and share your accomplishments with our Neuro community!

To see a example of other posts, please check out our social media - Instagram and Facebook

Name*

Please share your bio: who you are, where you're from, your aspirations, and how Functional Neurology has impacted your career.*

What advice do you have for students?*

Where is your clinic. - Please include link to website. If you don't have a clinic, please include your doctor website. If you are a sutdent, please put what school you are enrolled in. *

If you are a student, just put N/A

Please list your credentials. If you are a student, please let us know what school you are at. *

The image you would like used in your student / faculty / clinician - highlight *

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