Updating GNF Profile
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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What is your current specialty?
*
Orthopaedics
Plastics
Occupational Therapy
Physical Therapy
Podiatry
Oncology
Radiology
Business (Marketing, Strategy, etc.)
Other
How many years of professional experience do you have? (post-residency for physicians)
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Please type NA if not applicable
Please list any post-residency training you have completed
*
What procedures and/or techniques are you most familiar with?
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Decompression
Nerve repair
Nerve transfer
Nerve capping
None of the above
Other
Please estimate the number of peripheral nerve cases you treat each year?
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Please type NA if not applicable
What, if any, biomaterials do you use?
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Nerve allograft
Conduit
Wraps
Hydrogels
I do not use biomaterials
Other
Would you be interested in an opportunity to advise start-up industry partners?
*
Yes
No
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