IAPMD Provider Directory - Provider Details

Your Name* This field is required.

Prefix

First Name

Last Name

Suffix

Email * This field is required.Please add the best email we can use to contact you directly with any questions. This email will not be shared with patients.

example@example.com

Practice/Clinic Name* This field is required.

Practice/Clinic Address* This field is required.Start typing your address and select the correct option

License Details* This field is required.

WebsiteIf you/your clinic has a website/webpage please share the link here:

Public EmailWhere can patients contact you/your practice for further information? This will be listed on the directory.

example@example.com

Scheduling Phone Number (if applicable)Where can patients call to scheduled an appointment?

Area Code

Phone Number

BioPlease add a brief description of your education and practice

Which type of provider are you?

Gynecologist

Psychologist/Therapist

Psychiatrist

General Medicine

Other

Please select all that apply:* This field is required.https://iapmd.org/treatment-guidelines

Definitive evaluation/diagnosis of PMDD using daily ratings

I am aware of PMDD and PME

I am knowledgeable in the treatment of PMDD/PME

I offer CBT therapy

I offer DBT therapy

I prescribe SSRIs for the treatment of PMDD

I prescribe Oral Contraceptives for the treatment of PMDD/PME

I prescribe GnRH agonist trial (with or without hormone addback)

I offer surgical intervention as a last-line treatment for PMDD

Other

Photo (optional)If you would like to add a photo to your profile, please add a clear, good quality image here

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Would you like to be added to our mailing list? If you answer no, we will only use the email address you provided on the previous page to contact you with patient-related queries.

YESNO

Thank you so much for sharing your information with us - we are grateful for your time and effort. Please be informed that all submissions undergo a screening process to ensure their suitability for inclusion, and inclusion is neither guaranteed nor instant.

To ensure that you receive our communications without any interruptions, we kindly request that you add directory@iapmd.org to your email's safe list. This simple step will help prevent our messages from being mistakenly classified as spam and potentially lost in your spam folder.

Once again, thank you for your collaboration, and we look forward to the possibility of including your information in our directory.

IAPMD Provider Directory - Provider Details