Join the Clinicians Network

The Autoimmune Encephalitis Alliance offers an AE Clinicians Network to connect patients with doctors who have experience treating AE and to connect practicing clinicians with each other. Our goal is to stimulate collaboration amongst members to further enhance care and research.

To join the AE Clinicians Network, please fill out and submit the form below. After submitting the form, you will receive a return email with further instructions to finalize the submission.

Only clinicians should enter their information. This will help ensure only willing clinicians are listed on the website. Patients and families, we encourage you to share this page with your medical team.

SIGN UP TO JOIN THE NETWORK

Doctor and Clinic Submission Form

Allows Doctor to add their name and/or Clinic to list of AE treatment centers

  • This field is hidden when viewing the form

    Clinician Information

  • The email address will not be displayed publicly unless entered again below. We will only use this email address for communication regarding this post and other private communication related to the AE Alliance.

  • Clinic Location

  • Street Address of the Clinic Office (not the mailing address). To be used for mapping clinic location.
  • Additional address information such as suite or unit number.

  • Preferred Communication Methods

    Please provide a phone number for patients or other clinicians to reach you or your clinic. You may also provide fax, email or another form of communication below. All communications methods you provide in this section will be displayed publicly.
  • Clinic phone number to be displayed publicly.
  • You may provide a fax number to be displayed publicly.
  • You may provide an email address here. It will be displayed publicly.
  • Web address for clinic or medical center.
  • You may provide another method of communication here including social media options. Any entries will be displayed publicly.

  • Areas of Expertise

    For the following categories, check all that apply. Please indicate only areas that you have expertise related to Autoimmune Encephalitis treatment.
  • Choose your medical profession from the drop down menu.
  • Have you diagnosed, treated or cared for patients with any of the following types of AE? Check all that apply.
  • Check the boxes that describe your area(s) of medical speciality

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