Search for a Doctor

To search for a doctor in the United States, please complete the simple information form below to tell us a little about yourself and your needs. Once you have completed the form, the search function will be available for you to use as often as needed.

First Name: *
Last Name: *
Company Name:
Address: *
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Home Phone:
Work Phone:
Email Address: *
Please provide additional details about your connection to the affected individual, so that we may better serve you. (For example, name, relationship to you, and date of birth.)
Your relationship to person with ichthyosis: *
Birthdate of person with ichthyosis:
 (mm/dd/yyyy)
Any additional details you can provide:
How did you initially hear about FIRST? *
Type of Ichthyosis:*


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