If you have not taken the knowledge test, please use this link

Medical School You Graduated From *

Medical School Years *

Residency Program You Graduated From *

Residency Years *

Post Residency Trainings/Certifications

Email *

Mobile Phone Number

Practice Name *

Practice Phone Number *

Address

Street Address *

City

State

Country

Postal code

Hospital Affiliations *

Appointment Scheduling *

What theory(s) of origin of endometriosis underpin your approach to the treatment of endometriosis? *

What type of surgery do you perform for endometriosis? *

Excision

Ablation

Both (please explain below)

If your answer was "Both" in the previous question, please explain your strategy for choosing excision vs. ablation in different situations.

What medications do you incorporate into your practice? When and how do you recommend their use? *

Do you include imaging in pre-surgical planning? Please explain what imaging modality and how, when, and why you use it. *

What is your approach to the persistent symptoms after surgery? *

How many surgeries have you done in the last twelve months (all surgeries)? *

How many endometriosis surgeries have you done in the last twelve months? *

Please share the What insurances do you accept at your practice?name of the insurance coverages that you accept. Put N/A if you do not accept insurance. *

Waiting time *

What should be known about you and/or your practice that we have not asked?

Instagram ID

Website URL

Financial Disclosures

Certification of Advanced Training in Endometriosis Surgery *

Please upload two endometriosis patients' endorsement. If your language is not English, please upload a translation with the original version of the letter. *

Please upload a signed document stating your total number of surgical cases and the number of endometriosis cases in the last 12 months.

Current valid practicing license *

Headshot *

CV *

How did you hear about us? *

I agree with the Subscription Terms, Privacy Policy, and Terms Of Use provided by iCareBetter.

Privacy Policy | Terms of Service | Subscription Terms