Providers / Doctor registration

For Providers

Help families find knowledgeable care.

If you have experience caring for individuals with KCNQ2-related disorders, join our Find a Provider directory. Families use it to locate clinicians who understand KCNQ2 and related ion channel conditions.

Start registration View Find a Provider
clinician at kcnq2 summit

Be found by families

Your listing appears on Find a Provider, searchable by state, country, population and specialty.

Reviewed by our team

KCA staff moderate every submission. Please allow 24–48 hours before your listing appears.

Stay connected

We use your clinician email only to share information for physicians. It is never published.

Doctor Registration

Professionals, please complete this form to be included on our “Find A Doctor” page. All information is moderated by KCA staff, so please allow 24-48 hours before doctors appear on the “Find A Doctor” page. Please be sure to include a valid email address so we can contact you with any questions.

"*" indicates required fields

1. About you

Your Name*
Specialty*

Practice & contact

Everything in this step is published on our Find a Doctor page so families can reach you.
Work Address*
Please include https://

Clinical experience

Have you in the past and/or are you currently treating patients with the following: (Check all that apply)
Do you currently work with underserved or underrepresented communities?
Are you currently involved in ion channel research?

Confirm & submit

Not published. Used only for KCA communications with physicians.
I am the person name above or am authorized to complete this form and allow KCNQ2 Cure Alliance to publish this information on their website.*