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Clinicians Form

Please fill out the form below to create your Clinicians Account with SCN8A.

Required. 150 characters or fewer. Letters, digits and @/./+/-/_ only.
  • Your password can't be too similar to your other personal information.
  • Your password must contain at least 8 characters.
  • Your password can't be a commonly used password.
  • Your password can't be entirely numeric.
Enter the same password as before, for verification.

If you need help or have any questions, please contact us at

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