Clinician Application Form - Lafora Clinician Network Registry

We appreciate your interest in joining our Clinician Network. The goal of this registry is to identify clinicians who are committed to advancing the diagnosis, treatment, and holistic management of Lafora disease through coordinated care, patient advocacy, and collaborative expertise. The Lafora Disease Clinician Network will serve as a trusted, centralized resource connecting patients and families to providers with experience or dedicated interest in Lafora disease, ensuring access to knowledgeable, high-quality care. We are confident that this program will expand our ability to best support individuals affected by Lafora disease. Any questions can be directed to info@chelseashope.org. On behalf of the Lafora disease community, thank you for your commitment to advancing care for Lafora patients.