Skip secondary menu

Contact Us

Description

Please complete the following form so we can respond to your message.

Please note that NINDS is primarily a research funding agency and as such can not provide referrals to specific doctors or researchers or provide advice on specific health problems. Medical advice on diagnosis, treatment, or care of an individual patient should be obtained through consultation with a doctor or other health care provider.

Contact Us

Request

Nature of your request:

Choices

Please provide the following information.

Subject and Comment

Enter your comment or question here



Contact Information
Contact Information
Item
Name:
First Name Last Name


Address1 Address2 Address3
Address:
 
 
 
 

Email
 

How would you like to be contacted?
Response

Submit

Last updated October 06, 2011