If you are a healthcare professional that treats people with voice disorders like spasmodic dysphonia, please submit your contact information below to be considered for the Voice Expert Healthcare Referral Directory. This form can be used for both new entries and updates to your profile.

PLEASE NOTE: We ask that you only indicate what procedures or services that you personally provide, Please do not include services that other professionals in your clinic provide. For example, if you are a speech pathologist, please do not indicate that you provide botulinum toxin injections; or if you are a laryngologist, please do not indicate that your provide voice therapy. Rather, please share the name(s) of other providers in your clinic in the notes section below and we can follow-up with them directly or send them this link to add themselves. This helps to keep the directory accurate.

Healthcare Referral Directory Submission Form

  • This form can be used to submit a new listing, update your contact information, notify of retirement, or request for removal. Please note, name, phone, and email are required. If you are updating your information just update any new information.
  • Contact Information

    Please note we can only list one address. If you practice at multiple sites, please list the main one below and you can include the address of other sites in the box below the address.
  • Please note: Email addresses are not listed on the website, for internal use only)
  • If possible, please link to a page that includes your information.
  • About Your Practice

  • Please check one:
  • Treatment Options

  • This is for any medical specialty (Laryngologist, ENT, SLP, etc) offering this service.
  • Check all that apply
  • Please enter a number from 0 to 200.
    This information is not included on the website. It is for internal use only.
  • Check all that apply
  • Check all that apply. If an MD, please provide the name of the speech pathologist you are working with and email in the comments box below.
  • This field is for validation purposes and should be left unchanged.