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Referral Doctor Information- IPPF

Referral Doctor Information

The IPPF maintains a list of providers who diagnose and treat pemphigus and pemphigoid patients. The IPPF lists you as a referral doctor. Thank You for being a valued part of our patient support mission. 
1. Provider's Name *This question is required.
2. Would you like to be on the IPPF's Referral Doctor List? *This question is required.