Uterus1: Your Complete Uterine and Women's Health Resource

Please fill out the form below to enhance and improve your physician listing on Uterus1.com. When approved, you can get the following member advantages:

Increases exposure for your practice
Access to clinician section (if applicable)
Participation in physician chats (if applicable)

Visibility to women interested in learning more about HTA
Access to Doctors1
Member-exclusive opportunities

Promote your practice with personalized Uterus1.com 4x6, full-color, heavy-weight cards.

The Uterus1.com Physician Locator will allow patients interested in the HTA procedure to contact you directly. Please complete the form and click the "OK" button below to submit when your information reads exactly as you would like it to. Approval can take 1-2 business days. Required fields are indicated with an asterisk (*).

Note: Your personal information will not be sold or shared in any manner. For more information, please read our privacy policy.

Name *	First: Last:
Title *
Office E-mail *

Gender
Year Graduated from Medical School
Office Hours

Display e-mail within the locator section

I would like to receive periodic updates from Boston Scientific

I would be interested in contributing to Uterus1.com

You can attach a photo by logging into your profile after your account has been created.
Languages Spoken		Payment Plans Accepted
Biography (250 words)	(Maximum words: 250) You have words left.	Personal Message (250 words)	(Maximum words: 250) You have words left.
Certifications (250 words)	(Maximum words: 250) You have words left.	Accolades (250 words)	You have words left.
If you would like to provide any additional resources for your patients, please send correspondence to editor@body1.com. Be sure to include your name in the e-mail.

Practice Location
Address 1 *
Address 2
City *
State *
Zip *
Country *
Work Phone *
Fax Number
Web Site
Performs HTA in office

Secondary Practice Location
Address 1
Address 2
City
State
Zip
Country
Work Phone
Fax Number
Web Site
Performs HTA in office

Account Information: You will use this information to sign in and modify your locator listing.

Username *
Password: For security purposes your initial password will be e-mailed to the address you provide
Lost Password Question		Password Answer *
Example: Lost Password Question: What is my dog's name? >>>>> Password Answer: Spot If you forget your password we'll ask you the answer to your password question.
Please select your desired e-mail format.

I hereby authorize Boston Scientific to include my name and practice information under the Uterus Physician Locator option found on their company-sponsored Web site Uterus1.com. I understand that my inclusion under this section is based solely on my meeting eligibility requirements as described on the Web site and that by including my information, Boston Scientific is not endorsing or recommending my practice to patients.