Create National Directory Listing

Please fill in as much information below as you would like to share about your organization. Fields with red asterisks next to them are mandatory fields. After you submit your information, it will be reviewed and published to the site. We may contact you for more information or clarification.

if you are submitting information to change an entry, please specify which entry you would like to change in the Misc Info field below. We will contact you for confirmation and if we have any questions.
Location Info
Contact Info
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(###) ###-####
(###) ###-####
(###) ###-####
Institution Info
Please include http://
  • Web page addresses and e-mail addresses turn into links automatically.

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Please provide any additional information you would like to post about this clinic here. If you have any files (such as a pdf) that you would like attached to the entry, please email them to cxphcc@rit.edu
Services info
Please specify whether the meetings are in-house or in the general area.
Please specify what kinds of special devices (TTYs, closed captioned tvs...) you incorporate.
Client info
CAPTCHA
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