New Patient Account

Before starting this process, please review the for assistance.

Please create a User ID that WILL NOT identify you personally.
To remain anonymous, DO NOT USE your full name or email address.
Recommended: First Name followed by initial of Last Name without a space.
Choose a Password that is easy to remember.
If forgotten, neither User ID nor Password CAN BE RECOVERED.
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User ID
Password   (8-32 characters)   Info
Confirm Password

Type of symptoms experienced by the patient
Spasmodic Dysphonia Adductor   Abductor   Mixed
  • Adductor – air flow is restricted by spasms of the larynx.
  • Abductor – air flow is passed too easily by the larynx.
  • Mixed – mixture of symptoms for Adductor and Abductor.
Vocal Tremor Yes   (primary symptom)
  • Vocal Tremor – fluctuations in pitch and loudness.

Your Doctor

After a New Patient Account has been created
  • Choice of Spasmodic Dysphonia may be changed.
  • Choice of Vocal Tremor cannot be changed.
  • Choice of Doctor may be changed.
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