Provider Correction Request

Use this form to request updates, corrections, or removal of a provider listing in our directory. All requests are reviewed by our team and processed within 10 business days per our Terms of Use §7.

Request Type

Provider Information

Practice / Provider Name *

NPI Number (optional)

Listing URL (optional)

What Needs to Be Updated

Please describe the specific information that is incorrect or outdated, and provide the correct version.

0 characters

Your Contact Information

Full Name *

Role / Relationship (optional)

Email Address *

We'll send a confirmation to this address and follow up if we need more information.

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge. Submitting false information may result in your request being rejected.

Questions? Email us directly at [email protected]