NeuroLogic Network for Brain-savvy Practitioners Application

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What inspired the formation of this collaborative network of multi-disciplinary practioners?

When I worked in the Chronic Pain unit at the Veterans Hospital, I saw first hand the impact of working with an interdisciplinary approach on difficult cases. We assembled seven subject-matter experts from seven different specialties and then we worked as a team, case by case. I have longed to recreate this sense of colaboration in the civilian world since starting my own private Neurofeedback practice in Charlotte in 2008. That’s why I created what I'm calling the NeuroLogic Network of like-minded, collaborative, professionals.

At Carolinas Biofeedback Clinic, we have learned a lot about the neuroanatomy of behavior, and we are ready to share that knowledge. What if you could see how your client/patient's brain is wired? Think about what that might mean to your treatment planning. If we work together, pool our respective insights, and leverage the very best techniques science has to offer, I believe we can make a real difference in our Charlotte-metro community.

Never has the need been greater for our collective services, and I believe our separate solutions are stronger together. If you are completing this form, then you want to be part of a unique multi-disciplinary community of subject-area experts collaborating to improve outcomes for our mutual clients/patients. Congratulations! You've found what you are looking for ... and your answers to these questions will help us get to know you and how we can make your involvement in this community rich and rewarding. Onward!

Melanie Berry, Clinical Director, Carolinas Biofeedback Clinic

Following are some quick questions so I can get to know you, your specialty, and how we can make this group something truly valuable to you!
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Name* This field is required.Please list your name and credentials
Example: Dr.
First Name
Last Name
Credentials (ex., MD, LMFT, PhD, MA, etc.)
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Email
example@example.com
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Mobile Phone* This field is required.
Area Code
Phone Number
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What is the name of your practice?
Business name
Please Select
Please Select
Primary Care Adult/Family
Primary Care Pediatric
Integrative Medicine
Functional Medicine
Psychiatrist
Psychologist
Mental Health Provider (LCSW, LMFT, LMHC, NCC, etc.)
Educational Institution
Other
Type of Practice
Please list the type of cases you envision us collaborating on.
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Office Phone* This field is required.
Area Code
Phone Number
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Which of the following best describes the patients/clients/students you work with?Who would be an appropriate referral to you? Click all that apply
Attention and Executive Function Issues
Anxiety (performance, social, general, panic or anxiety attacks) Issues
Depressed or Mood Regulation Issues
Sleep Problems (onset, frequent waking, wakes and cannot fall back to sleep, doesn't sleep soundly)
Head Injury Cases (concussion, TBi, sports-related percussion)
Developmental Delays and/or Autistic Spectrum
Trauma (physical, sexual, verbal, emotional, grief/loss, chronic illness)
Sensory Sensitivities or Tics (verbal or motor)
Lyme Disease
PANS/PANDAS
Inflammation
Chronic Pain
Oppositional or Defiant children/teens
Obsessive or Compulsive Problems
Other
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What are your favorite ways to communicate?Click all that apply
Private online community forum (Hint: we will provide one)
Phone
Mail
Fax
Encrypted Email
Other Encrypted App (What'sApp)
In Person
Any of these
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Would you like to be invited to attend a Demo Day with other practitioners for a hands-on experience with our techniques?Occasionally, throughout the year, we close our clinic to clients for about 2 hours so we can offer related-field practitioners (PCP, Neurology, Psychiatry, Psychology, Integrative and Functional Medicine Professionals, OT, PT, Pharmacists, and other CAM or Alternative Medicine specialists, as well as private school resource groups) an opportunity to experience a few of our techniques first hand.
Yes! In the South Charlotte Office in Pineville, please!
Yes! In the North Charlotte Office in Davidson, please!
Yes! I could do a Demo Day in either office location!
I'd like to arrange for a private Demo Day with others from my practice!
Not, now but keep me on the list.
No thanks, I've already attended a Demo Day at Carolinas Biofeedback Clinic.
No, but I know someone who would love to come!
No, I think I will pass.
What is your interest level?
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Which of our specializations are you already familiar with?click all that apply
qEEG Brain Mapping
Biofeedback
Neurofeedback
Neuromodulation
NeuroDevelopmental Movement
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Which of our specializations would you like to learn more about?Click all that apply
qEEG Brain Mapping
Biofeedback
Neurofeedback
Neuromodulation
NeuroDevelopmental Movement
"Discover Your Superpower" Training Series
Biofeedback Workshops
Group Training Options
Remote Training Options
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Which Biofeedback techniques are you interested in learning about?Click all that apply
HRV (Heart Rate Variability)
Respiration
Thermal/Temperature
EMG
Skin Conductance/GSR Arousal
Open/Focus Synchrony
Remote Biofeedback Training Options
All of these
None of these
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Which Neurofeedback techniques are you interested in learning about?Click all that apply
qEEG-based Hemodynamic Neurofeedback
Othmer Method/InfraLow Neurofeedback
Brain-wave Frequency Training (Amplitude Training)
Remote Neurotherapy Training Options
NeuroMeditation
I don't know which one -- but teach me!
None of these
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Which Neuromodulation devices are you interested in learning about?Click all that apply
Alpha-stim Microcurrent Electrotherapy
Somniresonance Magnetic-wave Sleep Induction
Sleep Genius Music-based Sleep Induction
Vielight NeuroBioModulation for the aging brain, memory, and cognitive function improvements
Neuro-Meditation
Any new technology that could help my clients/patients
None of these
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If we offer training programs to teach you what we have learned about the neuroanatomy of behavior through brain mapping, would you attend?
YESNO
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This NeuroLogic Network of practitioners has its own online community forum. You can expect to receive a personal invitation via email to allow you full access to interact with the community.Community discussion topics include qEEG Brain mapping for "how we're wired," case collaborations, early access to exclusive practitioner-only events Demo Days for hands-on experiences with our techniques, and educational or informational talks with guest experts, be the first-to-know about new emerging technologies, get hot-off-the-press research, and connect with special-interest groups (such as Developmental Trauma) and much more! Here are the key reasons why members say they join in:
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Did we miss anything important? What else would you like us to know about you? What other questions do you have for us? Click the "+" button to add additional lines
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Who can we thank for introducing you to Carolinas Biofeedback Clinic?
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Who else would you like us to invite to join?Do you know of another professional would might be interested in networking, collaborating, learning more about the brain?
Type in the name of the person you would like us to invite
Please enter their email
Please enter their phone
Medical
Psychological
Education
Integrative or Functional Medicine
What is their field?
Should be Empty: