Describe your web site

Please note the following suggestions :
• Please include the entire URL, i.e. http://medical.com/index.htm
• Descriptions must be under 25 words
• Do not include URL, Contact Name or Email address in the description field
• Links without a description will no longer be included in the index
• Links to adult oriented pages will not be included in the index
• Links must be educational in nature
• Links must be non-profit
• Links must relate to the medical professions
• Links that are primarily of commercial value will not be included in the index

Web Site Title

Web Site URL

Web Site Description (25 words or less)

Your Name

E-Mail Address (required)

Optional Business and Regional Resources
If this entry is for a business it is recommended that you fill in all of the following information.

Company Name

Street Address

City

State

Zip Code

Work Phone Number

Fax Phone Number