THERAPY FOR EVERYONE
Functional Neurology Relief Foundation Inc
Client Application
How to apply
Download the most current FXN Application form and complete the forms by providing all the necessary information and documents. Let your Functional Neurologist fill out the rest of the form by performing and answering the necessary patient information, MOCA Exam, and/or Primitive Reflexes questions. Finally, submit your application through our portal.
Step 1
Download the application by clicking the "Download PDF" button.
Step 2
Fill out the application and meet with an approved physician to complete the rest of the application.
Step 3
Upload your documents and submit them using our web form for fast and easy registration.
While all Functional Neurologists are qualified to diagnose neurological conditions, FXN-approved physicians represent a select group who have demonstrated exceptional expertise in treating FXN. This rigorous approval process ensures they possess in-depth knowledge of the latest FXN research, treatment protocols, and best practices. Choosing an FXN-approved physician gives you the confidence that you're receiving care from a doctor who is at the forefront of FXN treatment, potentially leading to a more accurate diagnosis and a more effective treatment plan.