Member Profile

When you join WOCN and specifically link your membership to a Northeast Region afilliate, you are automatically a member of the Northeast Region.

This database is a tool to help website visitors locate WOC nurses across the Northeast Region. Any visitor to the website will be able to locate members by using simple key words to search our database (using “Find A Clinician“). We expect that WOC students, patients, physicians, and colleagues will find this database useful.

Provide your most current contact information AND minimally list your city, state, and zip (street not necessary) to provide a geographic location.

TO BE INCLUDED IN THIS LIST, YOU MUST:

-Be a current member of the WOCN Society

-Posess a verifiable professional certification that includes a wound, ostomy, or continence specialty

NOTE:
ONLY INCLUDE INFORMATION YOU WANT TO BE VISIBLE TO THE PUBLIC

Name

First NameLast Name

Organization

Department

Contact First NameContact Last Name

Addresses

<div class="widget-title">
				<h4>
					<span class="address-type">
					<input type="hidden" id="cn-address[::FIELD::][type]" name="address[::FIELD::][type]" value="home" /><span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-address[preferred][::FIELD::]" name="address[preferred]" value="::FIELD::" /><label for="cn-address[preferred][::FIELD::]" >Preferred</label></span>
</span></span>
					</span>
					
				</h4>
			</div>

</div>

<div class="address-line"><label for="cn-address[::FIELD::][line_1]" >Address Line 1</label><input type="text" id="cn-address[::FIELD::][line_1]" name="address[::FIELD::][line_1]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_2]" >Address Line 2</label><input type="text" id="cn-address[::FIELD::][line_2]" name="address[::FIELD::][line_2]" value="" /></div><div class="address-line"><input type="hidden" id="cn-address[::FIELD::][line_3]" name="address[::FIELD::][line_3]" value="" /></div><div class="address-line"><input type="hidden" id="cn-address[::FIELD::][line_4]" name="address[::FIELD::][line_4]" value="" /></div>
			</div>

<div class="address-city"><label for="cn-address[::FIELD::][city]" >City</label><input type="text" id="cn-address[::FIELD::][city]" name="address[::FIELD::][city]" value="" /></div><div class="address-state"><label for="cn-address[::FIELD::][state]" >State</label><input type="text" id="cn-address[::FIELD::][state]" name="address[::FIELD::][state]" value="" /></div><div class="address-zipcode"><label for="cn-address[::FIELD::][zipcode]" >Zipcode</label><input type="text" id="cn-address[::FIELD::][zipcode]" name="address[::FIELD::][zipcode]" value="" /></div>
			</div>

<div class="address-latitude"><label for="cn-address[::FIELD::][latitude]" >Latitude</label><input type="text" id="cn-address[::FIELD::][latitude]" name="address[::FIELD::][latitude]" value="" /></div><div class="address-longitude"><label for="cn-address[::FIELD::][longitude]" >Longitude</label><input type="text" id="cn-address[::FIELD::][longitude]" name="address[::FIELD::][longitude]" value="" /></div>
				
			</div>

<input type="hidden" name="address[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="address"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Address

Phone Numbers

<input type="hidden" id="cn-phone[::FIELD::][type]" name="phone[::FIELD::][type]" value="phone-number" /><span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-phone[preferred][::FIELD::]" name="phone[preferred]" value="::FIELD::" /><label for="cn-phone[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-phone[::FIELD::][number]" >Phone Number</label><input type="text" id="cn-phone[::FIELD::][number]" name="phone[::FIELD::][number]" value="" />
			</div>

<input type="hidden" name="phone[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="phone"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Phone Number

Email Addresses

<label for="cn-email[::FIELD::][type]" >Email Type</label><select id="cn-email[::FIELD::][type]" name="email[::FIELD::][type]" ><option value="personal" selected='selected'>Personal Email</option><option value="work" >Work Email</option></select>
<span class="preferred"><input type="hidden" id="cn-email[preferred]" name="email[preferred]" value="" /></span>
				</h4>
			</div>

</div>

<label for="cn-email[::FIELD::][address]" >Email Address</label><input type="text" id="cn-email[::FIELD::][address]" name="email[::FIELD::][address]" value="" />
			</div>

<input type="hidden" name="email[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="email"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Email Address

State

	Continence Preceptor Incontinence: Skin Care/Containment Ostomy Wound/Skin Foot and Nail Care Industry Other
Areas of Practice Other
Areas of Practice Field

	CWOCN CWCN COCN CCCN CWON CWOCN-AP CWCN-AP COCN-AP CCCN-AP CWON-AP CNS CFCN ANP-BC FNP-BC CWS CWCA WCC PNP-BC None Other
Certifications Other
Certifications Field

Patient Population

	Adult Geriatrics Pediatrics
Patient Population Field

	Home Health Care Hospital-Acute Care Hospital-Long Term Acute Care Industry Extended Care Out-Patient Clinic Physician Office Private Practice Univ/School Hospice
Practice Setting Field

Additional Comments

Permission to Display Information <span class="consent_span">I give permission to the NER-WOCN to post my name, credentials, address, phone number(s), and e-mail address on the web site of the Northeast Region of the WOCN. I understand that this information will be available to other NER-WOCN members and lay-visitors to the web site.</span>

Agree

Member Profile

TO BE INCLUDED IN THIS LIST, YOU MUST:

NOTE: ONLY INCLUDE INFORMATION YOU WANT TO BE VISIBLE TO THE PUBLIC

Name

Addresses

Phone Numbers

Email Addresses

State

Areas of Practice

Certifications

Patient Population

Practice Setting

Additional Comments

NOTE:
ONLY INCLUDE INFORMATION YOU WANT TO BE VISIBLE TO THE PUBLIC