Submit your information below to signup for the PERQUE Integrative Health Academy Course 3
First Name
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Last Name
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Email
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Clinic or Pharmacy Name
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Practitioner Credentials
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Years in Practice
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Services Provided
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Delayed Allergy Testing
Nutritional Counseling
Supplements
Chiropractic
Acupuncture
Massage
Dentistry
Other
What do you want to get out of this course?
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Which certification programs have you completed?
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IFM
CIM
FMU
Well Guard
Other
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