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If you submit your case studies and related information, please fill out the following Case Submission form.
If you are submitting additional case studies, you can use a short Additional Case Submission form.
If you are submitting more than 5 cases, please use this form and Additional Case Submission form.
Name:*
Specialty:*
Office address:*
City*
Sate:*
Zip Code:*
Business name:
Office phone:
E-mail:*
Website:
Office hours:
Phone Consulting:  Uncheck if you do not wish to do phone consulting.
Fee Schedule:
Bio:
 
Recommendations for the information included in each case study report:
1) Patient's gender, age, when the patient visited you, diagnosis from previous healthcare provider and from you;
2) Treatment program you have recommended including how long for session, how many sessions, how long it took totally and progress patient has made;
3) Final outcomes and successes, preventative and maintenance treatment, how patient is satisfied.
Case 1 Title:
Case 1:
Case 2 Title:
Case 2:
Case 3 Title:
Case 3:
Case 4 Title:
Case 4:
Case 5 Title:
Case 5: