University of Bridgeport - Online Training Sign Up

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THE UNIVERSITY OF BRIDGEPORT

ADVANCED ONLINE CLINICAL TRAINING

Thank you for choosing to enroll in the University of Bridgeport's Advanced Online Clinical Training program.

Your first step is to fill in all of the required fields in the form below and then press the 'Submit Enrollment' button.

Email Address*

Verify Email*

Password (5 - 30 characters)*

Title*

First Name*

Last Name*

Clinic Name

Telephone*

Cell Phone

Street Address*

City*

State*

Country*

Zip Code*

Status*

Institution*

Registration Board

Other Registration Board

License Number

Date of Birth*

Tick here if you are Board Certified already (DIANM only)

There is no need to fill in this field

James J. Lehman, DC, MBA
Director - Health Sciences Postgraduate Education Department

Diplomate of the International Academy of Neuromusculoskeletal Medicine (DIANM)

Associate Professor of Clinical Sciences
School of Chiropractic
University of Bridgeport

By enrolling in this course you agree to receive periodic emails from Chiropractic Development International regarding upcoming training programs, products or services. Your email address will never be passed on to a third party.

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