Join the Foundation for Wellness Professionals

Please complete the following form in full in order to sign up.

Note: You must be an active client of David Singer Enterprises or the Neurologic Relief Center to be a member of the Foundation for Wellness Professionals.

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This information will be publicly displayed. Please make sure all information is accurate and properly formatted.

Doctor's First Name:
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 Zip:
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E.g.: xxx-xxx-xxxx
Fax:
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Email Address:
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For editing your profile in the event that your address or phone numbers change.
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We reserve the right to refuse any listing. Website addresses will be verified and any addresses that do not resolve to a site will not be listed.

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The Foundation for Wellness Professionals are professional health care motivational and keynote speakers on responsible health care.