Health Pro Group Registration

Name of Practice / Business Name

Type of Practice

Website

Phone Number

Select Health Pro module

Available dates (Propose your ideal dates)

Number of participants attending the course from your practice (minimum 6)

In Ottawa and Toronto we require a minimum of six participants per course. In order for an Instructor to travel to any other location a minimum of 12 participants is required.

If you have less than six participants, please fill out the Individual Registration form for each participant.

Address

Let us know if you are willing to travel

Distance willing to travel from your location

Questions or comments

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