Registration Form

doctor-registration
Sign up below to renew or become a member.
International members, you are now able to register. If you experience any trouble, please contact us.
Please confirm your state for your listing on our Doctor search.
Key: CP (Certified Proficient) | AP (Advanced) | CC (Craniopath) | DICS (Diplomat) | FICS (Fellow)
Maximum upload size: 4MB
Please upload a copy of your license (Doctor). If you are a student, please upload a picture of your current schedule with school name on it and date as well as your student ID.
Credit Card