Registration Form

Sign up below to renew or become a member.

The information you input will populate your Dr. Search entry. Please use appropriate information for patients and referrals.

First Name *

Last Name *

Company Name

Email *

Phone *

Fax

Country *

State/Province * State/Province

Please confirm your state for your listing on our Doctor search.

state cannot be none

ERROR: You selected United States for country. Please select a valid state to continue.

Street 1 *

Street 2

City *

Postal Code *

Website/URL

Certifications * Certifications

Key: CP (Certified Proficient) | AP (Advanced) | CC (Craniopath) | DICS (Diplomat) | FICS (Fellow)

Membership type *

International Members - Membership location

International members who DO NOT have a membership with another country should register for a Doctor Membership. International Members with Memberships in SOTO-Europe, SOTO-AU, etc. can register for "Library Only"

License Number or Date of Graduation *

Amount Due

Upload Your License or Student Verification

Maximum file 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.

SORSI membership is a recurring subscription, except for the one-time $50 student payment. By checking the box, you are agreeing to the recurring credit card charges. To cancel your subscription, please email: [email protected]

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