Step 1 of 2 · Before payment

The Complete Neuropathy Program Intensive Attendee Acknowledgment

Dates to be announced · Conroe, TX (Ergo-Flex Training Facility). Registration is $750. After you sign, you'll go straight to secure checkout.

Your details

First name

Last name

Phone

Professional credential / license

State

How will you attend?

Attend live in Conroe, TXHands-on, in-person training at the Ergo-Flex Training Facility.

Acknowledgments

Please read and check each statement.

I understand this course is professional education for licensed healthcare professionals. It does not grant a license, certification to practice, or specialty designation, and it does not constitute medical advice.

I will apply this training only within my own education, licensure and professional scope of practice.

In-person demonstrations and exercises are voluntary, and I may decline to participate in any of them.

The course may be recorded, and my participation may capture my voice or image.

Course materials and recordings are proprietary and for my personal educational use only. I will not record, copy, share, resell or distribute them.

This registration is for one attendee only.

I intend my electronic signature below to be the legal equivalent of my handwritten signature.

Signature

Typed full legal name

Date

Draw your signature

Sign inside the box above.

Your information is used only for course registration and acknowledgment records. Please do not include any health information.