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Please complete all of the forms below:


Registration Form


Education and information resources for patients:

Mercy Gilbert Medical Center:
The Barrow neurological institute (BNI):
St. Joseph Hospital:

The Mayo Clinic:
The American Academy of Neurology:

The American College of Rheumatology:
Alzheimer's disease:

The Alzheimer's Foundation of America:

The American Chronic Pain Association:

The American Pain Society:
Fibromyalgia, Chronic pain, RSD / CRPS:
The American Headache Society:
Botox injections for chronic migraine headache:

Botox information:
The MDA, Myopathy:
The Neuropathy Association:
Multiple Sclerosis:

Parkinson disease:
Seizure, Epilepsy:
The American Heart Association:
The American diabetes Association:

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